Re: "pizza effect" and Humalog
- From: "rk" <rksays@xxxxxxxx>
- Date: Tue, 17 Jul 2007 13:09:39 -0400
<jackiepatti@xxxxxxxxx> wrote in message
| On Jul 16, 4:55 pm, Alexander Arnakis <inva...@xxxxxxxxxxxx> wrote:
| > You make some interesting observations. Having been on the Regular/NPH
| > combination for many years, and now being on the Humalog/Lantus
| > combination, I can say that the big advantage of Humalog/Lantus is
| > that you can finally take the insulin according to what you eat,
| > rather than the other way around ("feeding the insulin"). But in
| > general, a Humalog/Lantus regimen doesn't work well with a high-fat
| > diet. In regulating my Humalog dosages, in fact, I ignore everything
| > except the carbohydrate intake (plus my BG readings).
| I think Lantus/Regular might be a better combo for low-carbers.
| Currently, I'm having to "feed" my Lantus to prevent lows anyways,
| which is why I was trying to research basal/bolus regimes and how the
| dosing works. If I don't eat on time, I wind up having to take
| Sweetarts to prevent lows.
It more then likely isn't Lantus causing the lows, since you are a T2,
it's more possible that your own insulin is again working along with
the Lantus, which could easily cause the lows.
| My Lantus dose is too high and I'm not sure how you figure a Lantus
| dose. The prescribing information is very vague. Given that it works
| for 20-24 hours, fasting to find out the appropriate basal dose would
| be a real pain, especially if you had to repeat it a bunch of times to
| get the dosage right.
Simple calculation of starting Lantus dose by your weight in kg's. John
Walsh's "Pumping Insulin" and his other books have this calculation in
it to help injecting diabetics learn to adjust for themselves.
| > The obvious question is, why are you on such a high-fat diet? As long
| > as your insulin covers the carbs, they really shouldn't be a problem.
| I'm eating pretty much the way I've been eating for over a decade.
| I've been a Type II for over 2 decades now and being on insulin is
| new, but the diet is old.
| Most of my diet by volume is vegetables. The reason my diet is high
| fat is illustrated by a big salad with a TB of salad dressing or a
| stirfry cooked in a TB of oil - both are "high fat" meals because
| vegetables have almost no calories, so almost all the calories in the
| meals are from fat, so the percentage of fat is high.
| Besides veggies, I also eat meat, poultry, dairy, nuts, seeds, and
| small portions of melons and berries. I don't eat starchy foods.
| It seems to me that Humalog is perhaps intended for a much higher carb
| diet than I eat.
Humalog and Novolog were intended for Type 1's who eat a healthy
normal diet. Only the past maybe 10yrs that Type 2's are starting to
use these rapid acting Insulins. I can safely eat 100gm in a meal and
inject no more then 6u to cover the entire carb count.
| I would not consider taking enough insulin to allow me to eat more
| carbs to be a good thing. I don't think large doses of insulin are
| very healthy if they're not necessary and they don't seem to be for
You might ask to be switched to 70/30 mixed, some actually do
better on it then separately.
| > Regarding the "pizza effect," in my experience it involves more than
| > just a high-fat content of a meal. For me, the "pizza effect" kicks in
| > when I eat foods that have a lot of fat as an *integral part* --
| > things like pizza, hot dogs, deep-fried foods of all kinds. It's the
| > fat *bonding* with the carbs that makes them slow to be absorbed. For
| > example, for me, a baked potato with lots of butter and sour cream
| > doesn't have nearly the "pizza effect" as the equivalent amount of
| > French fries. How things are cooked does make a difference.
| That is interesting.
| I shall have to experiment a bit with various meals and see how the 3
| hr postprandials work out as to whether the "pizza effect" is relevant
| for most of my meals.
Unfortunately, if you're going to be testing the "pizza effect" at 1hr,
certainly be wasting your strips since the "pizza effect" doesn't happen
until around the 4-5hr mark. High fat meals cause slowing of the carbs
and causes the carbs to hit much later, usually 4-5hrs later.
| Thank you.
Animas IR1250 pumper
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