Comment by Jen on May 5, 2012 at 9:23pm

I still haven't figured sushi out. I spike to 300-400 without fail every time I eat it (and I only eat about 90g). I'd be curious what your BG was several hours after eating?

Comment by Sam Iam on May 6, 2012 at 12:08am

My inner Japanese guy is hungry and crying. He'll have to be satisfied with sashimi, though.

Comment by Asma on May 6, 2012 at 3:53am

There's something about Japanese food that deceives you into thinking that it has less carbs than there really is. Probably the soy sauce? I love Japanese food but I never managed to get my bg under control afterwards. My I:C ratio is the same. My max bolus though is 10 so I don't know how that would work out for me. Just curious, how much carbs would you say one California roll has?

Comment by Tim on May 6, 2012 at 4:24am

Wow, that's a massive number of carbs!

I do fine with a "sushi lunch box" at a large number of sushi places. A california roll + two pieces of sushi + miso soup. It's filling but not a huge amount of carbs and I know exactly how to dose for it.

Comment by Jim on May 6, 2012 at 7:41am

That is amazing. You didn't mention what your 3 hr mark looked like. At 1.5 hours you still had a lot of insulin floating around the system. I used to give some large does, but anymore I get real nervous giving large amounts of insulin.

Comment by Maycri on May 6, 2012 at 9:52am

Wow! wasn't expecting so many comments lol. Well, when I came back I watched some tv and then went into the garden to do some weeding, so the exercise probably helped my sugars keep stable after the meal, I had to have some juice to keep myself from dropping and when I tested at dinner time I was 4.3

Asma I do Multiple injections, I don't know how this is going to work when I go on the pump. I suspect my Lantus and the light exercise kept me stable afterwards. All I can say is that with what I ate I did not have the spike that everyone talks about.

Tim, how many carbs do you estimate for the lunch box? I love miso soup, yum.

I know is a large amount of carbs... I still find myself really hungry. I guess I have been high for so long that now that I have started to take care of myself my belly does not understand that I'm not supposed to be hungry anymore.

Comment by Chris Miller on May 6, 2012 at 10:01am

I'm always concerned about bolusing too much at once, even if I have a big meal. My meals are usually under 60g of carbs. If I eat a meal over 10g of carbs, I am reluctant to give too much insulin. My carb to insulin ratio is also 10:1 but I'd probably give 8 or 9 units for a 10+ carb meal and let them run high.

Comment by kestrel on May 6, 2012 at 10:30am

I'm pretty sure sushi rice has some sugar in it. I.e. I think the carb count is higher than plain rice, which is why a lot of us have trouble with it.

What I don't get is how you can eat sushi on MDI. Do you inject >1 time? I never now in advance how many pieces I will eat.... easy to keep blousing on a pump; not so much with shots!

Comment by Maycri on May 7, 2012 at 7:48am

Oh yeah, definitively has some sugar haha, to make the sushi rice "sticky" they use a combination of vinegar and sugar to be able to make those rolls.

Also with Humalog I can inject right after I eat, as long as I don't take a long time eating (back in Spain we used to sit around the table for hours) Once I injected I cannot help hubby with the rest of the sushi, so if we ordered too much he is on his own.

Comment by renka on May 8, 2012 at 12:52am

Very interesting subject. I always have a hard time with sushi too so good job! Chris, what kind of meals do you eat that are 10 carbs. It seems that no matter how hard I try my meals seem to be 40 - 80 . Thx

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