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Restaurant service

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
rebrascora said:
Just for info, the OP is using something which they refer to as a "sliding scale" for their insulin regime according to their "Intro post". I am guessing this is a mixed insulin where they can adjust the ratio.
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I suspect it's MDI and it's just that OP hasn't come across the terminology before. Sliding scale is a term I have only ever heard used in hospital when put on an IV drip/pump.
 
50+ years ago when I trained as airline cabin crew we were taught that we must serve people with diabetes first, as they would have taken their insulin and need the food promptly. Even after that when my hubby and I had a restaurant I was occasionally asked to serve someone with diabetes with something quickly and would always offer some bread or something that could be provided easily if they had taken their insulin and their meal was not ready. All this was 25 years ago. Things have moved on since then a lot with modern insulin regimes. If the OP is on mixed insulin I can understand the panic (I was on it when newly diagnosed), but there's no need for that now when so many better regimes are available and yes, I agree, my diabetes is my responsibility, not that of any caterer.
 
PS. I think we could clear this up pretty quickly if @Pwinnock could tell us what insulin(s) they are on.
 
The OP posted this in his other thread where he mentioned a sliding scale.

'A sliding scale is that you adjust the dose of insulin according to your test metre reading. This suits me better than other treatments'.
So it appears the insulin dose is not related to the carbs in the meal about to be eaten.
 
Leadinglights said:
The OP posted this in his other thread where he mentioned a sliding scale.

'A sliding scale is that you adjust the dose of insulin according to your test metre reading. This suits me better than other treatments'.
So it appears the insulin dose is not related to the carbs in the meal about to be eaten.
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The way I have read it is that he is well and truly drenched in basal insulin so soaking it up with carbs. I'm actually shocked it's no wonder his diabetes is ruling his life. :(
 
If you dropped to 2.1 before tea then either your lunch time novorapid dose was too high (did you eat lower carb lunch or afternoon snack than usual or do more afternoon activity than usual?) or your basal dose is too high (do you tend to have hypos at certain times of day?). If you are able to spot patterns and make some adjustments then your blood sugars should improve and you can have more freedom in what times you eat.
 
Pumper_Sue said:
The way I have read it is that he is well and truly drenched in basal insulin so soaking it up with carbs. I'm actually shocked it's no wonder his diabetes is ruling his life. :(
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Not sure where you get that impression from that he is "drenched in basal insulin"? I think it is more likely that he bolused for the meal before he went down to dinner and then hypoed because it wasn't served when he expected.

At least we have now established that it is a basal/bolus system (NR and Toujeo) but just doesn't carb count.
 
It's hard to get to the bottom of it without more input from the @Pwinnock13 as to when exactly he bolussed. Hard to keep track when it's on two threads too.
 
Lucyr said:
If you dropped to 2.1 before tea then either your lunch time novorapid dose was too high (did you eat lower carb lunch or afternoon snack than usual or do more afternoon activity than usual?) or your basal dose is too high (do you tend to have hypos at certain times of day?). If you are able to spot patterns and make some adjustments then your blood sugars should improve and you can have more freedom in what times you eat.
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The other option is that the OP bolused before going down to dinner and then didn't get his meal when he expected it, which is the reason why most of us have learned not to bolus until the food is in front of us when we eat out.

Hopefully the OP will clarify. Perhaps they are uncomfortable about injecting in public.
 
rebrascora said:
The other option is that the OP bolused before going down to dinner and then didn't get his meal when he expected it, which is the reason why most of us have learned not to bolus until the food is in front of us when we eat out.

Hopefully the OP will clarify. Perhaps they are uncomfortable about injecting in public.
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Ahh I hadn’t thought of that. An easy fix if that is the issue though, never bolus until the food is in front of you when eating out.
 
Pwinnock13 said:
Not sure how it hot on two threads
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Don't worry, you did exactly the right thing, introducing yourself on the Newbies section and then asking your question on the general message board. It's just that the discussion on each thread has ended up crossing over a bit, and you may get people asking something on one thread that's already been covered on the other.
 
Hi @Pwinnock13 Welcome to the forum.

I am still not clear whether you are using two injections each day, which makes timing of meals more difficult, or whether you match your dose at meal times to the amount of carbs your are eating, and also adjust according to your BG. Can you let us know as it helps people modify their responses. If you are recently diagnosed all of this takes time to get used to.

I have got caught out on occasions in restaurants, sometimes due to the walk there. I have always got my Jelly Babies on hand, but they are not what I want to eat just before ticking into a nice cheese scone. Since I am adjusting my bolus to match the carbs, like others I wait until the food is in front of me. This gives me the chance to eye ball the portions and get a better estimate of my carbs. I accept that this timing of the bolus means I will spike a bit afterwards, but I am not going to stop eating out.

The only time I held the restaurant to account was when I injected for a dish in front of me, only to find it was inedible (I think they had spilt the salt!!) and I had to send it back. I then needed some bread to soak up my bolus whilst they prepared another dish for me. When they tried to charge me for that bread and both meals there was ‘some negotiation’ over the bill!!! I have not been back to that restaurant!!

I have a few places where I know the food on offer and that I will get it straight away so do take the risk of bolusing at the end of a class, and then walking there for the tastiest cheese scones anywhere!!,
 
@SB2015 as far as I can make out they are on MDI but don't carb count just take their bolus according to their BG reading at the time rather than adjusting for the carbs in the meal, they have been diagnosed since 2002 I think it mentions in their other post xx
 
Kaylz said:
@SB2015 as far as I can make out they are on MDI but don't carb count just take their bolus according to their BG reading at the time rather than adjusting for the carbs in the meal, they have been diagnosed since 2002 I think it mentions in their other post xx
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Yes, I asked and replied on the other thread. I find it interesting and hope @Pwinnock13 isnt fazed by our questions. Anything new and different is interesting.
 
Thanks @Kaylz
That is not a regime I had come across before, but I guess it would work if people stick to the same meals each day or same carbs. Just not so easy when away from home.
 
SB2015 said:
Hi @Pwinnock13 Welcome to the forum.

I am still not clear whether you are using two injections each day, which makes timing of meals more difficult, or whether you match your dose at meal times to the amount of carbs your are eating, and also adjust according to your BG. Can you let us know as it helps people modify their responses. If you are recently diagnosed all of this takes time to get used to.

I have got caught out on occasions in restaurants, sometimes due to the walk there. I have always got my Jelly Babies on hand, but they are not what I want to eat just before ticking into a nice cheese scone. Since I am adjusting my bolus to match the carbs, like others I wait until the food is in front of me. This gives me the chance to eye ball the portions and get a better estimate of my carbs. I accept that this timing of the bolus means I will spike a bit afterwards, but I am not going to stop eating out.

The only time I held the restaurant to account was when I injected for a dish in front of me, only to find it was inedible (I think they had spilt the salt!!) and I had to send it back. I then needed some bread to soak up my bolus whilst they prepared another dish for me. When they tried to charge me for that bread and both meals there was ‘some negotiation’ over the bill!!! I have not been back to that restaurant!!

I have a few places where I know the food on offer and that I will get it straight away so do take the risk of bolusing at the end of a class, and then walking there for the tastiest cheese scones anywhere!!,
Click to expand...
I inject every meal time. I am not surprised you won go back to that restaurant.
 
SB2015 said:
Thanks @Kaylz
That is not a regime I had come across before, but I guess it would work if people stick to the same meals each day or same carbs. Just not so easy when away from home.
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It's not a regime I've come across either but to me sounds more troublesome than helpful but that's just me xx
 
Pwinnock13 said:
I inject every meal time. I am not surprised you won go back to that restaurant.
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I'm another who is intrigued by this sliding scale system, so apologies for bombarding you with questions. When you test your bg do you calculate how many units of insulin to take purely as a result of that test (ie, so many units to bring you down to a normal fasting level,) or do you add on any units to mop up the food you are about to eat, and if so, how do you decide how many units? Or do you deal with the rise that the meal gives you when you next check your bg?
 
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