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[IPk] Bolusing for alcohol
And don't get me started on why alcoholic drinks in this country don't have
carbohydrate values on them
Well said Pat.....
I have discovered, as part of my continuing education on carbohydate
counting and subsequent bolusing using my pump, that I need to bolus for
certain alcoholic drinks. I enjoy the odd pint of Guinness for which I
bolus 2 units (Humalog). Obviously this is a particularly carbohydrate-rich
drink, but I find that 1 unit of Humalog is needed for a pint of
Fosters/Kronenbourg, and definitely the sweeter beers such as Becks and
Cobra (soemtimes in bottles). For some red wines (Shiraz, Cabernet esp.)
which are sweet, I need 1 unit of Humalog per glass. My insulin/Carbs ratio
I always used to wonder why I felt tired following a couple of pints of beer
- I assumed that this was an effect of the alcohol, but now know that this
was my blood glucose rising. Over a few blood tests when I was out, I
discovered this pattern.
I hasten to add that I reduce my basal rate if I have drunk more than 6
units (which happens on occasion, tho you may not tell your Diabetic nurse,
who is living in fantasy land!). I normally reduce the rate from 100% to
80% on the Disetronic pump for about 8 hours, or until I wake up in the
morning. This seems to prevent overnight hypos.
I appreciate that taking insulin for alcoholic beverages is controversial
advice for many, but is essential to keep my blood glucose more steady,
especially since many of us have a drink in the evening, and this can
elevate BG for the whole night.
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