This is super interesting! So if I’m understanding correctly, you would take insulin to cover whatever carbs immediately and then once you saw your sugars slowly start (2,3, 4 hours later?) to rise you would then take that additional 1-2 units? I
Yes. It took time to figure out the Oz to carbs as logically of course they do provide a caloric increase therefor a carb or whatever you choose to call it. There’s a correlation with the calories in terms of content (there’s the fat aspect). It’s a bit of guess work initially but you can get it close. I don’t have a pump so can’t lean on it slowly responding to increase - it’s invisible in a closed loop system.
Susie @Sqduarte , I agree with you about being lots of guesswork, and the relationship of calories/protein-fats to increased body glucose levels. Using your example of salmon [we have broiled salmon a couple of days each week], I have noticed the juicer the fish - meaning to me more oil and fat - the more prolonged my glucose will remain slightly elevated. Knowing this is through observation and personal experience and is not something most doctors can teach us about.
I had an interesting experience with a very good endocrinologist/diabetologist who in addition to having a sizable patient load also taught diabetes and endocrinology at the medical school. subsequent to a major trauma he experienced at about age 60, he developed Autoimmune Diabetes; at my first appointment with him after he returned to work, he greeted me with “… now I’m beginning to understand what YOU have been trying to teach me” about diabetes management.
@Dennis Mine was a similar situation. Endo been in research at Mayo, Boston, Michigan etc but hadn’t thought about it. Due to a serious infection my diet is very limited so I noticed this trend. After long conversations and lots of trial and error, found this to be correct. But the very old way to measure nutritional value lacks any way to measure this aspect.
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My daughter experiences this with chicken. Its quite frustrating. She’ll spike in the middle of the night which then causes her to wake up and urinate
I don’t know if this will help but have you tried air fried chicken? It uses virtually no oil, so if the fats are adding to get numbers that might help. Might be worth a try.
I’ve never tried it with an air fryer. I may need to invest in one because baked chicken is truly an issue
I got one a while back. Because of where it’s stored it’s been gathering dust but this got me to thinking I should pull it out again. Check back and let me know if it works for you!
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We had a (mostly) successful BG night after a steak dinner! It wasn’t perfect, but it was WAY better than previous efforts, so I’m savoring the victory, and thinking about what to tweak for next time.
Last night we did 75% up front, with the remaining 25% extended over 4 hours. Highest postprandial was 139. She did hit 59 about three hours later, but it came up on its own within minutes (I would have treated her if I’d known, but I didn’t see it until it was over, and she slept through it). She spent most of the night between 76 and 114, so it actually worked out.
Typically, we overtreat the low that results from the mistimed insulin, and then she ends up way high when the carbs catch up. So like I said, not perfect, but so much better than we’ve done before. 
I’m thinking that next time we’ll extend that 25% over five hours, and see what happens.
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Amazing! I love when it comes together like that 