Replies to This Discussion

Permalink Reply by Brian (bsc) on October 15, 2010 at 11:02am

Yes. Protein will convert to glucose. Different people have different guidelines. I've seen the number 60% of the dietary protein convert to glucose. Bernstein actually also suggests that you can use R since a good proportion of your glucose load will come from protein, your blood sugar profile will be very blunted since it takes quite a while for gluconeogenesis to do its work.

Permalink Reply by onesaint on October 15, 2010 at 10:01pm

Hey bsc, how do you mean my profile will be blunted?

I noticed at first that it was taking 2-3 hours after the meal for the rise to happen. Now though, its within a 1/2 hour or so of eating. That lasts for 2-3 hours. Im on a pump with a CGM, so I can and do fallow this quite closely with minor doses to correct beyond the square for the protein.

Permalink Reply by Brian (bsc) on October 16, 2010 at 11:34am

Most people find that their blood sugar rises for 3-4 hours after a large protein meal, with no large spike and instead a much longer response.

Permalink Reply by onesaint on October 17, 2010 at 8:19am

Thanks bsc. Thats what Im finding, Although, I see 130-160 as a spike be it for 1 hour or 4. So, how to calculate / correct?

Permalink Reply by Leo2 on October 15, 2010 at 2:13pm

Yes, I always figure for protein.

Permalink Reply by claire whitehead on October 15, 2010 at 5:09pm

I am also learning to do this. I need to deliver a square bolus of about a unit to 1.5 units per meal.

Permalink Reply by onesaint on October 15, 2010 at 10:04pm

Thanks for the reply you both.

Im having to dual wave at meals, with about 2.5 units. I try to keep the protein consistent for my meals and am finding that I think Im going to have to start counting protein like I do err did carbs.

Permalink Reply by claire whitehead on October 16, 2010 at 8:12am

I am still trying to figure out my best basal vs how much to bolus for protein. I woke up 94 this morning (yay) but now I will bolus 1/2 a unit for my almond milk in my coffee, and then I'll square wave for my eggs about 1.2 for my eggs. I am still wary of bolusing too much, although I consistently go up after eating and will see highs in the 200 range. I have a fear of having a basal set too high that will feed the bolus for protein. Every day I am trying to eek it up a bit. I hope I see good #'s with the 1.2 today! I'll do the same for my lunch and dinner.
Bernstein uses long acting for basal and takes what- 4 units total a day? or like 6? i forget. My basal is set to .725 per hour so that works out to 17.5 units per day - seems like a lot, but- I am waking up 94, so that is good, and I was 124 at 3am which shows me I could even use more?
SO hard to figure out.

Permalink Reply by onesaint on October 16, 2010 at 2:45pm

IM totally with you Clair. I havent had the dawn phenomena since i was a kid and now its back since my WOE changed. Also, this post meal thing has been a pain. I can get my numbers fantastic most of the time, but sometimes I get the long rise to 140-160 and it lasts for hours. I dont even try to match Bernstein. Im 210 6'0. He looks at things from 145. 5'6. So there is a big difference there and in eating habbits as well. Im taking about 40u these days (30 basal / 10 food).

Permalink Reply by claire whitehead on October 16, 2010 at 4:10pm

yeah- Bernstein is a little guy! I under bolused for my lunch today- I had ham and turkey with mustard... so only protein, about 4 oz. and i bolused 1 unit. pp reading at 1 hour was 155 then hit 180 at the 2 hour reading. tonight's dinner and tomorrow- I'll go for 1.3 units.

Permalink Reply by JaninaWalker on February 21, 2012 at 1:04pm

Claire, that is my middle name, too, I have been on 15-20u TDD for 20 years and before that less, so you will be able to stay at that level for life I predict.

Permalink Reply by Chele on October 16, 2010 at 8:55pm

I remember Manny saying there was a formula for converting the insulin dosage for Protein, Fiber, and one other that I can not recall. Does any one know where on this site the formula can be found. Directions please, I do not have a GPS for this LOL.

Chele

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