Pizza? Pasta?
I am curious how long and with what percentages other pumpers extend their bolus for pizza and pasta. Of course, it is different for each of us....just trying to get a read on everyone's experiences. I like to enjoy them as a rare treat and I find that the whole grain blend pastas are OK for me in reasonable portions, extending my bolus for a few hours. Pizza seems a bit more challenging. It depends on crust thickness, amount of cheese and the whim of the diabetes Gods mainly, I'd guess. Does anyone have it down? Thanks.
Replies to This Discussion
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Permalink Reply by rachel on -
Hey Elaine,
I eat pizza occasionally - only have 1 piece and usually count it for 28-35g depending on the thickness of the crust. I do a dual wave, 50% up front + any correction needed and then the other 50% over a half hour. It seems to work okay for me. Once I went low after the first half of the bolus waiting for the fatty pizza to kick in. That was not an easy low to get over with all that pizza in my tummy slowing down absorption of anything else -
Enjoy!
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Permalink Reply by elaine peterson on -
It's a lot of work....but sometimes we just need it! Thanks everyone.
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Permalink Reply by Pamela1977 on -
Personally, I rarely eat pizza but we eat pasta several times a week. I only eat whole grain pasta and my rule is to eat the same proportion of veggies as I do pasta. So, if I eat a cup of pasta, I'm going to be eating a cup of veggies. Works great for me. I never even need to extend my bolus and if anything, I end up on the low side. Everyone is SO different but this works for me. In general, regardless of what carb I'm eating, I eat lots of veggies and plenty of lean protein.
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Permalink Reply by elaine peterson on
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Even though I feel a bit guilty about the carbs when I eat pasta, I do usually make whole grain or at least whole grain blend and try to pile on the veggies as well. I have ended up low, also. I guess that's the trick. Pizza...not so easy.......
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Permalink Reply by Pamela1977 on
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Yes, pizza is a whole different story. Like I said, I rarely eat it because it's just not worth the effect on my blood sugar and now that I have 3 young children, I'm trying to eat super healthy anyway. But I will tell you that in the past, I had to figure out very different ways to bolus for pizza, depending on where it came from. Some pizza, I had to dual wave bolus for a good 4+ hours. It's pretty frustrating to figure out.
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Permalink Reply by Maureen on -
I don't really do anything different for pasta other than my usual dual-wave bolus I do for most mixed meals. Pasta just doesn't affect my bgls that much. I don't use cream sauces or more than a scant smattering of cheese, so that probably helps. Same thing for pizza if it's home made. For restaurant pizza, I stretch the bolus wave by an extra 30 minutes.
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Permalink Reply by elaine peterson on
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30 minutes on top of what? How long is your usual dual-wave or extended bolus? I hear people speak of spikes hours later.
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Permalink Reply by elaine peterson on
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5 hours later, I am still OK. I needed a correction bolus of about 1/4 of the total initial bolus plus extended to bring myself back to target. That's a lot of insulin over the amount needed to cover the carbs....all due to the fat in the cheese, I suspect. I calculate that for the crust and the sauce, I would have needed 3.5-4 units and I ended up dosing 5.50 over 3 hours. The time of day, the time of month, the tides....who knows what could have effected it, but still....that's a lot of insulin (for me.)
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Permalink Reply by laurenc873 on -
I would like to know this too...thanks for posting. I have avoided going out for pizza and pasta since being diagnosed, and only know how to calculate things when I am at home. I have never used the combo bolus on my pump, but would also like to know how!
I make homemade pizza with whole wheat pitas and lowER fat cheese. This way, it doesn't spike me later with all the fatty cheese...
as for pasta...instead of bolusing before my meal, i do it like RIGHT before I take my first bite.
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Permalink Reply by Elizabeth on -
I eat pasta at least twice a week and only eat Dreamfield's pasta, it's available at most stores like Publix and I think Whole Foods, but it's got tons of fiber and only has like 7 net carbs(?) and isn't too bad. If I do eat Dreamfield's then I extend my bolus only by 30 minutes and I do a 65/35 split. If I eat any other pasta, then I do a 40/60 split over 3 hours and will correct at the 2 hour mark.
This is what I do for pizza- 1-3 slices I will do a 40/60 bolus extend it over 4 hours. Sometimes this works other times it does not. Just depends on the diabetes gods... If for some unknown reason I'm like hella hungry and decide that 3 slices isn't enough I will go ahead and figure in a correction dose of at least 150 then do my usual 40/60 bolus over 4 hours. This works sometimes too. I've gone down to 40 doing this before and then ended up at 300, just depends on if the D-gods are smiling on you that day... good luck I hope you figure out what works for you!
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Permalink Reply by Cindy on -
Book I am reading on pumping says to split the dose at 70% at time of eating and 30% later
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