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MDI pizza bolus
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<blockquote data-quote="pinewood" data-source="post: 1291711" data-attributes="member: 147474"><p>I find pizza challenging but I have a routine that keeps me in the 5-8 range. To do this I, unfortunately, need 3 or 4 bolus shots....</p><p></p><p>40% up front;</p><p>30% after 1 hour;</p><p>30% units after 2.5 hours.</p><p></p><p>Sometimes I need another 2 units at the 4ish hour mark as I find pizza digests really slowly due to the high fat content and I suffer badly from delayed spikes. That's why I try to eat it as early as possible in the evening, otherwise I can go to bed on target at 5ish mmol but then end up spending the whole night in the teens without realising until I read my Libre the next morning.</p><p></p><p></p><p>Yes, happened to me last night actually. Indulged after work with friends and had a milkshake (bad idea), burger and fries. Happily went to bed at midnight at 6mmol with downward arrow on my Libre. Woke at 2am at 12mmol and upwards arrow; spent the whole night waking every couple of hours to correct. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite16" alt=":banghead:" title="Bang Head :banghead:" loading="lazy" data-shortname=":banghead:" /></p><p></p><p>It's notoriously hard to nail it when you have high-fat meals like this; the easiest way I find to manage it is:</p><p></p><p>(a) eat your meal as early as possible so you can try and nip the spikes in the bud before sleeping; and</p><p></p><p>(b) try to do some moderate exercise after eating as this can help speed up digestion and reduce the spikes; even a 20 minute walk can be hugely helpful for me to maintain the 5-8mmol range the whole time with no big delayed rises; and</p><p></p><p>(c) obviously not for kids(!) but I tend to find even just one glass of wine can help stop delayed postprandial rises. Experiment with caution, though.</p></blockquote><p></p>
[QUOTE="pinewood, post: 1291711, member: 147474"] I find pizza challenging but I have a routine that keeps me in the 5-8 range. To do this I, unfortunately, need 3 or 4 bolus shots.... 40% up front; 30% after 1 hour; 30% units after 2.5 hours. Sometimes I need another 2 units at the 4ish hour mark as I find pizza digests really slowly due to the high fat content and I suffer badly from delayed spikes. That's why I try to eat it as early as possible in the evening, otherwise I can go to bed on target at 5ish mmol but then end up spending the whole night in the teens without realising until I read my Libre the next morning. Yes, happened to me last night actually. Indulged after work with friends and had a milkshake (bad idea), burger and fries. Happily went to bed at midnight at 6mmol with downward arrow on my Libre. Woke at 2am at 12mmol and upwards arrow; spent the whole night waking every couple of hours to correct. :banghead: It's notoriously hard to nail it when you have high-fat meals like this; the easiest way I find to manage it is: (a) eat your meal as early as possible so you can try and nip the spikes in the bud before sleeping; and (b) try to do some moderate exercise after eating as this can help speed up digestion and reduce the spikes; even a 20 minute walk can be hugely helpful for me to maintain the 5-8mmol range the whole time with no big delayed rises; and (c) obviously not for kids(!) but I tend to find even just one glass of wine can help stop delayed postprandial rises. Experiment with caution, though. [/QUOTE]
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