It happened again last night. Different approach, same outcome. Dinner was a homemade burger, using Whole Foods grass fed beef, and 1.5 cups of macaroni and cheese. BG pre-meal was 97, carbs of 92, carb ratio of 1:25 but we gave only 3 units because he was a tad low and it was a late dinner and burgers make us nervous. So I give him 1 unit pre-dinner, wait an hour and give him 2 units. (In the past I've tried waiting 30 minutes, or 2 hours, or all up front - none of them have been effective). 30 minutes later he says he feels low, I check and he is 42! I probably over-reacted but this is his lowest BG since diagnoses and give him 3 tabs, 1 cup of chocolate milk and 19g of chips ahoy cookies. 8:13 pm - 42 8:17 pm - 49 8:29 pm - 82 8:37 pm - 93 and you can all guess what's coming next ... 10:37 pm - 311 We're still nervous about correcting at night so do nothing ... 2:04 am - 270 3:17 am - 240 (he not surprisingly got up to pee) 6:46 am - 161 So that's pretty much our routine for burgers. I know every child is different but surely there are some common threads as to how to handle higher fat foods. Any advice / shared experiences would be greatly appreciated.