Pizza effect

[Lindiloo]

Need some advice again. When I eat cheese my levels are very high and advise was to split Insulin and inject over a longer period of time.

I’m finding that if I eat cheese or butter or in fact any high fat food I become insulin resistant- I’m going high and even if I inject rapid it’s not moving for at least 8 hrs or more.

Any help would be appreciated - does this happen to anyone ?

Thanks
Linda

 

[Lucyr]

Can you reduce the amount of fat you eat? Then it’s only the occasional high fat meal you need to worry about and split dose for?

 

[rebrascora]

What are you having the butter or cheese with?

I have just been reading some of your early posts and you were initially assumed to be Type 2 and it looks like you tried to manage your levels by eating low carb. Are you still following a low carb way of eating? If so, it will probably be the protein release keeping you high. I eat low carb and I have to inject for protein 2 hours after a meal as well as up front for the few carbs in my meal, otherwise my levels will drift up above 10 and stay there and be very stubborn to bring down.

As a Type 1 there is no need for you to eat low carb unless you want to and you should be able to eat a normal diet and just inject for however much carbohydrate is in your meal. If you eat too few carbs, your body starts to convert the protein to glucose and that releases much more slowly than carbs starting about 2 hours after a meal and lasting for 4-8 hours. It may be that your own beta cells were able to cover this when you were first diagnosed but gradually as they are killed off by your immune system, the remaining ones are less able to cope and you need to inject more insulin.

 

[trophywench]

Well the actual 'pizza effect' is what happens when you eat that very thing or ANY high carb + high fat food - so if I eat a lump of cheese on its own with no bread, pasta, biscuits or spuds - the pizza effect doesn't happen. It is the fat, slowing down the rate at which my body absorbs and reacts to the carbohydrate so the pre meal insulin gets to work quicker than the carbs increase the BG so if I have it all upfront I'll go hypo within a hour/90 mins of eating it - so have to correct that with summat very carby to save myself passing out. So, I usually have a multiwave bolus of approx 40-ish per cent upfront with the rest of it dripped in over the next hour/hour and a half - because I have a pump and I can. I'd like it better if I could have the rest with an actual time gap between the upfront and the dripping in portions of the bolus - but can't set the pump to do that.

 

[Lindiloo]

Can you reduce the amount of fat you eat? Then it’s only the occasional high fat meal you need to worry about and split dose for?

Hi yes I only eat high fat occasionally- but I did on Sunday and wow I was high all afternoon and all night splitting dose doesn’t work. It like I become totally resistant to any insulin. It took until Monday midday for levels to come down It’s very odd - and I weigh everything g I eat

 

[Lindiloo]

Well the actual 'pizza effect' is what happens when you eat that very thing or ANY high carb + high fat food - so if I eat a lump of cheese on its own with no bread, pasta, biscuits or spuds - the pizza effect doesn't happen. It is the fat, slowing down the rate at which my body absorbs and reacts to the carbohydrate so the pre meal insulin gets to work quicker than the carbs increase the BG so if I have it all upfront I'll go hypo within a hour/90 mins of eating it - so have to correct that with summat very carby to save myself passing out. So, I usually have a multiwave bolus of approx 40-ish per cent upfront with the rest of it dripped in over the next hour/hour and a half - because I have a pump and I can. I'd like it better if I could have the rest with an actual time gap between the upfront and the dripping in portions of the bolus - but can't set the pump to do that.

Ok so that sounds right - because I have had that where I have had hypo literally 2 hours after eating - it’s amazing how body works - I think I might just stay away from cheese and high fat. - don’t eat it very often

 

[nonethewiser]

Any help would be appreciated - does this happen to anyone ?

Thanks
Linda

Certainly does, find same & especially so when sampling a low carb diet many years ago.

I can't get away with nibbling on cheese or meats without a bolus or seeing bg rise several hours after, so with or without carbs such snacks & meals need a prebolus then furthet bolus for prolonged rise in bg levels.

 

[Lindiloo]

Certainly does, find same & especially so when sampling a low carb diet many years ago.

I can't get away with nibbling on cheese or meats without a bolus or seeing bg rise several hours after, so with or without carbs such snacks & meals need a prebolus then furthet bolus for prolonged rise in bg levels.

Thank god it’s not just me - I have good control by as I said before if I eat cheese even like feta in a Greek salad omg I’m so high. I inject nova rapid and it doesn’t touch it until the cheese is digested which can be 12 hrs later. I don’t eat high fat very often and tbh I don’t think it’s worth it

 

[Judithdalston]

Although a type 3c for a decade only this year have I been given a Libre 2 and shifted from Humulin to Toujeo and Fiasp insulins: having much more BG data and insulin to fine tune BG I am finding some extraordinary surges of BG (2-2.5 hours) after pre meal insulin, and consequent hypos…it is difficult to consistently predict whether it’s carb ( mainly low), fat, protein that is going to dominate! Glad to see others have such weird effects but learnt to juggle them.

 

[nonethewiser]

Thank god it’s not just me - I have good control by as I said before if I eat cheese even like feta in a Greek salad omg I’m so high. I inject nova rapid and it doesn’t touch it until the cheese is digested which can be 12 hrs later. I don’t eat high fat very often and tbh I don’t think it’s worth it

12 hrs us a hell of a long time.

If you ever switch to a pump you'll find it much easier to deal with such meals & snacks than you do on injections, I'm pump user of many years but was on mdi beforehand.

Rather than rule things out like cheese try to find a way to deal with it, that's what I do wirh nearly all foods.

 

[helli]

This is the main reason I avoid a low carb diet - the protein effect was too unpredictable with insufficient carbs.
As I do not have insulin resistance and am not overweight, I have no reason for a diet which makes diabetes management harder.