Dealing with large carb meals

April 21, 2013 20:54

youone DAFNE Graduate
Hull University Teaching Hospitals NHS Trust 102 posts

Gari
just had a pizza express
large 500g (19 CP) pizza also a cheese cake which I estimated at 3CP
BG was 8 before meal
when the pizza arrived I injected 10 QA
1 hour later I injected 8 QA
41/2 hours after the meal my BG was 12 I finished off with a correction of 2 QA
according to the person at pizza express who to be honest had no idea what I was asking about, the carb contents, the app said 19 CPs for 550g pizza hut, if I had done this and took the full 23 CP match in QA I would have sailed close to a hypo.
doing this split especially with large meals of CPS you have less chance to take to much since you have a correction at the end of the 4 hours
the next morning I had a BG of 7
my target was 7 to 9

April 21, 2013 21:05

Gari DAFNE Graduate
University Hospital, Lewisham 17 posts

Thats really interesting thanks. I had a large spag bol for dinner last night. This is a meal i usually have problems with. I done the 3 dose split. But it wasnt that succesful. Thing is with me is that for my evening meal i am very sensitive. So take a 40% QA reduction. I think this is because i am very active during the day at work. And do a lot of walking to and from. Yesterday i did work but just for a few hours and drove there. So not very active day. But for dinner i still reduced. (Possible should have give the full dose) i have had the same dinner tonight and have not been very active today so gave the full dose split into three. In 30minutes will be 4 hours after i ate so i shall see what happens. I'll keep you posted. Your advice has been amazing and given me so much freedom. Something that the healthcare proffesionals were unable to do. Thankyou

April 21, 2013 22:43

youone DAFNE Graduate
Hull University Teaching Hospitals NHS Trust 102 posts

I know the feeling at work, Friday was supposed to be a watch the camera and take the rolls off the machine, but as usual the previous shift fell behind so it was me who had to speed up, more stress so a planed day was changed, had to correct at mid morning since by breakfast BG was 7.8 at 8 it was 7 to low I expected it to be around 10, took 1:50 CP no QA at 10 it was 8.
Type1 would be so easy without work, mores the pity I didn't change my job years ago

April 21, 2013 23:22

Warwick DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria 423 posts

You have just ensured that you will never be on my Christmas card list Youone. I love Pizza Express, but my closest one is 16500 km away. I now have a craving for Pizza Express and I can't do a thing about it until my next visit to the UK which is years away. Any more of this nonsense and I am leaving this thread Laughing

April 21, 2013 23:52

youone DAFNE Graduate
Hull University Teaching Hospitals NHS Trust 102 posts

Sorry about that, I won't mention pizza express again
http://i168.photobucket.com/albums/u176/youonebucket/menu2-romana-meatball-bolognese_zps6c37d5c2.jpg
next time I'll mention the thick-crust pizza from pizza hut
http://i168.photobucket.com/albums/u176/youonebucket/bbq_mega_meaty_zps086edf22.jpg
Laughing

April 22, 2013 03:26

Warwick DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria 423 posts

That helped. I'm vegetarian ;-P

April 22, 2013 09:04

youone DAFNE Graduate
Hull University Teaching Hospitals NHS Trust 102 posts

youone said:
Gari
just had a pizza express
large 500g (19 CP) pizza also a cheese cake which I estimated at 3CP
BG was 8 before meal
when the pizza arrived I injected 10 QA
1 hour later I injected 8 QA
41/2 hours after the meal my BG was 12 I finished off with a correction of 2 QA
according to the person at pizza express who to be honest had no idea what I was asking about, the carb contents, the app said 19 CPs for 550g pizza hut, if I had done this and took the full 23 CP match in QA I would have sailed close to a hypo.
doing this split especially with large meals of CPS you have less chance to take to much since you have a correction at the end of the 4 hours
the next morning I had a BG of 7
my target was 7 to 9

On closer examination I'm surprised with the maximum BG that I had after the meal.Because I've done my eating of large CP meals this way most of 20 years I never really gone deep into the BG readings, I saw when on was on the Dafne course some people in high 20's.
Now I'm in a more relaxed environment these are the BG readings
Before meal BG 8
Meal estimated CP = 23 Ratio is 1:1
10 QA taken at the start of meal 7pm
8 QA taken @ 8pm
At 12 pm BG was 12 took correction of 2 QA
Looking at the figure 12 this seems low for a meal of 23 + CP
Later I did a 5 hour reading the BG was 15.6, higher but still a low increase for meal amount
Corrected with 3 QA
Since I was watching this closely I did a 3am BG which was 10
This was a reasonable drop in the time from the meal
The BG at 8am was 7.3
As I've quoted above the rise of the BG to only 15.6 to me is as good as the end result
I felt good at the meal and the next day
Conclusion total estimate of CP was 23
Total QA taken in 3 + 1 split was 23

April 22, 2013 09:10

Gari DAFNE Graduate
University Hospital, Lewisham 17 posts

Can i ask why you didnt split the 3 doses more evenly. I thought thats what u were doing. So you would have given 8iu 8iu then 7

April 22, 2013 09:22

youone DAFNE Graduate
Hull University Teaching Hospitals NHS Trust 102 posts

Since the Dvla set the target to 5.8 before you can drive I've changed the way I look at things driving to me is too important to lose. Work etc.
I would have split the QA into 3 before 2011 now I find its made me just a little more careful not to drop below the Dvla figure
That's why I would drip smaller amounts until I am happy again to go back to 3 even splits its getting enough results so I'll be out again having a large CP meal.
Its full this experimenting Very Happy

April 22, 2013 14:13

Garry DAFNE Graduate
North Lincolnshire and Goole NHS Foundation Trust 328 posts

Personally I find it necessary to up my QA:CP ratio when eating more than 10CPs at a meal.
My dinner time 2:1 changes to 2.2:1 for instance.
Generally it seems that the majority of us become more insulin resistant with larger meals.
Pizza has always been a problem for me. Pizza Express.....just adding those words in...sorry Warwick Rolling Eyes
Don't know what it is but even home made pizza with everything diligently weighed out sends my BGs awry.
Have to admit that I would not consider splitting QA doses. I like to keep things simple.......and coping with overlapping QAs would be beyond my ken.
Regards
Garry

April 21, 2013 20:54 youone DAFNE Graduate Hull University Teaching Hospitals NHS Trust 102 posts	Gari just had a pizza express large 500g (19 CP) pizza also a cheese cake which I estimated at 3CP BG was 8 before meal when the pizza arrived I injected 10 QA 1 hour later I injected 8 QA 41/2 hours after the meal my BG was 12 I finished off with a correction of 2 QA according to the person at pizza express who to be honest had no idea what I was asking about, the carb contents, the app said 19 CPs for 550g pizza hut, if I had done this and took the full 23 CP match in QA I would have sailed close to a hypo. doing this split especially with large meals of CPS you have less chance to take to much since you have a correction at the end of the 4 hours the next morning I had a BG of 7 my target was 7 to 9
April 21, 2013 21:05 Gari DAFNE Graduate University Hospital, Lewisham 17 posts	Thats really interesting thanks. I had a large spag bol for dinner last night. This is a meal i usually have problems with. I done the 3 dose split. But it wasnt that succesful. Thing is with me is that for my evening meal i am very sensitive. So take a 40% QA reduction. I think this is because i am very active during the day at work. And do a lot of walking to and from. Yesterday i did work but just for a few hours and drove there. So not very active day. But for dinner i still reduced. (Possible should have give the full dose) i have had the same dinner tonight and have not been very active today so gave the full dose split into three. In 30minutes will be 4 hours after i ate so i shall see what happens. I'll keep you posted. Your advice has been amazing and given me so much freedom. Something that the healthcare proffesionals were unable to do. Thankyou
April 21, 2013 22:43 youone DAFNE Graduate Hull University Teaching Hospitals NHS Trust 102 posts	I know the feeling at work, Friday was supposed to be a watch the camera and take the rolls off the machine, but as usual the previous shift fell behind so it was me who had to speed up, more stress so a planed day was changed, had to correct at mid morning since by breakfast BG was 7.8 at 8 it was 7 to low I expected it to be around 10, took 1:50 CP no QA at 10 it was 8. Type1 would be so easy without work, mores the pity I didn't change my job years ago
April 21, 2013 23:22 Warwick DAFNE Graduate Diabetes Australia-Vic, Melbourne, Victoria 423 posts	You have just ensured that you will never be on my Christmas card list Youone. I love Pizza Express, but my closest one is 16500 km away. I now have a craving for Pizza Express and I can't do a thing about it until my next visit to the UK which is years away. Any more of this nonsense and I am leaving this thread
April 21, 2013 23:52 youone DAFNE Graduate Hull University Teaching Hospitals NHS Trust 102 posts	Sorry about that, I won't mention pizza express again http://i168.photobucket.com/albums/u176/youonebucket/menu2-romana-meatball-bolognese_zps6c37d5c2.jpg next time I'll mention the thick-crust pizza from pizza hut http://i168.photobucket.com/albums/u176/youonebucket/bbq_mega_meaty_zps086edf22.jpg
April 22, 2013 03:26 Warwick DAFNE Graduate Diabetes Australia-Vic, Melbourne, Victoria 423 posts	That helped. I'm vegetarian ;-P
April 22, 2013 09:04 youone DAFNE Graduate Hull University Teaching Hospitals NHS Trust 102 posts	youone said: Gari just had a pizza express large 500g (19 CP) pizza also a cheese cake which I estimated at 3CP BG was 8 before meal when the pizza arrived I injected 10 QA 1 hour later I injected 8 QA 41/2 hours after the meal my BG was 12 I finished off with a correction of 2 QA according to the person at pizza express who to be honest had no idea what I was asking about, the carb contents, the app said 19 CPs for 550g pizza hut, if I had done this and took the full 23 CP match in QA I would have sailed close to a hypo. doing this split especially with large meals of CPS you have less chance to take to much since you have a correction at the end of the 4 hours the next morning I had a BG of 7 my target was 7 to 9 On closer examination I'm surprised with the maximum BG that I had after the meal.Because I've done my eating of large CP meals this way most of 20 years I never really gone deep into the BG readings, I saw when on was on the Dafne course some people in high 20's. Now I'm in a more relaxed environment these are the BG readings Before meal BG 8 Meal estimated CP = 23 Ratio is 1:1 10 QA taken at the start of meal 7pm 8 QA taken @ 8pm At 12 pm BG was 12 took correction of 2 QA Looking at the figure 12 this seems low for a meal of 23 + CP Later I did a 5 hour reading the BG was 15.6, higher but still a low increase for meal amount Corrected with 3 QA Since I was watching this closely I did a 3am BG which was 10 This was a reasonable drop in the time from the meal The BG at 8am was 7.3 As I've quoted above the rise of the BG to only 15.6 to me is as good as the end result I felt good at the meal and the next day Conclusion total estimate of CP was 23 Total QA taken in 3 + 1 split was 23
April 22, 2013 09:10 Gari DAFNE Graduate University Hospital, Lewisham 17 posts	Can i ask why you didnt split the 3 doses more evenly. I thought thats what u were doing. So you would have given 8iu 8iu then 7
April 22, 2013 09:22 youone DAFNE Graduate Hull University Teaching Hospitals NHS Trust 102 posts	Since the Dvla set the target to 5.8 before you can drive I've changed the way I look at things driving to me is too important to lose. Work etc. I would have split the QA into 3 before 2011 now I find its made me just a little more careful not to drop below the Dvla figure That's why I would drip smaller amounts until I am happy again to go back to 3 even splits its getting enough results so I'll be out again having a large CP meal. Its full this experimenting
April 22, 2013 14:13 Garry DAFNE Graduate North Lincolnshire and Goole NHS Foundation Trust 328 posts	Personally I find it necessary to up my QA:CP ratio when eating more than 10CPs at a meal. My dinner time 2:1 changes to 2.2:1 for instance. Generally it seems that the majority of us become more insulin resistant with larger meals. Pizza has always been a problem for me. Pizza Express.....just adding those words in...sorry Warwick Don't know what it is but even home made pizza with everything diligently weighed out sends my BGs awry. Have to admit that I would not consider splitting QA doses. I like to keep things simple.......and coping with overlapping QAs would be beyond my ken. Regards Garry