Insulin pumps in children - a systematic review

Table 1 Comparison between the different types of insulin boluses

Bolus type	Normal	Extended	Dual wave	Super bolus
Indication	With most diets, 10-20 min before the meal	Rarely needed: With lengthy mealtime & gastroparesis	With low carb & high protein & fat (> 25 gm fat) meals	With high carbohydrate meal
Method of insulin delivery	Deliver insulin immediately	Deliver all the insulin in an extended fashion over a chosen duration which may be the meal length.	60%-70% of the bolus is delivered immediately, while 30%-40% is delivered over 2-4 h	The basal insulin units of the next 1-4 h are added to the bolus, followed by a temporary 0% of basal rate for that 1–4 h
When to test blood glucose	Before bolus and after 4 h	Before bolus, after the end of the bolus, & after 4 h	Before bolus, after the end of the bolus, & after 4 h	Before bolus, after one & 4 h after the bolus