Corny, corny.
After three years of random acts of pizza and regret, I think...I hope...that I may have learned how to live with pizza at dinner time.
This summer, we visited friends and got pizza for dinner. It was GOOD pizza. I can't eat 1 slice of good pizza. That is pizza torture. I have to eat at least two slices, maybe three. But I am afraid. Afraid of the evils of the low blood sugar right after eating, afraid of the great sneaky rise in blood sugar in the wee hours of the morning.
My official sources tell me that pizza slices have 25-35 carbs per slices. That is hooey. So I bolused 40-50 grams per slices, with a grand total of 150 grams of carbs for the meal. Ack!
I usually divide my dinner insulin 50/50 over three hours in a dual wave bolus. This is one of the reasons I need a pump - to make sure I don't go crushingly low right after dinner.
So for pizza, I divided it by 35/65 over four hours, corrected a little at two hours, and sailed through the night with a minor correction at 3 am.
Repeatable?
I did repeat it once again over the summer, to similar success. Now, 150g of carbs is still a whack-o-carbs to be going to bed on. I wouldn't do it without my sensor to guide me and warn me to pending lows. But it did work - twice - and I am considering eating pizza again.
Now ain't that a radical thought?
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5 comments:
Wow! Thanks for this info! I am a little worried to bolus so much and go to sleep, though, I may try it for breakfast one day. I love pizza. It's always been my favorite food. And now, the same thing happens with the low, then high, then over bolusing, then low again. It really is an 8 hour (at least) commitment (of pretty much constant checking and adjusting), if I eat pizza. And why is it that I can eat the same amount of bread, tomato sauce and cheese, just not in pizza form, and not have the same problem?
Ah, there's the rub though, eh? Pizza has strange and wonderful properties that we should harness to better the universe...or something. :-)
Your mileage may vary, of course. I've tried pizza for breakfast, or better...for an 11 am lunch. That makes it feel almost reasonable.
I don't think that normal boluses work for most people for pizza, so experiment with dual waves of different sorts. Since I always use a dual wave at dinner, I had to reduce it even more.
I also work on my dinner plan to try and make sure I am safe at night. We generally eat between 6-6:30, and when I check my blood sugar at 10 pm I have discovered that the correction I need needs to be 1/2 of the active insulin at that time, or I will go low later.
For example, if I need 0.4 units of a correction at 10 pm and I have 0.8 units of insulin working, I will generally be ok. Unless I've done major exercise or it is a certain time of the month.
This formula is totally based on my body, but perhaps you could do a bit of tracking and see where you need to be when you go to sleep (and how much of your dinner insulin you can have in your system)?
this is helpful - thanks :)
I only check before bedtime when I have had something questionable like pizza, or beans, for instance. Otherwise I just check 2 hours after eating and then don't check again until morning. I am hoarding test strips :(
do you use the square wave bolus ever?
I only tend to use dual wave. I use square if I plan to eat a certain number of carbs at a party and I am not sure exactly when I am going to eat. I find it to be good for grazing.
As for your question about where I got this info - most of it is from trial and error, because I am a nerd at heart. I also found the insulin pumpers and diabetes cgms groups to be excellent resources. Insulin pumpers has a web site with email sign up, and diabetescgms is a yahoo group.
Oh, and I found that the only way to see if I was going really high after a meal was to check at 1 hour post-meal. Try this with your frequent breakfast foods a couple of times and you will discover loads about what spikes your blood sugar and what keeps you fairly steady. Breakfast tends to be a problem time because it's often full of carbs and you have little in your stomach, so all of the carbs seem to fly on into your bloodstream!
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