Hi
@macman89,
One of the challenges with diabetes, particularly type 1, is trying to fit in with social situations.
I often take the opposite view these days of ' why should i do something which everytime throws my routine out !
So i might have lunch, and only the things i wish to eat, not try to empty the plate and for movies i have to actually take a dose iof short-acting insulin anyway, because unless it is a comedy, the stress of the horror/action/thriller/tear-jerker movie sends my bsls up!! But i routinely would just have water or under duress a Coke zero or similar.
I am on a similar diet to
@Mel dCP so insulin stacking is less of an issue also.
But even with insulins like Apidra it may be difficult to match insulin action to rise in BSL afte a meal with moderate ir higher carb content. And this is one of the options
@EllieM discusses.
In the photos below:
First on left: this is a table about Humalog, another shirt-acting insulin like Apidra, as i coukd not find one forcApidra. The salient points are that the timing of when the short-acting insulin reaches peak blood sugar-lowering efect averages out at 2.4 hours but ranges from 0.8 to some 4 hours. Let us use the 2.4 hours for now.
Second from left: is a graph of what happens when one increases the dose of a short-acting insulin, say, when eating a larger meal The peak action rises and lengthens. That might as
@ellie suggests cover a later snack but might also increase the risk if a hypo before that time.
Third photo shows the effect on blood sugar of eating various tyoes of bread. Yes, some fat in a cheese filling etc may sliw the blood sugar rise, but in general the effect of a short-acting insulin on the blood sugar rise is going to depend on each individual person's absorption and action if the insulin. It may work for one oerson at the extreme range of 0.8 hours but fail to match and quell the blood sugar rise at the average of 2.4 hours and later.
Thus lays the whole dilemma of trying to match insulin type and dose to what one eats in a mael plys a later snack.
I suspect that snacks had to be introduced back in the days when shortacting insulins had even longer time ti reach ieak action and even with more modern insulins there is still some need fir snacks to cope with higher doses of short acting insulin with carby meals and risk of low bsls some hours after such meals.
An afternoon at the movies with popcorn may solve that dilemma but is it the best or only option?
.......
..... See next post fir the third photo , apologies