Dancing our way through life's little, and not so little, challenges...
Wednesday, June 1, 2011
Kickin' D Butt!
Oh yeah, once in awhile we get it right, and it feels pretty darn AMAZING!!! Last night I struggled with how to handle the fattiest dinner on the planet. It all started with a visit from my husband's aunt, who lives in Mexico. She stayed with his parents for a week, and made homemade tortillas (yes, with real lard).
Well, there's really only one meal you can eat with Aunt Raquel's homemade tortillas - Carnitas!
So last night, I dutifully looked up the carbs in homemade tortillas - 14g. per ounce. I weighed. I added a few extra grams for the homemade guacamole my husband and Sarah made together. I came up with a total of 70 grams. I did a combo bolus, knowing that the fat in the meal was going to cause a delay in the rise of her blood sugar. We did 40/60 for four hours (meaning she got 40% of her insulin immediately, and the rest spread over four hours). I logged this crazy fat meal so that I could save my success or failure for future review.
And I pretty much failed miserably. Three to four hours later she was at a very stubborn 240-260 range - when our goal is to keep her under 200 as much as possible. It took three corrections to get her back to her target. Stupid diabetes!
But wait. I had another chance! Sarah wanted the exact same meal again today. I put my analytical brain to work, and decided to give it another try, combining the pizza and ice cream theories. I multiplied the grams of carbs for the tortillas by 150%, and instead of bolusing for 70 grams, we bolused for 100 grams. We stuck with the 40/60 combo - but changed the duration to three hours instead of four.
Right now I am way beyond thrilled - like flying over the moon on my striped rocket ship happy! Like free food at Disneyland happy!
Because it's now five hours past dinner - and Sarah's peak? (Drum roll please................)
Take THAT diabetes!!! Kicked your butt all the way to next week. Whatcha gotta say now? Huh???