[Subby]

I too found bagels a real problem food, very carby and high GI, some years ago, and have mainly avoided them since. Haven't had one since pumping.

But - If you are on the pump, Colleen, there will probably be a way to deal with it. I don't know these combo bolus lists you speak of, but I wouldn't treat them anything like bible, people can be so varied in their insulin and food response. The answer is to collect info on your own response, and then modify your bolus based on that.

So, to profile what a bagel does for colleen. Here's something that would fit the bill... next time, take a normal bolus, test right before, then 1 hour after, then 2, then 4.

The 1 hour might inform you if it's outshooting your insulin action straight up, in which case a general rethink of bagels as an appropriate food for you, is in order. (Or, start looking at significant pre-bolusing so your insulin is firing right up as the bagel hits, if that is an option for you).

The 2 hour likewise, but it'll give a better indication if the spike is dealt with in the good fight, or if you get resistance kicking in due to the spike. This would be borne out by your insulin not being as "effective" in the medium-long run, and leaving you higher.

The 4 or 3 hour, for same reasons, and to see if the fat content of your meal might be extending the carb action. As well as the cheese I assume bagels can vary a bit between makers on fat content too, watch that, and stick to low-fat and carb-accounted for.

As Eddy said split the food up and see what happens, and if you feel the cream cheese is a problem you can't deal with in the end even with a combo, what about low-fat cream cheese?

Hey, I just read over that and realised it could all be a bit much if you want easy answers. You know you also could just go ahead with a combo bolus and see what happens!