In another thread, Kim, Arleta and Tammy all gave a little glimpse into new territory for me: splitting boluses for fatty/mixed meals like pizza, fried foods... I didn't want to hijack that thread any further so maybe we could continue the discussion here. To summarize, Kim said she had given about half of the supper bolus 15 minutes prior to meal and the second half about one hour after beginning the meal...to my head that should extend the "fast" insulin for another hour to about 5 hours of coverage. Is this correct? It also gave her the flexibility of adding in an additional food item that DS had decided he wanted love the flexibility. Tammy (I think) said her approach was to split the meal bolus by half, give the first half as usual and give the second half when she could see his bg beginning to rise. This seems to take a lot of vigilance for non-CGMers and I wonder, too, about identifying that rise---wouldn't we expect two distinct increases in bg with such meals? Finally, I believe it was Kim who said her experience with split boluses was very good with some types of meals...which types? Am I alone in having concerns about giving supper boluses and your long-acting insulin too close together to avoid additive peaks of activity? We are seriously late supper eaters (blame it on growing up in Spain and loving The Lehrer Report...) and I always have this niggling worry about timing of night time Levemir...splitting the bolus would increase those concerns. Does anyone get really specific about the fat:carb ratio when choosing to split the bolus? And what about meal-time corrections? So this is why I didn't jump in furter on that other thread . Thanks!