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03-03-2008, 09:26 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Jul 2006 Location: Portsmouth UK
Posts: 1,627
| | Stuffed crust rocks! 
__________________ Stu 
Type 1 Since - 24/7/2006 HbA1c
Pre-Pump - 7.9%
3 month Post-Pump - 7.1%
Pumping NovoRapid with Animas 2020 | Meter - LifeScan OneTouch Ultra smart Pasta is a gift that just keeps giving... | 
09-22-2009, 12:05 AM
| | Junior Member | | Join Date: Jun 2009
Posts: 4
| | | About once a month we have the cheese personal pan pizza's. My son was diagnosed 3 months ago and we have found that he shoots up with the pizza. The personal is 71g and he took enough insulin to cover that and 6 hours later his BG is 220. He is having a snack and another insulin shot to bring him back down.
How do others who are sensitive handle this issue? I always worry about messing up and him going too low if I offset, although this is the 3rd time eating this pizza and having over 200 high, so I know this is the cause. Also gotta wonder if maybe Pizza Huts carb count is off. When I fix pizza's at home, we don't have this issue. | 
09-22-2009, 07:41 AM
|  | Member
I am a: Type 2 | | Join Date: Jul 2009 Location: Massachusetts, USA
Posts: 378
| | | I've learned that the fats in the pizza's cheese and meat etc often delays the spike for many h-o-u-r-s. I've not had pizza since Dx, but I have been known to scoop the toppings off a slice or two with relative immunity afterward.
I recently had an experience like that you'd mentioned with a relatively low carb Chinese dish. That was a gift that kept on giving for a good two or three days... Even my fasting numbers were up by a good 20-30 points until my system settled back down.
Oy.
__________________
* Failed the OGTT at dx w/ a 288 at 2 hrs. Diagnosed 5/27/09 * A1c: 5/27/09: 6.6; FBG 99
* A1c: 10/23/09: 6.1; FBG 96
* Home FBGs now 96 -114 * My BG reached 200+ ONLY after drinking the test glucose or when I ate the ADA suggested oatmeal for breakfast
* Metformin XR (500 @ AM & PM).
* NatureMade Pack/Diabetes Support
* 81 mg. aspirin
* Low(er) Carb & More Motion (44 lbs so far!) | 
10-11-2009, 04:15 PM
|  | Junior Member
I am a: Type 2 | | Join Date: Sep 2008 Location: Knoxville, TN
Posts: 37
| | | I love pizza too. I eat the thin crust pizza, and I only get vegetables on mine (way less greasy), then I let my dogs eat the actual crust. I can usually eat half of a large pizza and be ok. However, I don't do this very often. It's nice to splurge every now and then. | 
10-12-2009, 01:00 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Aug 2008 Location: West Babylon, NY
Posts: 607
| | Mmm. Had pizza last night. I adore pizza and hubby and I get about one a month, so I've had a lot of time to play around in the last year to get it right  And while my spikes wind up bad, they come down easily.
The usual: I bolus for about 70-75g per 2 slices. I set it up to a 30 minute square bolus. My sugar usually hits 180-220 at the 2h mark, but drops back down to normalish by 4 (I occasionally have to do a correction for 140 or so).
__________________
Amanda
misdiagnosed type 2 8/2007
rediagnosed type 1 8/2008
Pumping since 11/2008!!
Purple Minimed 722 named Barney
Other Meds:
Yaz
Elavil (10mg at night)
Metformin 1000mg 2x/day
a1c 8.3% 9/9/08
a1C 7.4 1/17/09 (better, as I stabilize)
a1c 7.3 6/09 (frickin' IR) | 
11-02-2009, 10:54 AM
| | Junior Member
I am a: Type 2 | | Join Date: Nov 2009 Location: Central Massacusetts
Posts: 2
| | | What kind of Chinese do you eat? | 
11-04-2009, 08:35 AM
|  | Member
I am a: Type 2 | | Join Date: Jul 2009 Location: Massachusetts, USA
Posts: 378
| | Quote:
Originally Posted by brucekc What kind of Chinese do you eat? | If this question was addressed to me, the Chinese food that made my BG bounce for some time was Kung Pao Chicken with Peanuts...no rice.
Generally, I can eat some Chinese, if I'm careful in my choices and quantity. I've found that chicken wings (no breading), Egg Fu Yong (minimal gravy), Chicken Chow Mein (no hard noodles), and 1-2 pieces of Beef Teriyaki (no duck sauce) give me an acceptable rise...maybe 20-26 points. Heck, even an Atkins shake does that.
The Kung Pao, which I love, turned out to be a curse.
My BG rose by about 80 points and stayed there for a full day... My numbers were somewhat elevated for 2-3 days afterward that. 
Hey, Bruce...I'm in Central Massachusetts, too!
__________________
* Failed the OGTT at dx w/ a 288 at 2 hrs. Diagnosed 5/27/09 * A1c: 5/27/09: 6.6; FBG 99
* A1c: 10/23/09: 6.1; FBG 96
* Home FBGs now 96 -114 * My BG reached 200+ ONLY after drinking the test glucose or when I ate the ADA suggested oatmeal for breakfast
* Metformin XR (500 @ AM & PM).
* NatureMade Pack/Diabetes Support
* 81 mg. aspirin
* Low(er) Carb & More Motion (44 lbs so far!) | 
11-04-2009, 11:17 AM
| | Junior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: N. Vancouver
Posts: 66
| | | Since when and where does Pizza Hut serve Chinese food? | 
11-04-2009, 11:52 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Feb 2008 Location: Melbourne Australia
Posts: 4,467
| | Quote:
Originally Posted by 2coolbaby About once a month we have the cheese personal pan pizza's. My son was diagnosed 3 months ago and we have found that he shoots up with the pizza. The personal is 71g and he took enough insulin to cover that and 6 hours later his BG is 220. He is having a snack and another insulin shot to bring him back down.
How do others who are sensitive handle this issue? I always worry about messing up and him going too low if I offset, although this is the 3rd time eating this pizza and having over 200 high, so I know this is the cause. Also gotta wonder if maybe Pizza Huts carb count is off. When I fix pizza's at home, we don't have this issue. | Fat content is the likely reason for different outcomes between home and pizza hut pizza. Fat can extend carbs that might process in say 1 or 2 hours, out to 4 or 6 hours in some circumstances. I find with high carb foods like pizza, this can mean more insulin required all up - but the delivery timing is important.
Dealing with it. First, don't expect to deal perfectly with it, it may be a problem food and should be treated as such (ie, don't have it often). Second, you could try spliting the bolus - say half before, half at 2 hours afterwards. As I said, I often need more insulin for this kind of problem than if it was just carbs, so the before and after might add up to a lot more than a typical bolus for those carbs. There is just no way to approach this apart from trial and error.
Third, the way I deal with it, is with a pump, that lets you set your bolus to be released slowly over a set amount of time, such as 3 hours. Or, to have a percentage now, and a percentage times release. This goes a long way to making fatty pizza more viable for me on occasions. I would still rate it problematic.
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