Re: Question and Suggestion

[Guest guest]

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows down

the absorption of any carbs you've eaten. So something like lasagna or pizza

will generally make your blood sugar spike higher and stay there for longer

than other foods, even if they have the same carb content.

Jen

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10:58 AM

[Guest guest]

You got it Jen. I find fat much more of a problem, and notably with pizza.

My blood sugar will be OK a couple hours later, but over night, and even in

the morning, that fat will show it's ugly head!

Dave

RE: Question and Suggestion

> Lasagna has a lot of protein and fat in it. Protein can cause a rise in

> blood sugar several hours after it's eaten (I think 50% of protein is

> eventually broken down into glucose, and 100% of carbs), and fat slows

> down

> the absorption of any carbs you've eaten. So something like lasagna or

> pizza

> will generally make your blood sugar spike higher and stay there for

> longer

> than other foods, even if they have the same carb content.

>

> Jen

>

> No virus found in this outgoing message.

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> 10:58 AM

>

>

>

> ------------------------------------

>

>

[Guest guest]

Hi Jen,

I must say that I have found a big difference in my sugars when eating these

foods by cooking them myself. For starts, I use whole wheat pasta and

partly skimmed mozzarella and for my pizza I make a home made crust and make

it 50 percent whole wheat by using half whole wheat flour in the recipe to

make the crust. I also watch my portions and don't seem to have the

problems with my sugars. However, if I eat these foods out at a restaurant,

then look out! So, it is obvious a lot of the problem is in the cooking.

Ruth

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows down

the absorption of any carbs you've eaten. So something like lasagna or pizza

will generally make your blood sugar spike higher and stay there for longer

than other foods, even if they have the same carb content.

Jen

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10:58 AM

------------------------------------

[Guest guest]

Hi Ruth,

I agree. Homemade pizza is much, MUCH easier on my blood sugars than those

which are ordered out. When I eat at my parent's place my mom often makes

homemade pizza with whole wheat thin crust and limits on the cheese, and it

in fact tastes better than the order out variety! Unfortunately, being

twentysomething means that most of the time when I'm eating pizza it's at a

social event of some sort or another and sends me on the blood sugars roller

coaster. I can't wait until I'm, say, 40. I think blood sugars will be much

easier to control then. *smile*

Jen

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12:32 PM

[Guest guest]

Jenn, thank you for this explanation. It reinforces something I just read

about not using milk to treat a low.

I know you are on a pump, but if you were dosing insulin, if you had two

food choices with the same carbs but one having say and extra 10 grams of

protein, would you treat that like something with X more carbs.

After a year and a half, I am still just trying to make sense of all of

this.

All thanks!

SS

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows down

the absorption of any carbs you've eaten. So something like lasagna or pizza

will generally make your blood sugar spike higher and stay there for longer

than other foods, even if they have the same carb content.

Jen

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10:58 AM

------------------------------------

[Guest guest]

I've talked about trial and error and observing carefully what happens with

different foods and insulin doses, and it pretty much comes down to that with

protein. Quick acting insulin, for those of us taking injections, works on a

fixed time line, and when you partake of foods high in fat and/or protein, the

quick acting insulin sometimes is gone about the time the high fat and high

protein food is beginning to convert into carbohydrate. About all you can do is

check your bg more frequently and probably end up taking an intermediate or

extra injection of quick acting insulin. Exercise may also be affective, but

only if your bg is less than 240. People using the Bernstein program supposedly

maintain consistent bg readings between 80 and 90 on a high fat and high protein

diet, but I am not sure how this works. I think they split their long acting

insulin into 2 doses, so perhaps if you plan to be eating pizza and hamburgers

everyday, maybe the thing to do is split your Lantus dose.

Dave

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows down

the absorption of any carbs you've eaten. So something like lasagna or pizza

will generally make your blood sugar spike higher and stay there for longer

than other foods, even if they have the same carb content.

Jen

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10:58 AM

------------------------------------

[Guest guest]

Hi ,

I have heard of some people " counting protein " in a similar way to how carbs

are counted (adding up the protein and multiplying by 0.5 and then using an

extended bolus feature on their pump to cover this). I'm not sure it can be

done with shots. When I was on shots and used to eat pizza or a similar

high-carb/high-fat meal, I would cover it by splitting my shot into two and

dosing 80% up-front and the other 20% an hour and a half later. It worked

extremely well--actually better than the combination bolus feature on my

pump does sometimes!

Jen

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12:32 PM

[Guest guest]

You can exercise with a BG above 240 as long as there are no ketones present

and there is enough insulin on board to lower it. If you are 240 and have

taken a shot within the last hour or two, exercising is not dangerous (save

for making sure you don't go low!). If I'm high I will often take a half

correction dose and exercise for half an hour or an hour and have it come

down much faster than it would otherwise. But if ketones are present (for

those with type 1) it means that your body doesn’t have sufficient insulin

present to burn glucose, so exercise would make your BG higher rather than

lower. You should wait until any ketones are cleared before exercising.

Jen

Re: Question and Suggestion

I've talked about trial and error and observing carefully what happens with

different foods and insulin doses, and it pretty much comes down to that

with protein. Quick acting insulin, for those of us taking injections,

works on a fixed time line, and when you partake of foods high in fat

and/or protein, the quick acting insulin sometimes is gone about the time

the high fat and high protein food is beginning to convert into

carbohydrate. About all you can do is check your bg more frequently and

probably end up taking an intermediate or extra injection of quick acting

insulin. Exercise may also be affective, but only if your bg is less than

240. People using the Bernstein program supposedly maintain consistent bg

readings between 80 and 90 on a high fat and high protein diet, but I am not

sure how this works. I think they split their long acting insulin into 2

doses, so perhaps if you plan to be eating pizza and hamburgers everyday,

maybe the thing to do is split your Lantus

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12:32 PM

[Guest guest]

Jen, you've provided a better explanation. I will add to your explanation

and say there is, or there used to be, strips of some kind that would

measure ketones, but that wouldn't do many of us any good without sighted

assistance. So, perhaps in general, if you are over 240 and have no insulin

working, take some insulin and /or wait a little while before exercising

just in case there are ketones in your blood.

Dave

Re: Question and Suggestion

I've talked about trial and error and observing carefully what happens with

different foods and insulin doses, and it pretty much comes down to that

with protein. Quick acting insulin, for those of us taking injections,

works on a fixed time line, and when you partake of foods high in fat

and/or protein, the quick acting insulin sometimes is gone about the time

the high fat and high protein food is beginning to convert into

carbohydrate. About all you can do is check your bg more frequently and

probably end up taking an intermediate or extra injection of quick acting

insulin. Exercise may also be affective, but only if your bg is less than

240. People using the Bernstein program supposedly maintain consistent bg

readings between 80 and 90 on a high fat and high protein diet, but I am not

sure how this works. I think they split their long acting insulin into 2

doses, so perhaps if you plan to be eating pizza and hamburgers everyday,

maybe the thing to do is split your Lantus

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12:32 PM

------------------------------------

[Guest guest]

You are right, there are urine strips that will test for ketones. Now there is

also a meter that will test for ketones in the same way you can test for blood

sugar (with a fingerstick, and it measures the ketones in your blood which is

more up-to-date than urine ketones). Of course, like most things, this meter

doesn't talk, although the display has about inch-tall letters and a backlight,

so may be useful to people with low vision.

Jen

Re: Question and Suggestion

To: blind-diabetics

> Jen, you've provided a better explanation.  I will add to

> your explanation

> and say there is, or there used to be, strips of some kind that

> would

> measure ketones, but that wouldn't do many of us any good

> without sighted

> assistance.  So, perhaps in general, if you are over 240

> and have no insulin

> working, take some insulin and /or wait a little while before

> exercising

> just in case there are ketones in your blood.

>

> Dave

[Guest guest]

So, now with that ketone measuring device, the pregnancy test they advertise

will no longer be the most advanced technology you will ever pee on?

[Guest guest]

That's one way of putting it.... As Jen stated however, the urine testing is

far less accurate than actual blood sampling.

Dave

RE: Question and Suggestion

So, now with that ketone measuring device, the pregnancy test they advertise

will no longer be the most advanced technology you will ever pee on?

[Guest guest]

The ketone urine strips, like the glucose urine strips, are strips that have a

regent pad on them. When you dip it in urine, the pad changes colour via a

chemical reaction to indicate the presence of either glucose or ketones (or

there are also strips that measure both). I think pregnancy tests are more

advanced, but then, I've never seen one to be sure! *smile*

Jen

RE: Question and Suggestion

To: blind-diabetics

> So, now with that ketone measuring device, the pregnancy test

> they advertise

> will no longer be the most advanced technology you will ever pee on?

[Guest guest]

The ketone urine strips, like the glucose urine strips, are strips that have a

regent pad on them. When you dip it in urine, the pad changes colour via a

chemical reaction to indicate the presence of either glucose or ketones (or

there are also strips that measure both). I think pregnancy tests are more

advanced, but then, I've never seen one to be sure! *smile*

Jen

RE: Question and Suggestion

To: blind-diabetics

> So, now with that ketone measuring device, the pregnancy test

> they advertise

> will no longer be the most advanced technology you will ever pee on?

[Guest guest]

Jen, I was joking. There is an advertisement down here for a pregnancy test

and the tag line is something like " the most technilogically advanced device

you'll pee on. " I don't know why hearing pee in a commercial strikes me as

funny.

[Guest guest]

Jen, I was joking. There is an advertisement down here for a pregnancy test

and the tag line is something like " the most technilogically advanced device

you'll pee on. " I don't know why hearing pee in a commercial strikes me as

funny.

[Guest guest]

Ha, I haven't seen that commercial. I don't know why it would would be exciting

to pee on a technilogically-advanced device as long as it works! LOL.

Jen

RE: RE: Question and Suggestion

To: blind-diabetics

> Jen, I was joking.  There is an advertisement down here for

> a pregnancy test

> and the tag line is something like " the most technilogically

> advanced device

> you'll pee on. "   I don't know why hearing pee in a

> commercial strikes me as

> funny.

>

>

>

> ------------------------------------

>

>

[Guest guest]

Ha, I haven't seen that commercial. I don't know why it would would be exciting

to pee on a technilogically-advanced device as long as it works! LOL.

Jen

RE: RE: Question and Suggestion

To: blind-diabetics

> Jen, I was joking.  There is an advertisement down here for

> a pregnancy test

> and the tag line is something like " the most technilogically

> advanced device

> you'll pee on. "   I don't know why hearing pee in a

> commercial strikes me as

> funny.

>

>

>

> ------------------------------------

>

>

[Guest guest]

That is what I do with a high protein high fat diet-split the fast acting

insulin dose. For instance, for pizza I take 2 units when I eat and about 2

hours later check the BG and do another 11 to 2 units depending on the BG.

LaFrance-Wolf

5120 Myrtus Avenue

Temple City, CA 91780

Re: Question and Suggestion

I've talked about trial and error and observing carefully what happens with

different foods and insulin doses, and it pretty much comes down to that with

protein. Quick acting insulin, for those of us taking injections, works on a

fixed time line, and when you partake of foods high in fat and/or protein, the

quick acting insulin sometimes is gone about the time the high fat and high

protein food is beginning to convert into carbohydrate. About all you can do is

check your bg more frequently and probably end up taking an intermediate or

extra injection of quick acting insulin. Exercise may also be affective, but

only if your bg is less than 240. People using the Bernstein program supposedly

maintain consistent bg readings between 80 and 90 on a high fat and high protein

diet, but I am not sure how this works. I think they split their long acting

insulin into 2 doses, so perhaps if you plan to be eating pizza and hamburgers

everyday, maybe the thing to do is split your Lantus dose.

Dave

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows down

the absorption of any carbs you've eaten. So something like lasagna or pizza

will generally make your blood sugar spike higher and stay there for longer

than other foods, even if they have the same carb content.

Jen

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Checked by AVG.

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10:58 AM

---------------------------------------

[Guest guest]

That is what I do with a high protein high fat diet-split the fast acting

insulin dose. For instance, for pizza I take 2 units when I eat and about 2

hours later check the BG and do another 11 to 2 units depending on the BG.

LaFrance-Wolf

5120 Myrtus Avenue

Temple City, CA 91780

Re: Question and Suggestion

I've talked about trial and error and observing carefully what happens with

different foods and insulin doses, and it pretty much comes down to that with

protein. Quick acting insulin, for those of us taking injections, works on a

fixed time line, and when you partake of foods high in fat and/or protein, the

quick acting insulin sometimes is gone about the time the high fat and high

protein food is beginning to convert into carbohydrate. About all you can do is

check your bg more frequently and probably end up taking an intermediate or

extra injection of quick acting insulin. Exercise may also be affective, but

only if your bg is less than 240. People using the Bernstein program supposedly

maintain consistent bg readings between 80 and 90 on a high fat and high protein

diet, but I am not sure how this works. I think they split their long acting

insulin into 2 doses, so perhaps if you plan to be eating pizza and hamburgers

everyday, maybe the thing to do is split your Lantus dose.

Dave

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows down

the absorption of any carbs you've eaten. So something like lasagna or pizza

will generally make your blood sugar spike higher and stay there for longer

than other foods, even if they have the same carb content.

Jen

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10:58 AM

---------------------------------------

[Guest guest]

In one of my nutrition classes last semester the professor told us that milk

is the food of choice to treat a low. The reason: it does not spike the

blood sugars, but brings them slowly and at a controlled rate. She said to

use only one cup of either 1% or skim milk to do this, because of the lower

fat content in them.

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows

down

the absorption of any carbs you've eaten. So something like lasagna or

pizza

will generally make your blood sugar spike higher and stay there for

longer

than other foods, even if they have the same carb content.

Jen

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Checked by AVG.

Version: 7.5.519 / Virus Database: 269.22.1/1348 - Release Date: 3/28/2008

10:58 AM

------------------------------------

[Guest guest]

In one of my nutrition classes last semester the professor told us that milk

is the food of choice to treat a low. The reason: it does not spike the

blood sugars, but brings them slowly and at a controlled rate. She said to

use only one cup of either 1% or skim milk to do this, because of the lower

fat content in them.

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows

down

the absorption of any carbs you've eaten. So something like lasagna or

pizza

will generally make your blood sugar spike higher and stay there for

longer

than other foods, even if they have the same carb content.

Jen

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Checked by AVG.

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10:58 AM

------------------------------------

[Guest guest]

That may work for some people Mel, but not for others. Milk takes longer to

break down to glucose, so it takes longer to get your glucose level up than it

dos with glucose tabs.

LaFrance-Wolf

5120 Myrtus Avenue

Temple City, CA 91780

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows

down

the absorption of any carbs you've eaten. So something like lasagna or

pizza

will generally make your blood sugar spike higher and stay there for

longer

than other foods, even if they have the same carb content.

Jen

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Checked by AVG.

Version: 7.5.519 / Virus Database: 269.22.1/1348 - Release Date: 3/28/2008

10:58 AM

---------------------------------------

[Guest guest]

That may work for some people Mel, but not for others. Milk takes longer to

break down to glucose, so it takes longer to get your glucose level up than it

dos with glucose tabs.

LaFrance-Wolf

5120 Myrtus Avenue

Temple City, CA 91780

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows

down

the absorption of any carbs you've eaten. So something like lasagna or

pizza

will generally make your blood sugar spike higher and stay there for

longer

than other foods, even if they have the same carb content.

Jen

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Checked by AVG.

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10:58 AM

---------------------------------------

[Guest guest]

This is not a reply to this email but I have a question ??? I took my blood

glucose this morning. My meter a brand new prodigy with speach because I am a

legally blind diabetic, and it stated that my bg was 71. I went to the hospital

this morning for an operation on my rotor cup and the nurse took my bg and she

said it was 95. What is the deal, the hospital is less than an hour away. Can

you shed some light on this. And also I started on byetta on march 10, 2008 and

besides the nausea I am doing great.

S.

Thank you very much

RE: Question and Suggestion

Lasagna has a lot of protein and fat in it. Protein can cause a rise in

blood sugar several hours after it's eaten (I think 50% of protein is

eventually broken down into glucose, and 100% of carbs), and fat slows

down

the absorption of any carbs you've eaten. So something like lasagna or

pizza

will generally make your blood sugar spike higher and stay there for

longer

than other foods, even if they have the same carb content.

Jen

No virus found in this outgoing message.

Checked by AVG.

Version: 7.5.519 / Virus Database: 269.22.1/1348 - Release Date: 3/28/2008

10:58 AM

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