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04-26-2008, 10:21 AM
| | Junior Member | | Join Date: Apr 2008
Posts: 4
| | | what happens at night time
 Hi there all,i am wondering what happens at night if you go to bed say with a bs of 9.0 would it stay there or rise,or fall.I am just curious.
Also a bit of help please i am having a thin meat feast pizza for dinner tonight i know from reading there bad but please could you tell me how to bolus for it,i'm not sure about bolusing some before and then after.
Thank you.Heather |
04-26-2008, 10:25 AM
|  | Member
I am a: Type 1 | | Join Date: Jun 2003 Location: Carrollton TX
Posts: 184
| | | everyone is different
But I use an extended bolus for pizza
I use a 3- 3.5 hour extended bolus and deliver about 60% of the bolus now and the rest over the 3 hours ... Works pretty good for me - BUT i dont do pizza very often because of the issues
__________________
DX Type 1 2/1988
MDI till 1/2005
Currently using a Cozmo - Eligible for new pump in Jan 2008 - Waiting to see what is to be released, who knows what the choices will be later this year. Wish I had started pumping 10 years ago
Last year got the ugrade Cozmo update, now wondering what I should choose for my next pump - Im eligible now  |
04-26-2008, 11:29 AM
| | Member
I am a: Type 1 | | Join Date: Aug 2007 Location: UK
Posts: 356
| | Quote:
Originally Posted by heatherpetch  Hi there all,i am wondering what happens at night if you go to bed say with a bs of 9.0 would it stay there or rise,or fall.I am just curious.
Also a bit of help please i am having a thin meat feast pizza for dinner tonight i know from reading there bad but please could you tell me how to bolus for it,i'm not sure about bolusing some before and then after.
Thank you.Heather | Are you honey mooning? Depending on how you have your basals set is the answer to that question, I would always correct a 9mmol/L high, unless you have your basal dose set really high. Would you normally experience a 4mmol/L drop over night? On MDI if I had pizza I would dose for the entire thing, then test 2 and half hours later, correcting if necessary. I haven't done this since i started carb counting mind. This wouldn’t work for some people they would choose to dose half before the pizza and then the rest two hours later. It really depends on you, I would try the first method I suggested if it works then you know. Make sure you test before, 2 hours later and 4 hours later, you can then see how pizza affects you. 
__________________
A1c 6.1 - 29th of Novemember 2007 
A1c 8.1 - 23rd of May 2007 
Diagnosed 27th of August 2006
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04-26-2008, 11:29 AM
| | Junior Member
I am a: Type 1 | | Join Date: Mar 2008 Location: Canada
Posts: 70
| | | Hi there, I am new to the forum. I must quote my new friends and say "basal testing" is the way to figure out what happens to bg's at night and to get them to be stable.
I have decided that pizza is evil. I agree with Doug that extended bolus is worth looking at. Thank goodness that I am not that fond of pizza. Muffins...different story.
__________________
34 Years In
Pumping for 20
Minimed - Paradigm 722
Mar 2008 A1C - not telling
Next A1C - 6.5 |
04-26-2008, 01:47 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Jun 2006 Location: Rothesay, New Brunswick Canada, eh
Posts: 5,568
| | Pizza behaves very well for me, but I make it myself.
Page two of this document shows the different overnight patterns. I drop very low. Everyone is different.
__________________
A human being should be able to change a diaper, plan an invasion, butcher a hog, conn a ship, design a building, write a sonnet, balance accounts, build a wall, set a bone, comfort the dying, take orders, give orders, cooperate, act alone, solve equations, analyze a new problem, pitch manure, program a computer, cook a tasty meal, fight efficiently, die gallantly. Specialization is for insects.
-Robert A. Heinlein |
04-29-2008, 05:17 PM
|  | Member
I am a: Type 1 | | Join Date: Dec 2006 Location: Derby,UK
Posts: 386
| | | ok as xMenace says eveyone is different and has a different regimen as a result but most people i know have around 3u fast acting for every 10g carbs, i myself have 4u to every 10g. At night your liver may decide to dump glucose into your body for some reason known only to itself which is why most t1's use a slow acting insulin before bed to counteract this and also a fast acting for any carbs we have before bed, if your regimen is due for a change or you are ill this is where you have to be carefull and go to your Dr who will advise you more thoroughly.
hope this helps
Azz |
04-29-2008, 05:23 PM
| | Senior Member
I am a: Type 1 | | Join Date: Jun 2006 Location: Rothesay, New Brunswick Canada, eh
Posts: 5,568
| | Quote:
Originally Posted by Tattoo azz most people i know have around 3u fast acting for every 10g carbs, i myself have 4u to every 10g. | Dude. Those are actually on the high side. My morning 2.5u for 10g is high. 1u per 10g I think is supposed to be the standard for the average sized rabbit. Or something like that. Definition of 1 unit of Rapid Insulin 
__________________
A human being should be able to change a diaper, plan an invasion, butcher a hog, conn a ship, design a building, write a sonnet, balance accounts, build a wall, set a bone, comfort the dying, take orders, give orders, cooperate, act alone, solve equations, analyze a new problem, pitch manure, program a computer, cook a tasty meal, fight efficiently, die gallantly. Specialization is for insects.
-Robert A. Heinlein |
04-30-2008, 04:49 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Jul 2006 Location: Portsmouth UK
Posts: 1,483
| | | best way for me also is to split the bolus. 60% now, 40% an hour and a half later.
if you want to eat foods like pasta and pizza and stuff. It's a good idea to experiment splitting your boluses... when you know how to handle it you can eat as much of it as you like!
__________________ Stu 
Type 1 Since - 24/7/2006 HbA1c
13/10/2006 - 7.2% | 15/12/2006 - 6.0% | 29/06/2007 - 7.1% | 02/11/2007 - 7.8% | 29/02/2008 - 6.5% 
Insulin - Levemir and NovoRapid | Meter - Accu-Chek Compact Plus mkII  Pasta is a gift that just keeps giving... |
04-30-2008, 07:59 AM
| | Member
I am a: Type 1 | | Join Date: Dec 2006 Location: Derby,UK
Posts: 386
| | hey ho i just go by what i read on different forums and at my clinic, maybe its cos my doc doesn't know #### or maybe i don't no matter. Just trying to help |
05-05-2008, 05:01 AM
| | Junior Member
I am a: Type 1 | | Join Date: Sep 2007 Location: Traverse City, MI
Posts: 52
| | | You have made a good choice going the thin crust route. I can eat thin crust pizza with just a regular bolus. The pan or thicker crust pizza are the hard ones to get right. |
05-05-2008, 08:29 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Jan 2008 Location: Kansas, US
Posts: 513
| | For commercial white-flour pizza: I bolus using rapid about fifteen minutes after I begin eating. It works for me.
Re insulin ratios: 3U or 4U for 10g? Dude. I'd be dead with quickness. Each unit covers 15g for me! 
__________________
Eddy
DXed 2007/04 : presented with advanced-stage DKA, A1c of 12.9%, and BMI of 21.3 kg/m^2
Post-DX A1c : 5.2% @ 2008/04; 5.3% @ 2007/12; 5.3% @ 2007/08
current BMI : 25.4 (84kg on 182cm); want to get back to 23-24
basal : Levemir; 18U @ 0800, 18U @ 2200 (have also used Lantus)
bolus : 1:15 I:C ratio; varying mix of Novolog, Novolin-R, Novolin-N (have also used Humalog, Humulin-R, and Humulin-N)
not a low-CHO eater... not even close!
last updated 2008/05/09
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05-05-2008, 12:27 PM
| | Member
I am a: Type 1 | | Join Date: Jan 2008 Location: London UK
Posts: 100
| | Quote:
Originally Posted by xMenace Dude. Those are actually on the high side. My morning 2.5u for 10g is high. 1u per 10g I think is supposed to be the standard for the average sized rabbit. Or something like that. Definition of 1 unit of Rapid Insulin | yup, i saw that that and thought if i took 3 units i would have to eat a LOT of carbs, like a bowl of pasta....3 units to 10g, IMHO is not within normal range for type 1 (type 2 probably is i dont know???)
__________________  Lizzie
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