#291 Ask Scott And Jenny: Chapter Eight

Pizza Bolus

Managing insulin for pizza consumption is a unique challenge due to its high carbohydrate and fat content. Jenny Smith explains that an extended bolus is often necessary, as the fat content slows the absorption of carbohydrates, preventing immediate spikes in blood sugar 1. She suggests a strategy of delivering 60-70% of the insulin upfront and the remainder over a two-hour period to manage the delayed glucose release 2. This method requires experimentation to tailor the bolus to individual needs and the specific pizza type.

   

Varied Strategies

Different types of pizza require varied insulin strategies. Jenny highlights that a meat-lovers pizza, with its higher fat content, might need an extended bolus and a temporary increase in basal insulin to prevent prolonged high blood sugar 3. She also shares a personal anecdote about managing her daughter's blood sugar during a party, emphasizing the importance of adjusting bolus strategies based on the situation 4.