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American Diabetes Month 2015: Day 21 - Pizza

Day 21, and there's of course more fun to talk about today.  Last night I had pizza, why did I have pizza, because I was too lazy too cook myself a real meal.  What exactly is the problem with eating pizza? It causes blood sugars to go a bit wonky.

When I say wonky, I really mean that it caused some issues overnight.  Pizza is a strange mix of bread, sugar, cheese, meat and veggies.  While pizza is delicious, I always know it will require constant attention after consuming.  The mix of the fat, carbohydrates, and proteins is on that many insulin pumps have a specific bolus for dealing with it.  On my Medtronic insulin pump it was called a "dual wave" bolus, on my current Animas Vibe it is called a "Combo Bolus."  In the end, the bolus has two patterns to it it has a normal bolus (to deal with normal food things) and then a "square" bolus or extended bolus that essentially increases the basal rate for a given amount of time.  While this extended bolus is helpful, it really needs to be able to have another spike at the end, though at the same time, that's just another piece of being a diabetic and knowing your body and how it reacts.

I have tried to deal with pizza the best way possible, but it's hard.  It's very difficult to manage those items while also remembering that you have active on-board insulin on top of everything else.  These are the times where you just have to let things happen and wait it out.  Over-correcting or over-watching the situation can lead to low blood sugars because getting the active insulin calculation correct is a difficult when there's really not good way to test it.  Things that you learn over time.

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