What the heck happened?

[viranth]

I ate some pizza today, a whole one actually. A frozen type one I've never had before.

It said it had 20 grams of carbs per 100 grams. It was 500 grams, so I bolused 11 units to cover that.

At 1726 my BG was 5.6mmol, this is when I bolused 11 units.
At 1809 my BG was 7.3mmol.
At 2043 my BG was 15.1mmol, my highest reading since my DX. Set 8 units. I was shocked.
At 2259 my BG was 9.8mmol.

I have NO idea what caused that. Do I need 19 units to cover 100 grams of carbs? I've had much more candy than that and never taken so much insulin.

Could I have had a liverdump? I felt weird and extremly tired for a while and even had some heart burn(?).

Also had sugar in urine, but no ketones.

Argh, and my day was going so well until that point.

[It Ain't Over]

For years Pizza has been singled out as the one poison food for type ones to eat. Have read several reports that indicate it will cause blood sugars to rise in an unpredictable pattern, and to continue to rise for many hours.
Has been a very long time since I ate pizza, but I recall my bg's rising for at least 6 hours and it did not seem the insulin would cover them. Don't know that there is an answer to the riddle, except to avoid pizza completely.

[Cluck]

I totally agree that Pizza = Evil for Type Is. I had similar problems when I ate it. I don't bother anymore.:(

[jenb]

I hadn't had pizza since 2006, but got the overwhelming urge a few weeks ago. I ordered an 8" pizza with sausage, cheese, eggplant, basil and olives. With enormous self control, I managed to eat only the toppings. That crust was flirting with me, beckoning me to its crunchy, luscious delights...but DH saw me weakening; he risked life and limb by pulling the wanton crust away from me while simultaneously flagging our server. As she arrived at the table she too saw that I was about to immolate myself on the altar of the gods of pizza and in one magnificent sweep of her arm she grabbed the offending object and removed it to the yearning maw of the waste bin in the kitchen.

Jen

[owlyn]

I ate some pizza today, a whole one actually. A frozen type one I've never had before.

It said it had 20 grams of carbs per 100 grams. It was 500 grams, so I bolused 11 units to cover that.

At 1726 my BG was 5.6mmol, this is when I bolused 11 units.
At 1809 my BG was 7.3mmol.
At 2043 my BG was 15.1mmol, my highest reading since my DX. Set 8 units. I was shocked.
At 2259 my BG was 9.8mmol.

I have NO idea what caused that. Do I need 19 units to cover 100 grams of carbs? I've had much more candy than that and never taken so much insulin.

Could I have had a liverdump? I felt weird and extremly tired for a while and even had some heart burn(?).

Also had sugar in urine, but no ketones.

Argh, and my day was going so well until that point.

It's pizza. The only successful BG control with pizza is with a pump and using a square wave or a delayed big bolus that declines slowly. I've gotten close by waiting a while before injecting, then I use 3 units per slice.

You'll have similar problems with Chinese, Mexican, and Indian food.

They are related in that they are all high carb/high fat foods. The fat slows the absorption of the carbs, so your BG looks good after an hour, but horrendous 3, 4, 5 hours later. So, it appears that the trick is to delay injecting till about an hour after you eat. However, it is not quite that easy. You also have to factor in the phase of the moon, the square root of the Julian Day, and the price of tea in China. Well, the delay gets me close, usually.

[mazea]

I have had trouble eating pizza too. If I eat almost a whole one(4/5) 8 servings of carbs, I have to have 1/2 days extra Levemir at 1 hour and 10 minutes to cover the fat blood glucose rise I have for the next 24 hours. My rise in blood glucose for pizza or any foods over 39g fat is about 6 mmol increase an hour for the next 20- hours after eating pizza if I don't have the Levemir. 1 serving is 15 carbs.

If I have 4/5 of pizza, I also require an extra 4 servings worth of novorapid at about 4 hours. When I don't have the extra novorapid my blood glucose spikes up to around 5 hours after the pizza.

I have only had pizza without going over 10 at the 5hour point once and that was when I had an extra 4 servings worth of novorapid at 5 hours and the extra Levemir.

[annjee]

I still eat pizza even though I know what's it's going to do to me. I usually wait an hour after eating for insulin then I count it as 30 carbs a piece, and take more insulin a couple hours later and more a couple hours after that. THe end result for me is weight gain.

[Grunch]

Pizza rules!! Just bolus more until you get it right. :)

[ant hill]

I still eat pizza even though I know what's it's going to do to me. I usually wait an hour after eating for insulin then I count it as 30 carbs a piece, and take more insulin a couple hours later and more a couple hours after that. THe end result for me is weight gain.

I would do the same as the knowledge of what the carb value can last that long so I would take half now, Then eat & Bolus the rest an hour after the first Bolus. The weight gain is still the unfortunate problem. :(:o Oh and one other thing, Do this when you're a famished. I.E. hungry. :D LOL

[dbaratta]

It said it had 20 grams of carbs per 100 grams. It was 500 grams, so I bolused 11 units to cover that.

I have NO idea what caused that. Do I need 19 units to cover 100 grams of carbs? I've had much more candy than that and never taken so much insulin.

With me I find that simple carbs require more insulin, that is just me though. For example, if I were to eat 20g of carbs from vegetables I would require about 7 units of insulin, if I were to eat 20g from a simple carb containing flour such as pizza I would need twice that, sometimes 3 times that much insulin depending on what is on that pizza. But, you sould work with your nutritionist on that to get a good ratio. Also, water helps in getting that extra glucose out of your system. Maybe next time keep your bolus the same and drink a few glasses of water with the meal. But,,,,too much water and insulin for me causes hypoglycemia.:confused:

[UpNorth]

The high fat content of pizza slows the high carbs so pizza will wreck havvoc with your bloodsugar levels for hours and hours even if it looks fine at 1 or 2h. When i eat pizza i take my insulin after finishing eating, and i'll only take a part of my total meal dose then, and then take another part of it a couple of hours later and again a couple of hours later. I might do that up to 5 times to cover one pizza:eek: But seems to work okish anyways. I'm not a huge fan of pizza, so the few times i do have it i don't feel it's a problem to be more pincushion than usual...

I do love chinese food on the other hand, but don't eat much takeaway's so i'm fine there too. I eat a lot of chinese food, but i mostly cook it myself:D And no, i don't use brown rice or even basmati... I only like jasmine rice:T :o

[viranth]

Just want to thank you guys for the excellent advice. Never thought about waiting a little bit before injecting.

Not that I'll run to the store and buy pizza, just to try this right away. Will stay clear of pizza for a while now...

Just too bad we're making mexican today :o

[ant hill]

Just too bad we're making mexican today :o

LOL as it's just as bad. :T:D Viranth, It's the knowledge that what food can do as to bolus against it is the art and there is a hit & miss too. :confused: For all of the low carbers out there have better control and kept slim and kept away from nasty food but then if we all be the same, Would that be boring?? ;)

[viranth]

I keep fairly low carb during the day, then at dinner I eat what I want. Sort of the price for being good all day. And then it's easy to go on a diet as well, just cut the carbs at dinner.

And I've kept slim, check my new avatar picture =)

[mazea]

With me I find that simple carbs require more insulin, that is just me though. For example, if I were to eat 20g of carbs from vegetables I would require about 7 units of insulin, if I were to eat 20g from a simple carb containing flour such as pizza I would need twice thatwow. It amazes me how individually diabetics are all different on how their bodies react to carbs.

[kgm0612]

Pizza, like Chinese food, does a number on my BS. At least with the pump, I am able to take 60-65% upfront and the rest over a 4 hour period.

Karen