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Type 1 Diabetes
Dissent at the JDRF Discovery evening...
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<blockquote data-quote="tim2000s" data-source="post: 992831" data-attributes="member: 30007"><p>It was quite an interesting set of points when we got away from the discussion about carb reduction. </p><p></p><p>They key points were (what we seem to understand on here already) relating to fat having a delaying effect on carb absorption, plus an accelerating effect after 2-3 hours. High fat/high protein driving a delay in high bg levels and that the trigger point in fat amounts seems to be 40g at which point it seriously affects bg levels. </p><p></p><p>She also mentioned that 70g of pure protein has the equivalent effect on bg to 20g of carbs (I thought this protein number a bit high). </p><p></p><p>She talked about bolusing for protein, used the polish calculation as an example and mentioned that different people seem to use different insulin profiles for different amounts of fat and protein. I mentioned a 50:50 split multi wave at 50% of u per weight of carbs. She said she'd seen that before, but no clear guidance. Very much trial and error. The issue is a lack of evidence based information makes dieticians uncomfortable.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 992831, member: 30007"] It was quite an interesting set of points when we got away from the discussion about carb reduction. They key points were (what we seem to understand on here already) relating to fat having a delaying effect on carb absorption, plus an accelerating effect after 2-3 hours. High fat/high protein driving a delay in high bg levels and that the trigger point in fat amounts seems to be 40g at which point it seriously affects bg levels. She also mentioned that 70g of pure protein has the equivalent effect on bg to 20g of carbs (I thought this protein number a bit high). She talked about bolusing for protein, used the polish calculation as an example and mentioned that different people seem to use different insulin profiles for different amounts of fat and protein. I mentioned a 50:50 split multi wave at 50% of u per weight of carbs. She said she'd seen that before, but no clear guidance. Very much trial and error. The issue is a lack of evidence based information makes dieticians uncomfortable. [/QUOTE]
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Dissent at the JDRF Discovery evening...
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