Eating out - help - DAFNE Online

November 18, 2013 15:45

Pauline Griffin DAFNE Graduate
Beaumont Hospital, Dublin 1 post

Had dinner out yesterday at a restaurant. Ate soup and fish pie and mash. Took 7 units of Novorapid insulin. Two hours later blood glucose 17. Ratio 1 to 1 and a half.

November 18, 2013 16:51

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust 587 posts

How much the carb counting is guesswork? When eating out, the error risk is higher but if your okay any other time, if it was me, I'd assume it was carb counting error on this occasion.

Hope this helps.

November 18, 2013 20:02

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

what was your BG before your meal?

7 units may just of been good enough for the potato, there must of been other ingredients in there what was in the soup?

its all a guessing game when out anyway, the more you do it, the better you become.......

November 20, 2013 14:40

NuMo DAFNE Graduate
Humber Teaching NHS Foundation Trust 28 posts

Hi Pauline

We eat out regularly, and I still haven't got it right yet. The only listings for eating out are for the big chains such as McDonald's or Wetherspoon's which are not places I go to. As Novorapidboi says it is a guessing game which is made more complicated by the fact that some chefs will add sugar to "improve" the flavour. I once chose what I thought would be a nil dish only to find it unusually sweet and yes, experienced a massive spike afterwards. All I can suggest is give it your best guess and err on the upward side. Be prepared for a spike and deal accordingly. Don't beat yourself up if you get it wrong, after all you're outside your control zone. Make a note of where you were, what you chose and what value you gave it. Then add how close your estimation was so you know for another time. When you find yourself coming close, which you will, allow yourself a sense of achievement. Smile

November 20, 2013 15:30

JMoran1983
Northern Care Alliance NHS Foundation Trust – North East Sector Hospitals 2 posts

Hi Pauline, you may have estimated the CPs correctly but the effects of the fat (butter and cream) and protein from the fish may have caused the food to digest more slowly giving a delayed peak in blood glucose. If you ever see James Martin make mashed potato, you'll see it's equal parts potato and butter!

Were you back in target 4-5 hours later? It's important that you don't react to high readings 2 hours post meal as the insulin would have still been working.

It is always going to be an estimation when eating out and it's always better to underestimate if you're out and about and correct at the next meal if necessary.

December 10, 2013 08:05

youone DAFNE Graduate
Hull University Teaching Hospitals NHS Trust 102 posts

Pauline Griffin said:
Had dinner out yesterday at a restaurant. Ate soup and fish pie and mash. Took 7 units of Novorapid insulin. Two hours later blood glucose 17. Ratio 1 to 1 and a half.

Hi
What was BG 4 - 5 hrs after
If I had eaten that much carbs when I was on MDI and started at 7 after two hrs I would have been higher, since QA takes a good 90 mins to peak with the remaing time finishing off the carbs.
Yes your correct eating out is always a educated guess, but give it time to work before correcting after the 4 - 5 he period or you will more than likely over correct and hypo
What we type1 need is each portion of food has a carb count against it.
A long way off,but it would be useful Very Happy

Brian
MDI 42 yrs
Pod 6 months

December 10, 2013 10:02

Rafa DAFNE Graduate
St Vincent's Healthcare Group 99 posts

Yes hate having to guess when eating out. Was out the other night and i was 7.1 before and had to guess. 4-5 hours later i was 3.6 going to bed. Never factored in the 3 glasses of wine. Anyway had one cp at 3.6 and was 12.1 waking up.

November 18, 2013 15:45 Pauline Griffin DAFNE Graduate Beaumont Hospital, Dublin 1 post	Had dinner out yesterday at a restaurant. Ate soup and fish pie and mash. Took 7 units of Novorapid insulin. Two hours later blood glucose 17. Ratio 1 to 1 and a half.
November 18, 2013 16:51 JayBee DAFNE Graduate James Paget University Hospitals NHS Foundation Trust 587 posts	How much the carb counting is guesswork? When eating out, the error risk is higher but if your okay any other time, if it was me, I'd assume it was carb counting error on this occasion. Hope this helps.
November 18, 2013 20:02 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	what was your BG before your meal? 7 units may just of been good enough for the potato, there must of been other ingredients in there what was in the soup? its all a guessing game when out anyway, the more you do it, the better you become.......
November 20, 2013 14:40 NuMo DAFNE Graduate Humber Teaching NHS Foundation Trust 28 posts	Hi Pauline We eat out regularly, and I still haven't got it right yet. The only listings for eating out are for the big chains such as McDonald's or Wetherspoon's which are not places I go to. As Novorapidboi says it is a guessing game which is made more complicated by the fact that some chefs will add sugar to "improve" the flavour. I once chose what I thought would be a nil dish only to find it unusually sweet and yes, experienced a massive spike afterwards. All I can suggest is give it your best guess and err on the upward side. Be prepared for a spike and deal accordingly. Don't beat yourself up if you get it wrong, after all you're outside your control zone. Make a note of where you were, what you chose and what value you gave it. Then add how close your estimation was so you know for another time. When you find yourself coming close, which you will, allow yourself a sense of achievement.
November 20, 2013 15:30 JMoran1983 Northern Care Alliance NHS Foundation Trust – North East Sector Hospitals 2 posts	Hi Pauline, you may have estimated the CPs correctly but the effects of the fat (butter and cream) and protein from the fish may have caused the food to digest more slowly giving a delayed peak in blood glucose. If you ever see James Martin make mashed potato, you'll see it's equal parts potato and butter! Were you back in target 4-5 hours later? It's important that you don't react to high readings 2 hours post meal as the insulin would have still been working. It is always going to be an estimation when eating out and it's always better to underestimate if you're out and about and correct at the next meal if necessary.
December 10, 2013 08:05 youone DAFNE Graduate Hull University Teaching Hospitals NHS Trust 102 posts	Pauline Griffin said: Had dinner out yesterday at a restaurant. Ate soup and fish pie and mash. Took 7 units of Novorapid insulin. Two hours later blood glucose 17. Ratio 1 to 1 and a half. Hi What was BG 4 - 5 hrs after If I had eaten that much carbs when I was on MDI and started at 7 after two hrs I would have been higher, since QA takes a good 90 mins to peak with the remaing time finishing off the carbs. Yes your correct eating out is always a educated guess, but give it time to work before correcting after the 4 - 5 he period or you will more than likely over correct and hypo What we type1 need is each portion of food has a carb count against it. A long way off,but it would be useful Brian MDI 42 yrs Pod 6 months
December 10, 2013 10:02 Rafa DAFNE Graduate St Vincent's Healthcare Group 99 posts	Yes hate having to guess when eating out. Was out the other night and i was 7.1 before and had to guess. 4-5 hours later i was 3.6 going to bed. Never factored in the 3 glasses of wine. Anyway had one cp at 3.6 and was 12.1 waking up.