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Carb absorption and insulin ratios

Zinadane

Zinadane

Well-Known Member
Messages
330
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
High and low sugar levels!
Type 1 now for 47 years (6.2hba1c) but still making schoolboy errors!
Too much pasta bake last night, which on recalculation was about 120g of carbs compared to my usual evening meal of about 60g.
Anyway, I didn’t think it would be a problem, I just doubled up on my bolus (fiasp), however, it was nowhere near enough. I needed probably 2.5-3 times the bolus and also after about 6 hours I am still fighting bg levels above 10mmol.
I need a low carb diet I think, and I fully understand how much easier it would be, but after just cycling 30 miles I was craving carbs!
Anyway, my questions are:
Double the carbs need double the bolus?
Slow acting carbs (pasta, rice etc.) after how long to still be impacting bg?
 
How cheesy/oily/fatty was it? This could greatly effect how long it takes for the body to break down the carbs into glucose.

I can have something high fat/protein like pizza - dose for carbs at 6pm - look good in range bgl at 10pm and then wake up with the CGM alarms after midnight with bgls climbing high.

High intensity exercise can cause BGLs to rise too.

Also like you i find “once the horse has bolted” its harder to bring them down - easier to lock the gate first.
 
Yes, it was quite cheesy!
Plus I finished off with some cheese and biscuits. Can cheese and biscuits 10 mins after main course effect the absorption of main meal?
Completey agrree on "prevent the horse bolting',
 
RoughcutAU said:
Also like you i find “once the horse has bolted” its harder to bring them down - easier to lock the gate first.
Click to expand...

That is devastatingly true. Recently I had a curry with rice at someone's house. I had a second helping and overall it was probably quite fatty.

For the next five hours, I was stuck in the 11, 12, 13 range and kept giving corrections of two units, which did nothing.
 
Pasta the dreaded pasta I’ve suffered the same fate, but after quite a bit of experimentation ( let’s face it that’s what treating diabetes is all about ) has resulted me taking my Bolus hours after I’ve eaten it , I’m not saying I have it totally under control but definitely better than what it was , think the reason for it well seems so in my case is by the time the pasta raises my bs my Bolus insulin is away hence the huge spikes , pasta for me is what I class as a “long term “ carbohydrate which I have to alter when I take insulin , piazza is the same
 
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