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    • 2 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 2 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Just did what makes sense to me- eating less carbs, watching blood glucose more often and taking corrections as needed. Also some level of activity if possible.
    • 2 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Been type 1 since the early 80's learned self management as therapies changed. Unless hospitalized(which I never am anymore) I decide how much insulin to put in my body based on my on going experience with the 1000's of reasons I may need more or less of it. I do love my pump, insulin and CGM so I guess I have to tell the doctor what I do once a year. .. I just keep throwing info and facts he isn't up on till he gets a glazed over look on his face and writes my scripts. I find the most inconvenient part of diabetes is all the people that want to help but don't know much about everyday life with the disease. And NO I do not want to join a discussion group!
    • 5 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Many times I have needed to adjust insulin intake amount in order to cope with illness, but only rarely needed outside help. In the early 1970’s I made some mistakes managing influenza. My BG went very high (no meter available for testing at home), and I ended up in the hospital then.
    • 6 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Except for those brand new at this, we all know the drill. We know that we need to be flexible, make adjustments, and pay attention.
    • 7 minutes ago
      TEH likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      only time that I have been sick was when I got COVID during Jan '22. my sugars were going crazy high and I couldn't understand why but when I tested positive for COVID, in retrospect it made sense.
    • 7 minutes ago
      TEH likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Except for those brand new at this, we all know the drill. We know that we need to be flexible, make adjustments, and pay attention.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
    • 14 minutes ago
      Pauline M Reynolds has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      1. Contact primary care physician. 2. Only time I had an intestinal infection, I kept a can of sugar Sprite by my side and drank it according to my BG's.
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    How would you bolus for a serving of chips and guacamole at a restaurant?

    Home > LC Polls > How would you bolus for a serving of chips and guacamole at a restaurant?
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    25 Comments

    1. john griffin

      24 percent don’t eat guacamole and chips?What a tragedy!

      10
      1 year ago Log in to Reply
    2. TEH

      Through trial and error, I usually bolis once. Mexican meals are high carb so I just on another 25g for chips to the estimate of the rest of the meal.

      1
      1 year ago Log in to Reply
    3. Don (Lucky) Copps

      SWAG. Most likely steer clear of guac & chips. Hi Fat and Unknown carbs equals frustrating 12 hours. I stay away from Mexican food as it is too high in carbohydrates and makes me crap

      1 year ago Log in to Reply
    4. ConnieT1D62

      Typically I eat only a few chips with guacamole as a mini appetizer before the main meal and use an extended wave depending on BG at start of meal and what else I order to eat. I also look at my CGM screen to adapt and adjust my real time bolus as needed.

      2
      1 year ago Log in to Reply
    5. connie ker

      I do MDI of humalog, so might eat a few chips before the meal arrives and take 1 shot to cover. You can always bring the chips and guacamole home for future leftover enjoyment along with a box of the meal too. You have paid for this food, so I don’t waste & bring home to the refigerator.

      2
      1 year ago Log in to Reply
    6. Sherolyn Newell

      I didn’t read closely enough. My answer is I would not eat it. I hate guacamole. (And I know I am the only person in the world that does.) I misread it as salsa. I only eat one or two chips and salsa if at all, so it’s insignificant. I tend to wait for my meal.

      2
      1 year ago Log in to Reply
      1. kristina blake

        No you’re not! I hate avocados and my BIL has an orchard. I will have some chips, but not many – trying (as always) to lose weight. SInce it is just chips, I do a basic carb bolus.

        1 year ago Log in to Reply
    7. rick phillips

      Put your carbs in chips – make the meal fajitas with no wraps.

      1
      1 year ago Log in to Reply
    8. Jneticdiabetic

      Darn it, now I’m craving chips and guacamole at 7:30am! Haha. I put “Other” only because I don’t eat them often enough to have a routine. A dual/square wave bolus with CGM monitoring generally works best for me when eating high fat + high carb.

      2
      1 year ago Log in to Reply
    9. Daniel Bestvater

      I often do an extended 50:50 bolus 30-60 minutes before main meal and eat a few chips if I’m trending low. I use Humalog in my X2 and find it to be a very slow acting insulin. I find Apidra to act the quickest in my body but unfortunately it occludes the infusion set in my X2.

      1 year ago Log in to Reply
    10. Lawrence Stearns

      Yuk! I don’t get it. Guac and chips don’t appeal to me.
      I try hard to avoid high fatty foods. But, sometimes fail.

      1 year ago Log in to Reply
    11. BOB FISK

      There are several variables here that make this difficult to predict, that is 1) the actual C value of the chips and other food, 2) the time of arrival of the main portion of the meal, and 3) the amount of fat in the dish, since this will slow down the uptake of carbs. All in all, I would opt for a square wave bolus and check my CGM often. I would assume a high BG in several hours and have to bring it down.

      3
      1 year ago Log in to Reply
    12. Mark Schweim

      I said I wouldn’t eat the chips and guacamole because I have never cared for guacamole and have always passed on it at restaurants.

      1 year ago Log in to Reply
    13. Andrew Stewart

      I try to count all the carbs I think I’ll eat and bolus up.

      Perfection doesn’t exist so be prepared to make corrections and monitor your CGM.

      This is true for everything.

      1
      1 year ago Log in to Reply
    14. Jodi Greenfield

      Dining out is a challenge for me, so I bolus after the meal. After getting caught with too much insulin on board because I don’t eat as much as I thought I would, I like to consume first and bolus later.

      2
      1 year ago Log in to Reply
    15. Janis Senungetuk

      My answer is extended bolus because of the carbs and fat. In reality I wouldn’t eat it because I have to limit sodium and potassium.

      1 year ago Log in to Reply
    16. George O Hamilton

      I voted for the extended bolus, but that was not a realistic answer. The real answer for me would depend on the content of the rest of the meal. I would never make the chips and guacamole the whole meal, so I would never make the insulin dosage dependent on that alone. I would only be a small factor in the plan for the whole meal.

      2
      1 year ago Log in to Reply
    17. Joan Johnson

      I would not eat the chips but enjoy some guacamole!

      1 year ago Log in to Reply
    18. Chrisanda

      I’d bolus for the whole meal. I usually limit myself to just a few chips, but love the guac! Usually my Mexican food meals are pretty low in carbs otherwise. I order without tortillas or rice. I do usually eat some of the re-fried beans šŸ™‚

      1 year ago Log in to Reply
    19. LizB

      I put dual wave but it depends. If my BG was higher than I’d like I’d probably just do a regular bolus. In range, a dual wave, Lower BG an extended/square bolus. I’m assuming the chips would not be my main meal so the dual wave portion would not be for long as I would definitely need another dual wave for the main entree.

      1 year ago Log in to Reply
    20. Ahh Life

      Key phrase for me is ā€œat a restaurant.ā€ There I would do as all you experts and experienced folks suggest.

      However, for those few lost souls who don’t do ā€œGuaq,ā€ I offer the following redemptions. We make Guaq at home with simply some lime juice and a soupƧon of minced garlic.

      Then slice either carrots (the long thin way), zucchini, cucumbers, or use Shredded Wheat for dipping in place of chips. Paradise is not really so bad. Really! >;-> 🌓

      1
      1 year ago Log in to Reply
    21. Bill Marston

      My comment!? wow… let’s start with your term “a serving”. One of my most disliked bits of supposedly helpful but almost totally USELESS information for a Type 1 Diabetic to be given.
      UNLESS “serving” is defined in a specific universally quantified way it is worse than useless. Luckily in 1973 the food industry, with the USDA & FDA established the first voluntary Nutritional Label requirements. Over the next 20+ years they were further defined, improved and MADE MANDATORY.

      So for the T1Dexchange to try to gather useful information without stipulating SOMETHING QUANTITATIVE, I lose a little hope in the future of good diabetes management.

      1 year ago Log in to Reply
    22. Lynn Smith

      If I am eating chips and guacamole, that would mean, I am also fixing to eat enchiladas. With all those carbs and fat, I would definitely take an extended bolus. It would depend on my blood sugar at the time. At 90, I would take a square wave bolus that would give some insulin immediately and extend the rest over an hour. Lower than 90, I would extend the whole bolus. Anything above 130, I wouldn’t be eating the chips and guacamole.

      1 year ago Log in to Reply
    23. Kristen Clifford

      I would bolus for the chips, of course, but I don’t eat guacamole.

      1 year ago Log in to Reply
    24. Junty

      Using Fiasp and advanced APS – full closed loop no need to bolus for carbs…

      1 year ago Log in to Reply

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