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Pizza on the pump

MushyPeaBrain

MushyPeaBrain

Well-Known Member
Messages
647
Type of diabetes
Type 1
Treatment type
Pump
I seem to be having big issues with takeaways on the pump. No matter how I bolus my BG is spot on 4-5 hours later so I go to bed and wake up with BG around 17 :shock:

Tonight my brother wants to order pizza with us and I'm wondering how you would all handle pizza? maybe some tips will help me crack this as, although I don't eat takeaways often, I would like to be able to treat myself sometimes!!
 
That's a lot of carbs, have you tried a long combo to keep the levels down during the night.
I think it takes the body a while to burn pizzas etc
 
Well tonight I'm trying a combo with 40% straight up and 60% over 3 hours plus a temp basal of 120% for 4 hours

Will see what my B is before bed and then maybe do a further temp basal. Always worry about night hypos though so might bite the bullet and do BG check at 3 am :roll:
 
Hia - hw dd you get on with the test with the Pitzza? Hope it worked for you.
 
Well it worked the other way this time. BG after 4 hours was 11.2 so bolused again. Then set a temp basal of +30% for 4 hours and went to bed. Woke up at 4.5 so very happy with that!!

I didn't bolus quite as much as normal upfront as I downloaded the carb details from Pizza Hut's website. I think maybe I should have used this as a guide but still been a little more aggressive with my insulin amount.

I also found some diabetic research into pizza, as it causes all diabetics nightmares with BG, which said that pizza raises BG levels for 8 hours after eating but sugars don't normally start to rise until 2 hours in.
 
Maybe a bigger start bolus would have worked.
Still it's a good end result!
 
I do extended over 3 hours but always do around 20% more than the carbs say on the packet! I always think the topping can affect early results and the bread/cheese the later results (post 2 hours+).

Pizzas always ticky but as its only every now and then I'm not too concerned if I need to manually correct after a few hours.

I think its quite personal in what you need to do.
 
When I eat pizza which isn't enough :lol: I have a shot of insulin in my arm, the amount depends on size of pizza and if I've ordered sides!! garlic bread/wedges etc.... I then run my pump at 50% more basal for about 8 hours. Usually things aren't too bad.
 
I don't always get it right, but I find that a dual-wave bolus plus 1 to 1.5 units (15-20%) of insulin more than I would normally have for the carb amount works for me most of the time. I usually eat half a shop bought pizza (42gr carb) + a yoghurt (17 gr carb) 61 gr carb total. My ratio at dinner time is 1u/9gr carb. I therefore take 8 units in total (6.8 the usual amount plus an extra 1.2), 6 immediately & 2 units extended over 1.5 to 2 hours.
I've no idea why I have to up my ratio when I eat pizza, but it's the only way to avoid highs later on.
 
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