Split bolus's

[Topher]

Hi, at what point would you split your bolus for a high fat meal. I know you would do it for a takeaway etc, but would you do it for crisps, if the fat content was 10%. In other words at what fat percentage content would you split your bolus

 

[noblehead]

Never had to split-dose for crisps.

I'm not sure at what point you have split-dose for high-fat meals as I never really count the fat & protein content in a meal and just concentrate on the carbs, however I know from experience (trial & error) that certain meals do need more insulin than others and a split-dose bolus is required, the best thing to do is take note which meals do require extended boluses and keep a record of them for future reference.

 

[CarbsRok]

I don't split for a high fat meal just put on a temp basal of +30% at 2 AM to last 4 hours and that solves the problem. When talking about high fat I mean fish and chips which is a rare treat. Crisps I don't eat as don't snack between meals.

 

[novorapidboi26]

unfortunately like most things diabetes, its all about trial and error.........

I have always though and I am sure many will agree, that PIZZA is a perfect example where a split dose would help.........

so that might be a good place to go to see what the fat level actually is for a pizza, you can then use that as a reference point.....

 

[Spiker]

Split bolus for a meal that is high in fat does make sense. As does the alternative of a TBR for those who have a pump. I agree though that the threshold is quite a high fat %. Pizza or proper fish and chips, not just crisps.

 

[Applenerd81]

Pizza is the killer for me, still haven't managed to maintain any sort of decent control for at least 12 hrs after eating them...