Thank you for your reply and for explaining what happens. I read its called the pizza effect. She has only 2 slices with alot of salad and like you said she has gone pretty low and was high while asleep after 5 hours of consumption. Like you said, a small amount and lunchtime maybe. I havent been advised to split the bolus though..
Hi,
I feel my advice above which seems to work for me fits well with the odd night of "rock & roll" lifestyle. (I also seem to be more insulin sensitive in the latter part of the day, even when my basal should have been sloping off?)
I like to be at optimum BG levels when performing as a singer in a live band.
So the the simplest explanation I can give with what seems to work for me, is bolus up front for the pizza would be covering the late basal long after the previous tail off. Then by the time the late basal shot kicks in the Novorapid is also not quite done..
The alcohol?? Retards morning liver dump.
A later bolus could well help your DD. Though testing & keeping a close eye on BGs is key.
Or you could ask your HCP regarding split bolusing..
Does your kid use a sensor?