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    • 2 hours, 14 minutes ago
      ConnieT1D62 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I usually take 2-3 times what I think I'll need.
    • 2 hours, 56 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I always bring extra infusion sets and CGM sensors in case of accidental tear out. With Tandem pump, a charger is also essential. I forgot mine in my last weekend away. I use a Dexcom G6, so don't need to finger stick, but always bring my meter & strips just in case, and extra lancets as sometimes my non-diabetic family members like me to check their BG. I always take a vial and syringes in case of pump failure. For overnight trips also bring juice boxes/ glucose tabs and glucagon in case for lows. Hard to travel light as a T1D, especially with those GIANT Dexcom sensor inserters! 🧳🧳🧳
    • 3 hours, 13 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I usually take 2-3 times what I think I'll need.
    • 3 hours, 13 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Just did this and brought almost all of these things. Didn’t think to pack an extra transmitter tho. But, did have 3 ways of administering insulin, plus CGM and regular meter. So, I knew I was good. I choose “loaner pump” too but really it’s an old pump that still works. I actually had to use it the week before my trip for a pump failure emergency, so glad I have it.
    • 3 hours, 29 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Having been a Boy Scout when I was young taught me to be prepared for anything. I tend to over pack for everything. So, I pack just about everything listed. However, I never considered taking one of my old insulin pumps. I'll consider it. But for a 7 day trip, I'm not sure. I guess it depend upon where I'm going.
    • 3 hours, 30 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I was in Boston in 2013 when we were all confined to our hotels while they searched for the marathon bomber. I also remember 9/11 when planes were grounded. I never assume I can easily restock supplies and always take at least double the amount I'll need of everything including my backup pump. Fingers crossed that I never need it. I hope I could be one of the ones who share live saving stuff with anyone who gets caught without it.
    • 3 hours, 30 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Ughhh the extra CGM sensor is the worst. It takes up an unnecessarily large amount of space.
    • 3 hours, 32 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      It is WAY TOO MUCH stuff to be prepared away from home. Generally, half my suitcase. And even more stuff if it is a two-week trip. You missed snacks and glucose tabs.
    • 4 hours, 51 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I was in Boston in 2013 when we were all confined to our hotels while they searched for the marathon bomber. I also remember 9/11 when planes were grounded. I never assume I can easily restock supplies and always take at least double the amount I'll need of everything including my backup pump. Fingers crossed that I never need it. I hope I could be one of the ones who share live saving stuff with anyone who gets caught without it.
    • 4 hours, 52 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Ughhh the extra CGM sensor is the worst. It takes up an unnecessarily large amount of space.
    • 4 hours, 54 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I'm really surprised at the low percentages of people that take extra supplies. We don't carry an extra pump and haven't used one long enough to have old extras. But even though we are, in general, very light packers, we always make sure we have extra D-supplies, in case a sensor fails or is ripped off, a bottle of insulin gets damaged, etc. But it also depends on WHERE we are going. On an overseas trip of any length we'd always take an extra transmitter. But we'd be unlikely to take one on a domestic trip unless we were going for several weeks. We always take pens even on an overnight trip ever since my husband flew to NYC on a day trip with some buddies, his pump failed, he had not brought pens for back-up and his BG soared! I see the burden of carrying extra supplies as the price to pay for insurance that nothing will actually fail.
    • 4 hours, 55 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Glucose tabs and snacks.
    • 4 hours, 55 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I take twice as much pods, CGM supplies as I know I will need. It is a pain to carry all that junk but necessary. We never know when a pod or sensor will fail. I also take syringes just in case my pump fails which it never has in the almost three decades I have used one. I also carry a few Baqsimi just in case I have a severe low. I carry more insulin than I know I will need since I broke a bottle once when overseas and almost ran out on another foreign trip.
    • 4 hours, 55 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      A while back I went to the UK for a choir tour. I had just acquired a CGM, a G4 Platinum, specifically as a safety measure for the trip. I don't bring second meter any more, but this was before the Dexcom was trusted for bolusing, so I was still meter-dependent and felt I needed an extra just in case. As it turned out I DID need it, but not for myself. There was another, newly dx'd, T1 on the trip and she lost her meter when she left her bag on the bus or some such. So I was able to come to the rescue. It was possible to buy a replacement of course but European/Brit ones are calibrated in moles rather than mL so that was still a glitch--she used mine for the remainder of the trip.
    • 4 hours, 56 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Just did this and brought almost all of these things. Didn’t think to pack an extra transmitter tho. But, did have 3 ways of administering insulin, plus CGM and regular meter. So, I knew I was good. I choose “loaner pump” too but really it’s an old pump that still works. I actually had to use it the week before my trip for a pump failure emergency, so glad I have it.
    • 4 hours, 58 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      It is WAY TOO MUCH stuff to be prepared away from home. Generally, half my suitcase. And even more stuff if it is a two-week trip. You missed snacks and glucose tabs.
    • 7 hours, 54 minutes ago
      TEH likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Skin prep pads.
    • 7 hours, 54 minutes ago
      TEH likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Glucose tabs and snacks.
    • 7 hours, 54 minutes ago
      TEH likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Additional (i.e. beyond what I usually carry with me) glucose tablets and a dose of Baqsimi.
    • 7 hours, 54 minutes ago
      TEH likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I usually take 2-3 times what I think I'll need.
    • 8 hours, 41 minutes ago
      Flo Bachrach likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I take twice as much pods, CGM supplies as I know I will need. It is a pain to carry all that junk but necessary. We never know when a pod or sensor will fail. I also take syringes just in case my pump fails which it never has in the almost three decades I have used one. I also carry a few Baqsimi just in case I have a severe low. I carry more insulin than I know I will need since I broke a bottle once when overseas and almost ran out on another foreign trip.
    • 9 hours, 9 minutes ago
      Jeff Marvel likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Having been a Boy Scout when I was young taught me to be prepared for anything. I tend to over pack for everything. So, I pack just about everything listed. However, I never considered taking one of my old insulin pumps. I'll consider it. But for a 7 day trip, I'm not sure. I guess it depend upon where I'm going.
    • 9 hours, 9 minutes ago
      Jeff Marvel likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I was in Boston in 2013 when we were all confined to our hotels while they searched for the marathon bomber. I also remember 9/11 when planes were grounded. I never assume I can easily restock supplies and always take at least double the amount I'll need of everything including my backup pump. Fingers crossed that I never need it. I hope I could be one of the ones who share live saving stuff with anyone who gets caught without it.
    • 9 hours, 10 minutes ago
      Jeff Marvel likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I agree that it depends on where the trip is. My decision point is how long would it take to get replacement supplies and what are the effects of a delay. I’m MDI Tresiba which lasts >24 hours, which significantly reduces the urgency to replace background insulin. For NYC, I brought nothing extra. For my trip to a third world country- I brought one, and only one, extra of each supply including a CGM receiver. Dexcom wasn’t available where I went and I worried if something happened to my phone, I wouldn’t be able to download the software if I bought a replacement phone.
    • 9 hours, 11 minutes ago
      Jeff Marvel likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I'm really surprised at the low percentages of people that take extra supplies. We don't carry an extra pump and haven't used one long enough to have old extras. But even though we are, in general, very light packers, we always make sure we have extra D-supplies, in case a sensor fails or is ripped off, a bottle of insulin gets damaged, etc. But it also depends on WHERE we are going. On an overseas trip of any length we'd always take an extra transmitter. But we'd be unlikely to take one on a domestic trip unless we were going for several weeks. We always take pens even on an overnight trip ever since my husband flew to NYC on a day trip with some buddies, his pump failed, he had not brought pens for back-up and his BG soared! I see the burden of carrying extra supplies as the price to pay for insurance that nothing will actually fail.
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    When counting your carbs before bolusing, do you factor the amount of protein into your calculation at all? If so, tell us how in the comments!

    Home > LC Polls > When counting your carbs before bolusing, do you factor the amount of protein into your calculation at all? If so, tell us how in the comments!
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    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    42 Comments

    1. Amy Schneider

      I factor in carbs, proteins, and fats. I’ve found this works best for me. I’m guessing that I eat a high carb diet so that’s why it’s ok.

      2 years ago Log in to Reply
      1. Annie Wall

        Amy, what do you do when you factor the rest in? I use MyFitnessPal for counting carbs but I also get the other information but wouldn’t have the slightest idea what to do with that information.

        1
        2 years ago Log in to Reply
    2. Anthony Harder

      I was taught (50+) years ago that protein and fat did not affect blood glucose. My current endocrinologist echoes this. However, I have seen contradictory evidence. My endocrinologist & I are working on an algorithm dealing with fat and protein.

      4
      2 years ago Log in to Reply
    3. Beth Franz

      Yes! Very low carber here – definitely have to account for protein and high fat content as there is a noticeable rise in BG a few hours later. R insulin in small doses works well.

      2 years ago Log in to Reply
    4. Anne Blayney

      I include protein (and fat) in my dosing calculations in that they affect how fast I’ll digest and absorb the carbs — it’s less that I’m actually taking insulin to cover them, and more that I’m adjusting how much I’ll extend the bolus. (I have gastroparesis so have to extend most boluses because my digestion is delayed.)

      1
      2 years ago Log in to Reply
    5. Patricia Dalrymple

      I am pretty lazy about that unless everything is clearly marked. What I do is eat a meal, figure out how it affects me, then adjust it for next time. Fat definitely has a later high. If I take too much insulin with fat, I will go low and then boomerang because I had to eat.

      4
      2 years ago Log in to Reply
    6. Larry Martin

      Not pure protein like fresh meat. If protein is something processed that is marked with, for example, processed hamburger patty with 4g of carbs then sure I do. Meat, even plain bacon has zero carbs.

      2 years ago Log in to Reply
    7. Kristen Hamilton

      I factor in protein because I eat a very low carb diet and have found that even eating just meat requires a bolus. If I eat 24 grams of protein, roughly 4 ounces, I divide it by 1/3 to 1/2 depending on how lean it is. I also bolus at a lower ratio than had been recommended. Everyone reacts differently and you have to experiment to see what works for you.

      2 years ago Log in to Reply
    8. Nevin Bowman

      Yes. 1/2 protein gets a bolus.

      2 years ago Log in to Reply
    9. Franklin Rios

      I count proteins in the proportion of 28 during the day and 56 at night and I still count the fat, after multiplying by 0.3 divided by 8

      2 years ago Log in to Reply
    10. CindyGoddard

      One hour after every meal I have to give 2 units of Humalog spread over 1-1/2 or 2 hours otherwise 3-4 hours after I eat I go high. My pump won’t let me do more than two hours so I have to remember to bolus a duel one hour after I eat. I also give insulin 10 minutes before I eat.

      2 years ago Log in to Reply
    11. Kathy Hanavan

      I don’t eat a lot of protein, so don’t factor it in. I do factor in high fat with a dual wave bolus over 2 hours mostly at dinner. Then I have to do another 1 – 2 hour dual or square wave bolus after that for pizza or a high fat dessert.

      2
      2 years ago Log in to Reply
    12. Kaylea Bowers

      I bolus for about ~30% protein if I’m eating a high protein meal.

      2 years ago Log in to Reply
    13. Dave Akers

      In a low carb meal, I would just wait till BG rises from protein and dose then. In a complex meal, Protein does not concern me. It’s all about carbs and fat. Fat is the more concerning variable where I do my variation of a combo bolus with inhaled Insulin.

      1
      2 years ago Log in to Reply
    14. connie ker

      I do not count meat because it isn’t a carb, but it seems the calories and fat come into play later on after the meal. My husband used to weigh his food to calculate insulin, and then moved onto counting calories which was 50-60 calories per unit. This was back in the day of no meters, glass syringes, needles that needed sharpened, animal insulin and a week to 10 days of classes before returning home as a juvenile diabetic. We’ve come a long way in the last 100 years, but all of us awaiting the magic word CURE to becoming type NONE.

      6
      2 years ago Log in to Reply
    15. ConnieT1D62

      Sometimes. It depends on protein and fat content – like for pizza, or fruit mixed with yogurt. Then I use an extended/dual wave bolus.

      3
      2 years ago Log in to Reply
    16. Robert Brooks

      Since the bolus estimate based on carbs is already an approximation whose accuracy is offset by the state of the patient, exercise, insulin activity due to duration in pump, and a guess about serving size, adding proteins into the calculation seems like putting lipstick on a pig.

      4
      2 years ago Log in to Reply
    17. Lawrence Stearns

      I generally only count carbs. Don’t count proteins at all. My diet is mostly carbs (fruits, vegetables, grains) with small amounts of meat. On a rare occasion, I make a gluten free pizza. Then I have to use an extended bolus. My blood sugar usually goes up about 6 hours after I eat pizza, which is usually in the middle of the night. I used to extend my boluses for 4 hours. Now my pump only allows 2 hour extended boluses. Tricky business with gastroparesis and celiac.

      1
      2 years ago Log in to Reply
    18. Judith Marged

      I definitely factor in protein if it is in the dairy family. I have found that cheese, yogurt, and other such products cause a rise in blood sugars about 1 1/2 to 2 hours after eating.

      2 years ago Log in to Reply
    19. Cub Scout

      nobody has been able to tell me how to bolus for fat or protein

      2
      2 years ago Log in to Reply
    20. Donald Stitt

      I have used the extended bolus, with higher protein foods and things like pizza. I add protein count to carbs with about 2hr extended for 30% of bolus to extend. Not sure if this is what works for everone but works for me most of the time.

      2 years ago Log in to Reply
    21. Amanda Barras

      Only when eating low carb to I bolus for protein.

      2 years ago Log in to Reply
    22. Sherolyn Newell

      I have no idea how to adjust for protein. I have eaten meals with basically no carbs and found that, yes, it does affect glucose levels. Bearing in mind that this is my opinion/guess only, I think it’s the fat. I have read that fat inhibits insulin from doing its job. So I think it’s the glucose that the basal insulin is supposed to cover that’s causing the rise. The same source I was reading said people vary from having to add 10% to 100% to the insulin to cover the fat. That’s a huge range, so I have gradually been trying to figure out where I fall in that range. And I agree with everyone else, anything with more than a small bit of fat content really slows down the glucose rise. If I can, I will wait until my glucose actually goes up a bit before bolusing. Sometimes it’s more than 1/2 an hour. Then I also have to do an extended bolus or my CGM starts alarming at midnight. BTW, I have also tested the carbs vs. fiber calculation on raspberries. Using the equation I was taught, they should count as 0, but my glucose went up a lot. Now I just go by the carbs alone and forget about the fiber part.

      1
      2 years ago Log in to Reply
    23. Clare Fishman

      I let Loop figure it out. When I enter the carb count in to Loop I do it by choosing the type of carb (fast, medium, slow). If I am having a mixed meal I will enter the carbs separately. So a potato is “fast” – hitting my system in 2 hours, the steak is “slow” taking about 4 hours to affect my blood sugars. Loop figures out the bolus and I just hit the deliver button.

      2 years ago Log in to Reply
    24. kilupx

      There was no choice for “Rarely.” I am on CGM and MDI and will take an extra unit of insulin when I am having a high fat/protein dinner meal, like roast beef or steak.

      2 years ago Log in to Reply
    25. Kathryn Keller

      For higher fat and protein meals, I will have to bolus again once the initial dose wears off. For my daughter, I will have to almost alway bolus for fat and protein once she is asleep. The lack of activity makes the fat and protein have a larger affect on blood sugar.

      2 years ago Log in to Reply
    26. Isis Gregory

      I typically bolus for about 1/3rd of the protein I eat. For example if I eat 15g of protein, I will tell my pump I ate 5 carbs. I do eat a very low carb diet though, years ago when I was eating a standard American diet I didn’t bolus for protein. Dr. Bernstein’s book brought this to my attention/taught me how to do it.

      2 years ago Log in to Reply
      1. Sasha Wooldridge

        I’m reading his book and learning his methodology right now. Nice to see another person applying his ideas and it’s working for them!

        2 years ago Log in to Reply
    27. Marla Peaslee

      It depends on the protein. Meats, no. Yogurt, peanut butter, and milk, yes.

      2 years ago Log in to Reply
      1. Marla Peaslee

        I forgot beans, yes

        2 years ago Log in to Reply
    28. KarenM6

      I’ve never heard of bolusing for protein. I’ve heard about bolusing for fat, but I’ve never found any information on how.
      There is a decided lack of knowledge on my end.

      2 years ago Log in to Reply
    29. Christina Trudo

      Personally I don’t. Though I do slow down my bolus with higher carbs, that is not how I interpret this question. I recall learning years ago that 10% of fat and about 30% of protein ends up being metabolized like carbohydrates. So, if I were to get that refined in my calculations (sadly, not there yet) I would count protein at 30% per gram like another commenter (don’t think I would count for fat.) I do normally subtract a percent of fiber from the protein count though.

      2 years ago Log in to Reply
      1. Christina Trudo

        Sorry I misspoke, I mean I slow my bolus for higher fat- not carbs. Don’t adjust the amount though.

        2 years ago Log in to Reply
    30. Janice B

      I eat moderately low carb and find that I do need to bolus for protein depends on the amount but usually 1 unit

      2 years ago Log in to Reply
    31. george lovelace

      Only when it is a very High Protein but Low Carb meal, then I will use the 6/1 protein carb ratio

      2 years ago Log in to Reply
    32. dave hedeen

      for regular meals, no adjmt yet i use experience to protein adjmt for fake carbs. example eggs & cheese, no carbs yet adding ’10 fakes’ will keep BG from increasing too much. I like other responses calling for 33% of fat & protein & entering as fake carbs.

      2 years ago Log in to Reply
    33. Carol Meares

      I eat relatively low carb. In counting protein it depends on the type of protein. Eggs vs. fish vs. meat. Eggs and fish less extra, meat more extra insulin.probably due to fat. Beans I estimate carbs and round up, but I don’t eat beans often. For all protein I have to watch my CGM for a rise later. If I catch it right I can bolus before the big rise of late breakdown of protein. It is not always the same or predictable depending on activity and other things.. Sometimes I didn’t need extra, so I just watch Dex. Sometimes I overdo the insulin and then have to treat for impending low. I live in fear of not having my Dex. And yet somehow I survived 20 years without. I somehow had good A1 c but had much more variability and much more frequent lows.

      2 years ago Log in to Reply
    34. Jeff Perzan

      I used to before going on the Medtronic 770G. I counted proteins, multiplied by .6, and added to my bolus accordingly.

      2 years ago Log in to Reply
    35. pchevillet

      No official calculation, just keep it in mind in addition to the rest of the compilation of the meal.

      2 years ago Log in to Reply
    36. Aimee Minton

      Whenever I eat a protein bar or protein powder my blood sugar spikes, even if it’s very low carb. I have to take insulin for the protein just like carb. However, whole proteins like meat do not raise my bg.

      2 years ago Log in to Reply
    37. luis.cosme@mac.com

      I don’t bolus up front for protein but will extend a bolus if I have a high protein meal e.g., steak

      2 years ago Log in to Reply
    38. James Cheairs

      Yes. Since I am on a hybrid closed loop that does not allow extended or square bolusing, I half the grams of meal protein and then bolus for that amount about an 1 hr post meal.

      2 years ago Log in to Reply

    When counting your carbs before bolusing, do you factor the amount of protein into your calculation at all? If so, tell us how in the comments! Cancel reply

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