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pizza for dinner...

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D_G

Well-Known Member
Relationship to Diabetes
Type 1
So iv not had pizza in like a year as i have been avoiding it like the plague! however i decided to go for it tonight.........

Weighed out and carb counted 2 slices of pizza at 20g carbs each so gave myself half my dose before i ate which was 7pm and at 8pm i gave myself the other half.

levels before at 7pm were 6.2
when i retested at 8pm before other dose i had risen to 8.9
Just tested a minute ago and now i am 12.2 😡😡

I am hoping i will come down a bit as my last inection was only 8pm so it will be in my system for a while??
 
How soon before eating did you inject? Pizzas are tricky, which is probably why I haven't had one for a while! It's possibly something you need to experiment with - you might want to try giving more up front and perhaps injecting 15 mins before eating. Novorapid keeps working in me for about 5 hours so I would expect your levels to come down over the next couple of hours. Have you read the results of the te Pizza night?

http://www.diabetessupport.co.uk/boards/showthread.php?t=6288
 
How soon before eating did you inject? Pizzas are tricky, which is probably why I haven't had one for a while! It's possibly something you need to experiment with - you might want to try giving more up front and perhaps injecting 15 mins before eating. Novorapid keeps working in me for about 5 hours so I would expect your levels to come down over the next couple of hours. Have you read the results of the te Pizza night?

http://www.diabetessupport.co.uk/boards/showthread.php?t=6288

I read those pizza posts just after i posted 🙂 i injected about 5 mins before i ate i think i do need to expiment! thats what i was thinking as my last injection was at 8 its still working, thing is i even gave myself an extra unit of insulin as i somehow knew it wouldnt turn out well lol will test again at 11 see if there is any change
 
Now levels are at 11....but i gave myself more than enough insulin just maybe it was at the wrong time?? maybe i should do half before and other half 2 hours after instead of one, clearly i missed the spike :(
 
Now levels are at 11....but i gave myself more than enough insulin just maybe it was at the wrong time?? maybe i should do half before and other half 2 hours after instead of one, clearly i missed the spike :(

Sounds like it's worth a try - you'll have to have pizza again! 🙂
 
D_G

Hope your levels are OK this morning!

6ish -> 9ish -> 12ish over around 3 hours seems a fairly even rise to me. Seem like you did not have enough insulin working quickly enough, and by splitting you'd deliberately given yourself a 'slow start'.

At hour 3 (10pm) your first dose (7pm) was probably over half done and beginning to fade. Your second (8pm) was about half way through.

The fact that you began to fall at 11pm means that you had enough insulin working (with your extra top-up) from your second dose (8pm) to over-reach the remaining pizza carbs if any were still arriving.

From what you've said your 2 slices would be 40g CHO which is not a *massive* carb load. If those were my numbers I would try injecting all up front for this quantity of pizza next time and run the same testing schedule. Of course a larger portion of pizza might need a different approach!

For me, dose splitting is for those situations where the full dose up-front takes me below the starting point at hour 2, with a rise back above the starting point after hour 4. Those are the times when it feels like I need to 'spread' the insulin activity.
 
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Now levels are at 11....but i gave myself more than enough insulin just maybe it was at the wrong time?? maybe i should do half before and other half 2 hours after instead of one, clearly i missed the spike :(

I used to always take 75% of my insulin with Pizza and the remaining 25% about an hour later.....I always felt my insulin/carb ratio was a bit out so I always increased my insulin about 10% above my normal insulin/carb ratio.

Now that I have a pump I just multi-wave....it's great! 🙂
 
Thanks for all the advice guys!

looks like i have some experimenting to do 😛

Will keep you updated and let you know when i crack this thing lol
 
For me, dose splitting is for those situations where the full dose up-front takes me below the starting point at hour 2, with a rise back above the starting point after hour 4. Those are the times when it feels like I need to 'spread' the insulin activity

Mike, this is the key to me, very clearly stated!
 
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