# Re: [IP] The pizza puzzle (extra large)

```Anika Schon wrote:

I have a couple of observations:

1) If you ate half a medium deep dish pizza, that was a LOT of carbs --
I'm guessing here, but if it was cut into 8 slices, and each slice had
about 45g. of carbs (the operative word here is deep dish), 4 x 45 =
180g. of carbs. Now I dunno about you, but that many carbs would cost me
12 units of insulin (at 1:15) right off the bat, not even counting the
fat and protein portion of the pizza.

2) There is a lot of protein in cheese -- One ounce (a 1 inch cube) of
mozzarella has 8g of protein  -- 60% of that is converted to glucose, so
is the equivalent of almost 5g of carbs. I'm gonna guess there were
about 4 oz. of cheese per slice --
so 5 x 4 = 20g. per slice, x 4 slices = another 80g. of carbs. Which,
for me, would be another 5.3 units  of insulin

So the total amount of insulin that a pizza pig-out would need for ME is

The second issue is timing of insulin delivery. You're right, that
amount of fat DOES slow the carbs down and spread them out over a long
period, PLUS the protein is slow anyway. For me, that period is about 6
hours -- may be different for others.

So what I usually do is take part of the carb bolus right off the bat --

Then I divide the rest up over 6 hours -- 7.3 divided by 6 is 1.2, near
enough, so 1.2 added to my regular basal of .3 comes out to 1.5 units
per hour. So I set a temporary basal rate of 1.5 for 6 hours.

Then I keep on testing to see if it's working. So far, it always has.
But I get sufficiently intimidated by the large amount of insulin that
pizza requires to NOT get deep dish pizzas -- thin crust pizza has less
carbs -- and I still get nervous about eating pizza.

I'm NOT advocating that you do it just like *I* do it, but you might do
some experimenting to see how YOU can adjust basals and boluses and see
if you can control pizza.

Good luck!

._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c-

Natalie A. Sera, with all her ducks in a row!
Type Weird, pumping!
mailto:email @ redacted

._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c-._c- ._c- ._(` ._c- ._c-
(
°
Can YOU find the ugly duckling? (Hint: it ain't the pumperduck!)

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