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Pasta and basmati rice-how can I avoid that delayed spike

Discussion in 'Parents of Children with Type 1' started by Susanne, Mar 16, 2011.

  1. Susanne

    Susanne Approved members

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    Now that we have the pump basics down I want to find a way to better bolus for whole wheat pasta and basmati rice. For pasta, I usually do a combo bolus 80/20 for 2 hours but Sophia still spikes between 4 and 6 hours later (mid to high 200s). For Basmati we pre-bolus (complete amount) and the same thing happens (and this is for recipes with small or moderate amount of fat/meat; high fat pasta meals are a complete disaster!:()

    How are you handling these? Temp basals? How much? How long for?
     
  2. manda81

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    For pasta/rice we do a 50/50 split over 2 hours, and so far it's worked well for us. :)
     
  3. Susanne

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    Is the 50/50 split working for any rice/pasta type? Do you use a specific type of rice/pasta?
     
  4. Sarah Maddie's Mom

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    Pasta we combo 50/50 over like 4 hours, longer if it's a fatty sauce. Rice we struggle with, but for now were trying a straight bolus and it's better ... next time I'll probably do a 2 hr combo of 80/20 and over bolus a bit. As always, YDMV:eek:
     
  5. blbrocky

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    My son does a 70/30 split for an hour and a half for most everything. He started with a two hour split but ended up with the hour and a half. This definitely is a YDMV, what works for one may not work for another. On fatty foods he does the 70/30 and then does a temp basal for 6 hours @ 120%.
     
  6. serge28

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    Last night we ate pasta and , as it was suggested from the previous post, bolus for everything upfront and increased the basal an hour later up to 95% for the next 6 hours. We had 80 in 1 hour after dinner and after that he was in 120 ? 130 range until the middle of the night (6 hours after dinner) and then he spiked around 180 (before we got 230-250 all night along and we couldn?t bring it down).
     
  7. Connie(BC)Type 1

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    Rice doesn't seem to affect me as much if I prepare it the Persian way, soak, rinse, soak, rinse, etc over a few hours. Pasta, depends on what I eat with it, always a combo/square wave bolus, usually 2-6 hours
     
  8. NomadIvy

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    Interestingly enough, when she eats the rice and what kind also play a role in how we bolus. Japanese rice eaten at breakfast and lunch is bolused upfront, no spikes; same for basmati rice. For dinner, we just wait til she finishes eating or half an hour after she start eating, then bolus the full amount. I count basmati rice and Japanese rice the same. Jasmine rice and other Asian varieties I'm familiar with, carb count is higher and we have to pre-bolus.

    Pasta "hits" her 3 hours after she eats it. What kind of sauce she eats it with also makes a difference. So, ideally, we have to bolus pasta 50% upfront. Can't even do a dual wave or she'll tend to go low an hour later if we do 50/50. But if I give anything less than 50% she'll go too high. Anyway, so ideally we bolus 50%.. then start the square wave an hour after she eats. Hard to remember all that most times so we just.. umm.. wing it I guess.

     

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