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Old 03-29-2008, 09:34 AM
Eddy's Avatar
Eddy Eddy is offline
Senior Member
I am a: Type 1
 
Join Date: Jan 2008
Location: Kansas, US
Posts: 1,026
Whodunnit? Was it... the vinegar?

My usual spaghetti routine:
  • 1 package Tinkyada whole-grain rice pasta (258 g net CHO)
  • 1 jar Kroger pasta sauce (45 g net CHO)
  • 1 pound ground buffalo
  • "that looks about right" olive oil with the noodles

Cook meat. Add sauce. Set aside. Cook noodles with olive oil. Mix pasta and meat/sauce.

I'll eat it in three or four sittings, meaning 75g to 100g CHO per serving. My usual insulin mix for this dish:
  • 20% rapid
  • 20% R
  • 60% N

I also seemed to need approximately 80% as much insulin as calculated. Yet I've had postprandial hyperglycemia the past few times I've made spaghetti, with the highest numbers at two hours postprandial.

After some experimentation, I've determined that the proper mix now is:
  • 20% rapid
  • 35% R
  • 45% N

...and I need the full 100% of calculated.

What am I doing differently?

To give the spaghetti a little kick, I've started adding balsamic vinegar to the meat/sauce. I don't know exactly how much; probably between two tablespoons and a fourth of a cup. (The added CHO is negligible, so I don't worry.)

I now wonder if the vinegar catalyzed complex-CHO breakdown. It's very interesting that the change in preparation correlates with both increased insulin need and proportionately less NPH.

Hmmmm....
__________________
Eddy


DXed 2007/04 = advanced-stage DKA, A1c of 12.9%, and BMI of 21.3
post-DX A1c = 5.4% @ 2008/07; 5.2% @ 2008/04; 5.3% @ 2007/12; 5.3% @ 2007/08
c-peptide = 0.0% @ 2008/07
current BMI = 26.0 (86kg on 182cm); want to get back to 23-24
basal = 2U human N @ 0630, 5U detemir @ 0630, 11U detemir @ 1200, 17U detemir @ 2030
bolus = 1:15 I:C ratio; varying mix of aspart, human R, human N

not a low-CHO eater... not even close!
last updated 2008/08/18

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