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Bolus Reminders for a Busy Mommy

By Sarah Knotts

Guest Blogger

Posted:  10/13/2011 12:00 AM


That’s the name of the game when you’re a new mom. From the time your feet hit the floor in the morning until you lay back down at night for a hopeful few hours of rest, you’re on the go. Whether you’re getting the baby what he needs or trying to get yourself ready without putting on two different socks (or remembering the socks at all?), you’re constantly moving and going, trying to get everything done in time. You could almost swear those Energizer batteries in your clocks are working too well because time just cannot be flying by that fast… can it?

While insulin pump therapy may allow you to be less strict with your meal and insulin dosing times, it’s still not a good idea to skip meals, no matter how busy you may get. I cannot tell you how many breakfasts and lunches I skipped while being at home with my new baby because I was always so busy trying to make sure he was tended to since he was not on a defined “schedule” at the time. Doing this threw me off terribly, and I knew I had to have some way to get me back on track.

In addition to keeping things like protein bars or something of the sort for quick meals (hey, I’ve become a master at holding the bottle to feed the little one with my chin and feeding myself with the other hand!), I learned to set alarms on my phone to remind me of the little things like grabbing something to eat. Granted, I know how easy it is just to dismiss an alarm and go on about your way, but it does at least help remind you of the time so that you can try to stay a little closer to your schedule that you had before. But what are you going to do if you aren’t near your phone to hear and dismiss the alarm?

One of the things I like about my Paradigm Revel insulin pump is a feature that’s in the bolus setup menu called “Missed Bolus Reminder”. By setting up a time frame that you would normally bolus for a meal in, if you go through that time and do not bolus, it will alert you that you didn’t bolus during that time. Mine is set for 6pm-9pm. I know that if I do not bolus during this time and I get the alarm, it’s because I’ve missed my supper bolus – either because I forgot to eat, or because I ate and didn’t bolus. Either way, it’s a good reminder to help refocus my mind to help me think, “Did I miss supper?” or “I know I just ate an hour ago… I must not of bolused. Let me check my bolus history just to be sure.” And, since the pump is attached and you can’t, say, leave it in your laundry basket after running to grab the clothes out of the dryer or in the crib after picking up the baby (yeah, you lose your phone or anything else you have in your hands when the baby starts crying!), you know that it will be with you when it alarms.

I love being a new mom. I love staying busy taking care of him. But I have to remember that having diabetes doesn’t let me forget about taking care of myself, even for a few hours. So, I’m willing to do anything I can to take care of myself the best that I can so I can take the best care of him possible, even if it means hearing an extra alarm now and then.


- Medtronic Diabetes insulin infusion pumps, continuous glucose monitoring systems and associated components are limited to sale by or on the order of a physician and should only be used under the direction of a healthcare professional familiar with the risks associated with the use of these systems.
- Successful operation of the insulin infusion pumps and/or continuous glucose monitoring systems requires adequate vision and hearing to recognize alerts and alarms.

Medtronic Diabetes Insulin Infusion Pumps
- Insulin pump therapy is not recommended for individuals who are unable or unwilling to perform a minimum of four blood glucose tests per day.
- Insulin pumps use rapid-acting insulin. If your insulin delivery is interrupted for any reason, you must be prepared to replace the missed insulin immediately.

Medtronic Diabetes Continuous Glucose Monitoring (CGM) Systems
- The information provided by CGM systems is intended to supplement, not replace, blood glucose information obtained using a home glucose meter. A confirmatory fingerstick is required prior to treatment.
- Insertion of a glucose sensor may cause bleeding or irritation at the insertion site. Consult a physician immediately if you experience significant pain or if you suspect that the site is infected.

Please visit for complete safety information.



Posted on Fri Oct 14 00:16:47 GMT 2011

When my daughter started using the Paradigm Revel insulin pump, I wondered when the missed bolus alarm would be useful for us. I had thought about the days when she will begin taking over her own diabetes care, and thought that would be a good time to use this feature. Thank you for this article and for this great suggestion!


Posted on Mon Oct 17 03:15:30 GMT 2011

I have a pump that stopped working this past weekend... I tired to get a hold of Medtronic for 3 days now have waited on hold for over 2 hours each time. The fact that they don't answer there phone makes me want to change my pump to a new company ... Spending over $300 a month on insulin supplies demands someone to answer a phone call when my pump stops working ... Medtronic needs to change this ... unacceptable! High someone to answer phones! Come on man!


Posted on Mon Oct 17 22:21:00 GMT 2011

I’m so sorry this happened to you. I’ve forwarded your comment to the HelpLine and they will get back to you today.


Posted on Tue Oct 25 13:26:12 GMT 2011

Great article, I never even thought to use this feature before but I frequently get busy and forget to bolus when I'm eating on the go.
Colby I am so surprised to hear your experience, I personally have never had anything but amazing experiences with Metronic customer service, including having a replacement pump hand delivered to my front door at 7pm on a Sunday evening, just 2 hours after calling to report a problem with my pump.


Posted on Tue Feb 07 13:39:48 GMT 2012

Sorry to hear that Colby. I had a pump die on me while I was on vacation, I called Minimed Medtronic at night and they had fed-exed me one over night at the hotel I was staying at, I was very impressed. I do believe they understand the importance of their product. I am very happy with mine, and can't wait to upgrade my 755 to the Revel. I am a VERY busy mom of 2 girls and NEED that bolus reminder. I totally get it. I either forget my meals or forget to bolus.

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