A big hello to the community. First post!
My grandmother (who is also a T1D) and I had a discussion today and I thought I’d post a question here to help us settle on the answer.
We went out to a big family lunch today to celebrate my cousin getting accepted into her dream university (full scholarship). The restaurant she picked had a VERY limited menu. For lunch I ate a turkey sandwich (which came on a GIGANTIC roll). The side was french fries or sweet potato fries (only options - no fruit or salad on the menu). The fries portion was HUGE! After eating, my cousin ordered an entire pie for the table to share, which of course I had a slice. This meal was way over the top compared to how disciplined I normally am.
My grandmother and I share very similar basal rates and boluses. I told her “I ate fries and a ton of bread, and then the pie … I’m going to pump ten units.” My grandmother was like “WHOA! I’ve never pumped 10 units … that seems like a lot of insulin.” I gave myself 10 units which I thought was WAY more than enough. Two hours after the meal I had gone from 109 to 306. I gave myself even more insulin (insulin stacking = not good, but I was desperate to feel better). Two hours after the second bolus, I’ve leveled out and my BG is now at 325. It isn’t dropping even though I’ve got 5 units of insulin on board.
Why does it sometimes feel like my insulin just isn’t working?! What am I doing wrong? I’ve been T1D for 20 years and I’m still surprised that eating terribly can have such horrible effects. My doctor always tells me “If you want to go over-the-top and have a naughty meal and dessert sometimes, do it. Just check your sugar and give insulin. Life is too short to be disciplined 100% of the time.” I agree with him … up until I feel like crud 4-6 hours after a meal. This sucks!