Lettuce/ Salad

[Kristin251]

I am finding I needing to bolus more for a salad than one would think. Lettuce seems to raise me far more than it should and require extra insulin. I am. It talking about a big salad either, just a few torn leaves. I am using Boston ( Bibb, better head) and or romaine. There is protein and fat in the meal as well and bs tends to rise later rather than sooner with the addition of lettuce.

Not sure what's going on but this happens regularly. I really don't want to do a second bolus for a few pieces of lettuce. Not sure if it's breaking down fast or slow.

Anyone else notice lettuce raising them beyond what one would think?

 

[noblehead]

There's so few carbs in your lettuce portion I'd be surprised if it was causing much of a bg rise.

On MDI I would always have to split-dose for meals that were low-carb and higher in fat & protein.

 

[Kristin251]

That's why it boggles my mind. If I eat the exact same meal but add a few lettuce leaves I am 10-20 higher. Not a big deal but annoying. Kind of not worth the extra bolus

 

[azure]

10-20 is only approx 0.5-1 mmol. Bearing in mind that the meter has a margin of error, I wouldnt worry too much.

 

[Kristin251]

I'm not worried about it but more baffled.

I m asking a question irreverent to this thread but why can't I see threads I've posted on or started? Has the glitch been worked out yet? Even when I hit new posts they don't show up

 

[azure]

I'm not worried about it but more baffled.

I m asking a question irreverent to this thread but why can't I see threads I've posted on or started? Has the glitch been worked out yet? Even when I hit new posts they don't show up

To answer your lettuce issue, I wonder if a basal test would help? I notice you saying elsewhere that one high sugar meant three days of messed up,readings for you. That doesn't sound right. Perhaps your basal needs have increased? You could test to,rule it out.

No, unfortunately the glitch is a major one and is still being worked on. You can click Recent Posts under the red top of the forum (not a tab, just in a run of text).

 

[Kristin251]

My basal is perfect. Wake up within 10 points of bed. When I said one high sugar I meant I over ate too much food and then it seems to have a brand new set point and takes a few days to co e down. I can bring it down with insulin but it will always pop back up. It's usually when I over eat saturated fat or protein. Carbs seem to be easier to fix.

Thanks for the help, I'll go look for it now.

 

[Kristin251]

HA Azure, you are a wealth of knowledge! That was rather frustrating.

 

[azure]

HA Azure, you are a wealth of knowledge!

You're welcome

It's always worth checking the basal occasionally. I know you're ok overnight but I wondered if that held true for the daytime too? Just throwing it out there as an idea

 

[Kristin251]

I understand your thought process but if I up my basal from one unit to two I go to low at night. I just use basal for overnight and bolus for food. Works out great as long as I don't stuff my face and not take enough insulin for it.

 

[catapillar]

I understand your thought process but if I up my basal from one unit to two I go to low at night. I just use basal for overnight and bolus for food. Works out great as long as I don't stuff my face and not take enough insulin for it.

Basal is supposed to work 24 hours. What basal insulin do you use? I think lantus covers approximately 18 hours and levemir approximately 12. So it could be that your basal is running out in the day? If that's the case you wouldn't necessarily have to up the dose, but rather, think about splitting it.

Your basal is supposed to keep you flat (without food/bolus/unusual exercise) all through the day - because your liver will be giving out glucose all through the day. So it might be worth thinking about some day time basal testing, just to see whether your basal is doing its job in the day.

Is there any pattern to the timing of the lettuce v non lettuce meals? If you have non lettuce for lunch and it all works fine, but lettuce for evening meal and you get a rise that might suggest it could be a basal running out thing rather than a lettuce thing.?

 

[donnellysdogs]

If you have normal stomach emptying then fats/proteins or even extr carbs should not raise your levels for 2-3 days....
Have you actually weighed everything with your salad.. With egg and everything weighed I would have to nolus for between 14-19 carbs depending on qty of eggs. That wasn't with anything like coleslaw or potato salad etc...