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RE: [IP]square waving and dual waving
On 29 Nov 2000, at 15:14, Roni Pagano wrote:
> See, I wouldn't have done it for spaghetti cause its just straight carbs.
> so what did you do- 50% at the meal and 50% within an 1hr? what was on the
> spaghetti (tom sauce, alfredo sauce, oil and garlic)? just curious
I would have originally thought straight bolus too, but the last time I
had spaghetti, I had a big spike after the humalog ran out at the 4
hour mark. Then I looked on the glycemic index lists and lo and
behold, spaghettir's actually a little ways down there. Don't know
why. Also, it's possible I have some gastroparesis (undiagnosed
I put regular bottle Ragu sauce on it (8 gm per 1/2 cup) and a large
handful of shredded cheddar cheese (the fat in that just may have
had an effect also)
I weighed & measure the spaghetti & sauce very carefully before
cooking and calculated 92 gm carbs (yikes! I've been mostly lo
carbing this past year and that was double my average *daily*
carbs :-D). And calculated that I needed a total of ~ 6 units. So I
put it at 3 units now and 3 units over 5 hours. (since my previous
spike came after the 4 hour mark).
I started at 92 mg/dl then stayed between 130-140 during the whole
wave. About an hour after the wave finished, I went up to 160 and
bolused another unit. Woke up at 135 this morning (a little bit
higher than usual, but I'm on day 4 for this infusion set so it could
possibly be that too).
I'm not certain how to change this plan for the next time. I'll
probably try 4 units at the beginning and 4 units over 6 hours.
Unless my endo calls and gives me a different plan. (I'll be faxing
my numbers to her on Friday and she frequently has changes for
me the next day).
Basically, I'm just taking a stab at it. Pure guesswork. I don't
seem to have a very good intuitive understanding of how to do this
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