1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2020 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Pasta hypo's and highs

Discussion in 'Low Calorie Diets' started by hennypenny, Oct 6, 2009.

  1. hennypenny

    hennypenny · Member

    Messages:
    11
    Likes Received:
    0
    Trophy Points:
    21
    Hi can any one help i'm getting confused. my son's insulin regime has been changed from twice daily mixed to seperates, no problems with it apart from the pasta. he has eaten pasta twice in the last 3 weeks and both times had a hypo before bed and gone very high, around 20 by midnight. this has woken him up both times. we always gave him something sugary after pasta before or he would have a hypo but this doesn't help now. The DSN said it's not the pasta but a rebound from the hypo but this has not happened when he has had a hypo when i gave him a bit too much insulin.

    Having read about about the GI i am now confused how this works with injecting rapid insulin at meal times. Is pasta now off the menu? i dare not feed him anymore pasta at the moment. anybody with any ideas, please help. Rosie
     
  2. kegstore

    kegstore · Well-Known Member

    Messages:
    771
    Likes Received:
    3
    Trophy Points:
    38
    Hi Rosie

    Any low GI food - including pasta - is a tricky one to deal with when on MDI. I have a pump so it's easier, and I program it to deliver the meal bolus over 4 hours which works for me. Delivering it all in one injection is a sure-fire way to go hypo. The only way I can see to mimic this on MDI would be to try splitting the meal bolus in 4, and injecting the split dose every hour. You would have to fine-tune this with your son, as different people have different reactions to the same GI food, it might only need a 3 hour split.

    Your DSN is right about the rebound, blood sugar level gets so low that the liver releases a large quantity of glycogen into the bloodstream. This sends bg level skyward, and a reading of 20 is not uncommon in this scenario.

    Other T1s on MDI may have different strategies for dealing with low GI foods, hopefully they'll chip in here!
     
  3. suzi

    suzi · Well-Known Member

    Messages:
    754
    Likes Received:
    3
    Trophy Points:
    38
    Hi Rosie,
    Pasta is a nightmare, my son Andrew loves it and has experienced similar episodes after eating pasta like your son. We found by calculating the carb ratio and giving half the units before and then the other half of units about an 1hr later seemed to stop both the highs and lows. Two injections for one meal isn't perfect but if it allows them to enjoy their favourite foods without reprocussions, then i think you'll find its worth it. Another thing we found and i'm not sure if this just applies to Andrews pasta as its gluten free, but whislt boiling if you can change the water at least twice and get rid of as much starch as possible, you'll find he wont need as many total units. Hope this helps,
    but unfortunately as with all foods its all trial and error,
    Goodluck,
    Suzi x
     
  4. hennypenny

    hennypenny · Member

    Messages:
    11
    Likes Received:
    0
    Trophy Points:
    21
    Hi thanks for that, at the moment i think i may just take pasta off the menu. Ethan's 4 so i don't think he would let us give him more injections yet, he's been fab already with with going from 2 to 4. he also goes to bed quite early 7pm so i have to make sure dinner is on the table on time or he ends up having his rapid and lantus quite close together. it is something to keep in mind when he gets a bit older, he can have the choice then. thanks Rosie
     
  5. Toms mum

    Toms mum · Member

    Messages:
    6
    Likes Received:
    0
    Trophy Points:
    21
    we always have trouble with pasta and mashed potato
    and he is quite often abit too high later in the evening
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook