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How does protein affect blood glucose?
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<blockquote data-quote="Spiker" data-source="post: 840704" data-attributes="member: 102150"><p>Really good question. Having read the papers on it a few years ago I believe that the energy yield is calculated from the chemistry of the chemical reactions overall in the known metabolic pathways. I don't think it's an empirical test, it's theoretical. So I don't think it's likely to include the glucagon response (which would presumably net out with the insulin response anyway in a non diabetic). </p><p></p><p></p><p>Definitely agree. Pumps are perfect for GNG because they offer extended and / or delayed bolus delivery. </p><p></p><p>Alternatively what I used to do on MDI is dose for protein using an older slower acting QA insulin rather than the modern ones, and take it post meal rather than pre meal. I used Actrapid and Regular insulin. </p><p></p><p>Taking into consideration what you say here, I might use newer fast QA insulin to handle the immediate response and then top up with a slower older post meal QA for the GNG part.</p></blockquote><p></p>
[QUOTE="Spiker, post: 840704, member: 102150"] Really good question. Having read the papers on it a few years ago I believe that the energy yield is calculated from the chemistry of the chemical reactions overall in the known metabolic pathways. I don't think it's an empirical test, it's theoretical. So I don't think it's likely to include the glucagon response (which would presumably net out with the insulin response anyway in a non diabetic). Definitely agree. Pumps are perfect for GNG because they offer extended and / or delayed bolus delivery. Alternatively what I used to do on MDI is dose for protein using an older slower acting QA insulin rather than the modern ones, and take it post meal rather than pre meal. I used Actrapid and Regular insulin. Taking into consideration what you say here, I might use newer fast QA insulin to handle the immediate response and then top up with a slower older post meal QA for the GNG part. [/QUOTE]
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