It was an absolutely gorgeous day in Memphis yesterday, and it appears to be headed in that direction this Saturday morning. Last night, we had dinner at Aldo's Pizza. I've handled this well with insulin in the past, so I figured I would just bolus. Dexcom revealed no spikes immediately after consuming the pizza (and fro-yo). I bolused two units between pizza and fro-yo. I came home to go to bed and a blood sugar check revealed 89 mg/dL...nice, I thought. I should have known what would happen in the twilight hours. Here I am thinking I've dosed well, but I forgot about the dreaded pizza effect. Remember? I wrote about it in one of my very first posts of the blog. I have subsequently discovered that it is a common discussion among diabetics. The high-fat content of the pizza meal delays the digestion of the carbohydrates, so I had a good reading two-hours after my meal because the carbs had not even begun to do their thing. Well, they did their thing, and I was 240 mg/dL by 1:00AM. I never see that number, so I bolused two again. It came down, but by 5:00 in the morning (when the Novolog was no longer effective) it was rising to 180 mg/dL again. Crap. So, I corrected again, and it has done the trick. I woke up at 9:00AM with a reading of 94 mg/dL. I think I am out of the woods with the pizza-carbs. I had forgotten how much of a headache it can be to deal with pizza, and now I remember why I so seldom partake. I have to do insulin-gymnastics just to keep up, and it really isn't worth it.
You may have won the battle, pizza, but I will win the war.