Bolus for Protein and Fat?

[everydayupsanddowns]

I think you can almost say vegetarian is main stream now whereas in the 50ies when I was a kid and my Dad was vegetarian

Yes it seems a while now since being vegetarian was perceived as being a bit weird and ‘fringe’. Even in the 1990s it felt a lot rarer and slightly left field.

I wonder what the proportion of wholly/mostly veggie people is in the UK these days. I think 60-70% of people I know would fit within that bracket.

 

[helli]

Since vegetarianism has become more mainstream, I think it has become more colourful.
In the 90s it was all wholemeal and pulses whereas now vegetarian restaurants seem to serve more .......ummmm...... vegetables(?)

It may because our diet is more International which means we see more food from cultures that are traditionally vegetarian rather than trying to adapt a British menu.

 

[Robin]

Yes it seems a while now since being vegetarian was perceived as being a bit weird and ‘fringe’. Even in the 1990s it felt a lot rarer and slightly left field.

I wonder what the proportion of wholly/mostly veggie people is in the UK these days. I think 60-70% of people I know would fit within that bracket.

Our hotel in Madeira last week had a buffet style evening meal every night, and had different 'themes' One night it was wholly vegetarian, and nobody batted an eyelid.

 

[Robin]

Since vegetarianism has become more mainstream, I think it has become more colourful.
In the 90s it was all wholemeal and pulses whereas now vegetarian restaurants seem to serve more .......ummmm...... vegetables(?)

I seem to remember a London chain in the early 80s called Oodles? There was a branch on High Holborn which I went to several times. I seem to remember it all looked a bit brown and worthy, and mainly lentil based. Not that it wasn’t tasty, but I think veggie dishes look more appealing these days.

 

[rebrascora]

What you do clearly works very well for you but I suspect it would be something that would be difficult for a parent with an 8 year old child to manage.
Children just don't like the sort of foods that adults do except my granddaughter who at 4 loved olives.

I was not suggesting that the OP put their child on a low carb diet as they had already expressed a wish for them to eat a normal diet. I was just explaining that it can be relatively simple to manage protein bolusing when you need to, but most people do not need to, because they eat enough carbs. The thread title will draw people to the thread who are not parents and may be considering or already doing low carb and perhaps haven't been informed about protein release (and bolusing) in the absence of enough carbs in a meal.

@helli On a pump I have been told that you could do an extended bolus or whatever facility each pump has for that. I am not sure that would work as easily as my system works for me but I accept that some people would find it intrusive or onerous to bolus 2 hours after a meal. I certainly don't need to do this 3 times a day. But there are meals when I do definitely have to do it a bit like @Robin's example of scrambled eggs without toast/bread. You mostly learn through experience and CGM which meals require it and which don't. I just find it very easy not having to weight and measure and calculate carbs because I don't have enough of them for it to be more than a couple of units.
Also the term beige was not intended as derogatory but just a blanket term to describe those mostly white/brown high carb foods.

 

[helli]

On a pump I have been told that you could do an extended bolus or whatever facility each pump has for that.

Yes, I frequently use an extended bolus, especially if my BG is on the lower end where Fiasp can potentially work too fast. However, that is telling the pump to give me my insulin dose over the next x hours. It is not telling the pump to give another dose in x hours time.
There is a combo bolus (I think different pumps have different names for this) which is giving a percentage of my dose now and the rest trickled over the given period (as an extended).
A second dose would need a second input, especially as your timing is based on a BG reading.
I do not have HCL and not sure how it would work with that. What I have read suggests that it may confuse some of the algorithms.

 

[Inka]

On a pump you can do a dual wave bolus or whatever your particular pump calls it. You bolus immediately for the carbs then set the other bit of the bolus to deliver over X hours. However, I’ve found the easiest method is to use regular insulin as the pattern of that kind of works with protein if you time it well. However, as the time of the protein can vary a lot, depending on type of protein, the rest of the meal and, frankly, what colour socks you’re wearing, it doesn’t always work without further attention.

Apart from any other reasons, I don’t have the time to be thinking/doing so much. Just the carbs annoy me enough! I sometimes dream of just being able to eat whatever I chose and not have to think, calculate and plan.

 

[nonethewiser]

I do not have HCL and not sure how it would work with that. What I have read suggests that it may confuse some of the algorithms.

When a meal is heavy on protein/fat side then my pump gets switched from automated to manual mode to do a extended bolus.

 

[helli]

When a meal is heavy on protein/fat side then my pump gets switched from automated to manual mode to do a extended bolus.

Thanks nonethewiser.
That is really interesting.

I feel as if I am seeing more and more gaps/limitations with HCL. I am sure it works great for most scenarios if you consider the total population of HCLers but those of us who are "less normal" or maybe just more involved in our diabetes management, need to tweak/revert to manual. I still can't see how it would cope with my different types of exercise where I currently use different temporary basals depending upon what I am doing.
But we probably shouldn't derail this thread on that topic. 🙄