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Message: <blockquote data-quote="sgm14" data-source="post: 2727743" data-attributes="member: 517358">Diabetes is complicated and some foods are difficult to handle and what may be difficult for one person may not be for another person.When I first started on insulin I assumed (based on what I was told and read and also from my sister's experience) that you had one carb ratio. Then I discovered that some people have a different carb ratio depending on the time of day.Then I discovered that some people (like me) can have a different carb ratio depending on what the meal is. As an example, my breakfast carb ratio is either 1:2 or 1:4 depending on what it is. And as you have discovered, some foods can cause double spikes.The problem you are seeing isn't uncommon and there isn't one way of handling it. Some people prefer to double bolus - some people prefer not to pre-bolus, but let their BS rise a little and then take more insulin and others just prefer to avoid those types of food altogether.And the other thing to remember is that there are a lot of things that can affect your blood sugar and so you need to look for patterns that repeat rather than make assumptions based on one meal.</blockquote>

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