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Re: [IP] Boluses for high-fat meals

I couldn't agree with you more. I am working through a pizza now. I had calibrated one pazza house: 3 slices for 8 insulin units and I am ok maybe some needed later, at 11-12. Tonight we ordered from another pizza house. I knew when I saw it I was in trouble. 3 slices at 8:30 p.m. with 20 units of insulin, at 10:00 p.m. BS was 280,add 8 more units units of insulin, at 11:30 p.m. BS was 279, add 6 more units of insulin. Its about 1:14 A.M. This pizza was no end to fat ( lots of cheese...). Thing about it, this pizza was not that good even with everything on it. We will see what happen as if I did't know it is a matter of time. No more pizza from that place. My wife was very hungry and she got what she wanted. She sleeping with a full tummy. It will have been it in the morning. Eddie
-----Original Message-----
From: "Michael" <email @ redacted>
Date: Wed, 10 Oct 2001 17:29:52 -0800
To: email @ redacted
Subject: Re: [IP] Boluses for high-fat meals

> > So, here's my question.  How in the world do you decide even what to
> > try in terms of a bolus?  Unlike carbohydrates, we have no
> > information on how much insulin is required by a gram of fat or
> > protein, right?  So I don't even know how to guess!
> Fat has no carbs, it just delays the absorbtion of carb. The more 
> fat, the more delay. Protein eventually gets turned into carbs but it 
> can take a very long time depending on where in the gut it is finally 
> broken down. For things like pizza (the cheese) or a very large 
> steak, your looking at glucose release after a few hours for as long 
> as 4 - 7 hours depending on your size and the speed at which you can 
> digest a large meal -- the gut has a finite capacity and up to a 
> certain amount digests it all at once. Once the capacity is exceed, 
> it process indefinetly until everything is digested. There are 
> conversion factors for various kinds of protein in the back of 
> Pumping Insulin.
> For normal carb items, the glycemic index can be found on Rick 
> Mendosa's site (see LINKS page). Various things like highly processed 
> cereal may produce a rapid bg rise while toast + butter with the same 
> carb content will nicely match the insulin uptake curve. Pizza and 
> macaroni and cheese are at the other extreme, requiring 4 - 7 hours 
> to finish the release of their carb content. 
> Michael
> email @ redacted
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