Replies to This Discussion

Permalink Reply by onesaint on November 20, 2010 at 10:23am

Agrred. I dont think you could do this diet without reading Dr. B's books. That said, I still had a ton of questions after reading Diabetic Solution. I am actually purchasing the book for my Endo so she can see why my A1C has gone from 7.6 to 5.8 in 4 months.

With my 35 carbs a day I actually have to bolus twice per meal. An instant for carbs then a long lasting with an instant colus for protein. I see a PP BG in about 30-45 min from protein which stays there for 3 hours or so if I dont catch it. its pretty interesting.

thanks for the comment Lisa.

Permalink Reply by Sarah Emily on February 13, 2012 at 6:28pm

Sorry I know this is an old discussion, but just wondering how far you have come with your bolusing for fats/proteins. I am curious as I am noticing that I am needing to do this... is there any particular formula you would recommend? Cheers

Permalink Reply by onesaint on February 13, 2012 at 6:44pm

No worries! Have a gander at the TAGgers United group. They have this almost down to a science. There are some worksheet for what you eat (e.g., grams of fat, protein, and carbs) and they they offer dosing suggestion. Of course there is another book to buy and read (lol).

It will be easier to dose on the pump as you can do extended (over time) boluses for your meals.

An example for you, if I eat a Cobb salad (bacon, blue cheese, lettuce, egg, turkey / chicken, avocado, cucumber, & blue cheese dressing) I'll bolus around 3.5u with 2u now and 1.5u over 3.5 hours. It took some testing of how long to extend the bolus for, but eventually I got it down to 3.5 hours. It keeps my BG pretty flat for that type of high fat salad. Also, there aren't a lot of carbs in that salad (maybe 12 total).

Honestly, I've gotten out of extending boluses for all my meals and should get back into it. Thanks for the refresher!

Permalink Reply by yelsoma on April 25, 2012 at 10:51pm

Sorry I noticed your message only now, over a year and a half after you wrote it! Good for you that you have figured out how to calculate the effect of protein on your blood glucose level.
As for me, it is only now becoming clear how protein affects my glucose levels.

I don't specifically bolus for it, though I do try to limit the amount I have at dinner (to 6 oz, in case you're interested). If we're having particularly delicious roast chicken, and I get greedy, I notice that my blood sugars will rise inexorably while I am sleeping. If I have a hearty soup with little meat, that is when I'll go low at night.
Dr. Bernstein's advice is always to have the same amount of protein for your evening meal, so you can become accustomed to the effects it will have on your blood sugar. Though it's not always easy to be so scientific about the amounts I am eating.

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