I've found that the tastier the food, the harder it is to control my post-meal glucose. My old pal Paradigm 515 helps me by offering a dual wave bolus to try and cover those tasty but slow digesting fatty carbs, but I'm still having some trouble with 4-8 hours post meal spikes, on occasion.
For context, a recent bad-for-me example is as follows: 80g carbs, unknown but high fat meal, 70/30 dual wave bolus over 3 hours. Pre-meal BG 80, 2 hours post-meal BG 79, 4.5 hours post-meal BG 190. Very frustrating.
I'm shamefully unskilled at using the dual-wave option on my pump, and I am wondering if anyone can offer some insight on dealing with these delayed spikes while preventing short term hypos.
To be sure, I'm not looking for an answer that says, "you need to keep your carb counts lower, and try and avoid high fat meals!!!" I'm trying to manage those once and awhile, somewhat unavoidable social binges. I promise to be healthy and low fat/carbs the rest of the time!