Going out for Dinner

[Marier]

Hi Guys Have a Question for you when you go out for a meal and have say Starter and maincourse then inject QA you then decide you going to have Pudding and there is a 40 min 1 Hr between Injection Main course and having Pudd is it ok to have Pudd and Inject Basically had conversatin wit another Diabetic type 1 and they sayn they dont have Pudding when out for a meal as Insulin stack/ overlap and its not a good idea Just wanted your thoughts on what you do when you go out . For me i would inject after main course then inject again after pudding
Thanks

 

[Monica]

Well, how about injecting for the dinner after eating (as you say you already do), but inject for your pudding at the same time?
That's what Carol used to do when on injections. She usually knows what she wants for pudding and is sure she'll eat the lot, but is never sure about her main course.

 

[Copepod]

For myself, it's incredibly rare for me to have a starter and a main and a pudding, far more usual to have 2 of 3 courses. However, as such meals are usually very drawn out, and there's often some uncertainy about how long courses will take to arrive, I am happy to inject at beginning of meal or before main (if I've chosen a low carbohydrate starter) - and have extra if I make a late decision for pudding.

In practice, I find such meals tend to be at wedding receptions (or recently, family meal for parents' 50th wedding anniversary). I find the whole experience of weddings very difficult to manage, as there's often a drive between church and reception venue, I always have to drive as partner doesn't, choice of low sugar non alcoholic drinks is often very limited (I don't drink any alcohol if driving), meal times are often uncertain, and at large gatherings (we have a big family), it takes ages for all to be fed, plus injecting discretely through a dress is more difficult, so I prefer a smwart trouser suit and always press the injection whole to prevent blood leaking out onto pale fabric.

So, for the once a year or so, I just accept that I will run slightly higher than ideal blood glucose levels for the day. And find reasons not to attend as many weddings as possible 🙂

 

[Marier]

Thanks Guys Copepod lol lol me to never can manage all 3

 

[Marier]

Monica
Make perfect sence doing Injection at main course will pass onto Friend and he could mayb tyr nxt time if he wants puddn just to ocunt for it when he has his QA after main course. Good point though if place you at busy there could be bit of a wait and i honestly think he scared of Hypo in case it well delayd but i suppose its part of having Diabetes
Thanks anyway

 

[newbs]

I always inject after the maincourse too, so that I can include pudding if I am having one.

 

[Caroline]

enjoy your meal

 

[everydayupsanddowns]

Hi Guys Have a Question for you when you go out for a meal and have say Starter and maincourse then inject QA you then decide you going to have Pudding and there is a 40 min 1 Hr between Injection Main course and having Pudd is it ok to have Pudd and Inject Basically had conversatin wit another Diabetic type 1 and they sayn they dont have Pudding when out for a meal as Insulin stack/ overlap and its not a good idea Just wanted your thoughts on what you do when you go out . For me i would inject after main course then inject again after pudding
Thanks

At 1hr 40 minutes after your first injection the main meal bolus is about half done. I think there is a *risk* of stacking, but you need to experiment to see how the land lies for you personally. I would suggest a cautious initial injection (slightly under your expected carb count) before the meal, then a 'top up' for pudding (or just to cover the underestimated carbs) at the end of the meal or a short while afterwards. Reducing your initial bolus will reduce the risk of stacking, and would allow for a fattier meal - thoug of course it potentially exposes you to a bit more of a post-meal high.

It'll be a guesing game that's for sure! As long as you test before your second injection and bear in mind that at that point you've got food *and* insulin working away you'll have more clues to make a good guess.

Good luck!

 

[Marier]

Thanks Friend said something about this stacking but iv never heard of it so need to go read about it more Totally understand i mean 40min to an Hour after first injection

 

[everydayupsanddowns]

Thanks Friend said something about this stacking but iv never heard of it so need to go read about it more Totally understand i mean 40min to an Hour after first injection

I've been a victim of it in the past, but it's quite hard to avoid completely as with *those* kind of meals there are always a LOT of variables (accuracy of carb guessing/fat content/hidden carbs in sauces blah blah).

That's why I tend to favour a cautious-early-bolus-and-top-up method. I used to use the same on MDI for occasional trips to the chippy:

Estimate total carb load - Add a third if very high carb load (weird but true) - Calc total bolus and inject 60% before the meal with the following 40% 2-3 hours later

If I injected everything upfront (including pudding) I suspect I'd be hypo before the end of the main course. Especially if the pud was all dark chocolate and cream which will delay it's absorption - not to mention the fact that it will be mixed in with all the other food in the meal. Sooooo hard to get these meals right - and what works one day may well fail spectacularly the next time! 🙄

 

[Robster65]

Some meals can be so fatty that they won't start to raise BG significantly for several hours. So, as suggested, a cautious bolus and keep testing so you can tell when it starts to rise and catch it in time.

I ate out last week at lunchtime (12.30), having roast duck with cheesecake for dessert.

My BG was pretty good all afternoon but started to rise about 8pm. It continued through the night and despite a couple of minor corrections before bed I still woke on double figures. Experimentation and testing is the best way to find out what it does for you.

Bon appetit.🙂

Rob

 

[Copepod]

You ate duck?!? 😱

 

[Marier]

Duck is yummy Thanx for all you replys will pass on to Friend and Try myself nxt time i go out to eat

 

[MaryPlain]

I'm not really sure that fear of stacking is particularly relevant in this situation. It's only the same as splitting a big dose into two smaller ones, after all.

When I was on injections I would inject before each course, including if I had three courses. I never bolus until the food has arrived, in case it's different from what I'm expecting, or they turn up with something that's wrong (eg the time I had a fly in my soup - yes, that really happened!), or it just takes ages. I don't like bolusing after eating as this always results in a very high blood sugar for me.

I know what you mean about injecting through light fabric though - I tended to avoid it or excuse myself and go somewhere private to avoid injecting through it.

 

[trophywench]

I don't even try to estimate carbs before that plate is actually in front of my nose.

Would be rare for me to have 3 courses but most likely what I'd do is test before starter and if BG is OK, eat that and add any bolus to that for the main course when that arrives. Then consider the pudding again when it's in front of me. Might not inject again then, see how sweet etc and if I finished it, then have about 2 thirds of what I really think. Then go home. Test before bed and see if I need a correction.

Hell it's a special occasion and being occasional, won't hurt you long term.

Of course if it's many more times than that, then you need a strategy !

 

[Marier]

Bolus after eating does cause me to be high so mite need to change things myself nxt time but it is very difficult what to do for best.
Thanx Guys

 

[novorapidboi26]

As mike says, everyone is different and trial and error should be used......I can personally just inject before starter and main and then again before pudding, if I don't know what I am having before hand.....

To be safe though at the beginning be cautious and wait till after if you need to....