[mazea]

I was wondering at what differerent techniques people use eat a treat over 50g fat without it putting your blood sugar levels up the next day. I would love some ideas or experience on how people do this, or what people have noticed about the effect of fat on their bg levels.

I occasionally like to have a treat like go out to Nando's and have a over 50g fat meal. But when I eat a meal that is high in fat (over 50g fat)like at Nandos or Mcdonalds, My blood glucose level rises slowly over the next 22hours.

I don't know why this happens. Doe anyone Know?

On most days I aim to I keep my fat intake down to under 20g fat a day usually including a 200g piece of meat for dinner and a home-made muffin(low carb) for morning tea and I eat low fat milk and keep away from the fatty food usually.

I have been a trying a technique to stop the after effect of elevating blood sugar levels by doubling my Levemir basal insulin and taking this extra dose directly after my over 40g fat meal. The extra Levemir seems to stop my blood glucose from rising and is working well. I am not having to do corrections with my Novorapid 4 times the next day when I have used the extra Levemir after high fat(over 40g fat) meals.

My nutritionist told me I am allowed to occasionally have treats and being a diabetic and 30, I have low cholesterol and have good basal insulin and don't won't to give up my occasional going out at Nando's and eating my peri peri with a side of chips yet.

[Jan B]

A doctor told me a long time ago to take a unit of insulin (normal ratio: 1 unit per 15 cho) for each 30 grams of fat in a meal. I ate low-fat for so long I had almost forgotten about it. A few months ago, when I went to low-carb meals instead of low-fat meals, I remembered. It works for me.

[poodlebone]

I used to have so many problems with high(er) fat meals on injections. If I injected for the carbs I'd go low because the fat slowed down the digestion of the carbs. I would then go high later. With a pump it's easier to control because you can extend your bolus over hours if needed, so it matches the rise in BG better.

You might want to cut back the amount of insulin you take at first for the meal and keep testing, and inject more as needed. Do you find that you tend to go low within two hours after eating the high fat meal, or does your BG just go up and keep rising? Unfortunately, on injections, it means testing more often and correcting as needed.

Oh, you might also want to consider using Regular insulin for a high fat meal. Even when I switched to Humalog I'd keep Regular on hand for days I ate fast food. Since it doesn't work as fast as Humalog (or Novolog) and it stays in the body longer, it was much better than Humalog for some meals.

[Gordonm]

Being on the pump really helps out. I do a square wave or do a temp basal for about 8 hours. I can keep it right in range doing it this way. On MDI I never could keep it steady. I would roller coaster up and down.