8 Responses

  1. Bennet
    Bennet October 25, 2011 at 11:49 am | | Reply

    Gary has a free Pizza class online. you can learn more in this little video:

  2. Diabetic Survival Kit
    Diabetic Survival Kit October 25, 2011 at 7:59 pm | | Reply

    This is an excellent explanation of a difficult concept. People absorb their food at different rates making the solution for this problem even more complex. The ideal would be to use a CGM and use trial and error for each food and keep adjusting the insulin till you get it right and then remember it for each food or similar type food. After doing this for a few foods you will have a better idea where to start and modify. This is like the guess and check we used in school to solve math problems we could not solve directly. If you don’t have a CGM, check a few sugars after eating these types of food, keep adjusting the ratios and then continue using the ones that give you the best result.

  3. tmana
    tmana October 26, 2011 at 7:22 am | | Reply

    FWIW, non-insulin-injecting T2s can also experience delayed and/or extended peaks… and fat consumption is not always a part of the equation. I do the “steamed/diet” menu at Chinese restaurants, but large amounts of rice will create a spike somewhere beyond that magical two-hour margin; also, large amounts of pasta (especially rice pasta) or potatoes will do the same thing.

    Because those of us without CGMs don’t usually see these sorts of damaging highs, it would be informative for CGMs to be available for ALL people with diabetes who wish to use them (even just intermittently, for diagnostic purposes).

  4. AmyT
    AmyT October 26, 2011 at 2:45 pm | | Reply

    @Bennett – pizza class? cool! thank you for the heads-up!

  5. Mark
    Mark April 27, 2012 at 8:51 am | | Reply

    Hey, this is a great read!
    Very helpful, from my experience in talking to other T1D’s everybody has a different way of doing this. But dual wave bolus’ seem like a very necessary concept to adopt for best control.

  6. Reader Questions Day 4 | Black Dogs Rule
    Reader Questions Day 4 | Black Dogs Rule September 19, 2013 at 1:55 pm |

    [...] cooked. We also measure out the sauce that we use. When she eats pasta, we do what is known to as a combo bolus. Some foods that are either high in fat, like pizza or Chinese food, or high in carbs, like pasta, [...]

  7. sue
    sue May 14, 2014 at 5:41 pm | | Reply

    this was a great article. thanks so much for sharing.. was never sure how to use the dual wave i only use to set it for 2 hrs. now i will try it for longer amt. of time. thanks again..

  8. Mary
    Mary November 13, 2014 at 5:41 pm | | Reply

    This was very helpful. We’ve been reading up on how to effectively use the combo-bolus feature for our son, and this was great info!

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