Quote:
Originally Posted by viranth  If I go out to a resturant, you don't always get your food quickly. So if I set insulin when I get the main course, but then have to wait maybe 30 minutes or so for dessert, do I set another shot of insulin? Will the first shot cover it? or do you have to use the I:C ratio? And wouldn't it be risky to bolus, and then they came out later and said there were no desserts? |
Ah, you're getting past the science and into the art.
Personally, I like to measure/estimate my food, then shoot. Humalog and Humulin-R start working quickly enough that I rarely need to shoot and wait... I agree with you that shooting ahead of time would be risky.
You'll use the I:C ratio no matter what. However, keep in mind that different C converts to glucose at different rates.
Examples I've found: whole-grain rice pasta, I bolus 1:1:3 Humalog:Humulin-R:Humulin-N. Wild rice, nearly straight Humulin-N. Plain raw pineapple, shoot Humalog, wait 20-30 minutes, then eat it slowly. Rice milk? I stopped. Mountain Dew? Forget it.
Meal size also can make a difference. I normally eat a 5U-7U meal. When being gluttonous (read: ~15U), I need to replace ~2U of Humulin-R with Humulin-N; digestion is slow enough that I need additional NPH to slow my insulin dose.
