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Hello everyone,

It's been a while since I have posted. So I thought that I'd give everyone

an update, and ask a question.

First of all, I hope everyone is doing well. Things are going pretty well

here, except that my blood sugar seems to swing a lot.

I have had both high numbers and low numbers in the last few months. At

times, it makes no sense to me as to why it goes up, or down for that

matter.

For instance, I was out the other day at the commission for the blind

getting my computer looked at. My neighbor had dropped me off, and he was

supposed to pick me up an hour later. Well, he didn't come back for a few

hours, and I was getting hungry. So I decided to get a bite to eat.

Well, there really weren't any healthy choices of course, so I decided to

make the best decision possible. They had some extra food that they were

selling, due to some classes that were going on. So I bought a barbecue

pork sandwich, which came with some ruffles chips, and I got some apple

siter. I figured that this would be better than soda.

When I got home, I tested my blood sugar, because it was time. It was fine,

in the normal range.

Then yesterday for lunch I was out with some friends. We stopped off at a

burger place, and I got a burger, some fries, and a diet coke.

Well when it was time to test my sugar, it was going toward the low side.

It was 70.

So you see, I really don't understand why it fluctiates so much.

So here is my question.

Is it possible that pizza can really raise somebody's blood sugar? If so,

why? Is it because of the carbs, or something else?

It seems that when I eat pizza that my blood sugar really goes up. I

ordered one Friday night, and I have been eating off it the last couple of

days.

I have had readings like, 208, 270, 212, and some others.

What is really odd to me though, is that this still occurs even though I am

taking my medication. Also, after 8 or 9 hours, for instance in the

morning, my readings are still high. This morning it was 208, and I ate the

pizza at about 10:00 last night. I didn't go to bed right away either.

So what is the deal? Anyone have any thoughts on this?

Also I was wondering, is anyone familiar with Vyetta? Not sure if I've

spelled that right or not, but maybe you all will know what I mean.

My doctor is considering putting me on this, but he wants to see more of my

blood sugar results before making the decision. I go to see him in mid

November, so I am hoping to know something by then.

I am really not sure how I feel about this. I hate needles, and the thought

of giving myself injections just freaks me out a bit.

Also, I feel that I am still getting used to all this, and that everything

is happening too fast.

Well I think this is all I have to write for now. Any thoughts you all have

will be much appreciated.

Thank you,

Terri

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Terri,

I love pizza dearly, but not only are you dealing with the carbs from the

pizza dough, you're dealing with the grease used to make the pizza dough.

The way I understand it, this double-whammy is what causes sugars to spike

so much. I've had episodes - thankfully only a couple of them before I

learned to stop doing it - where my sugar went to 230 two and a half hours

after eating two pieces of pizza. It doesn't really matter what kind of

pizza, you'll get the same results regardless, though you'll probably

experience a little less of a problem with a really thin crust than with a

thick crust, but you'll still run into this problem.

I have heard reports of diabetics eating pizza where their sugars have gone

into the 400-500 range, and there I don't know whether they ate multiple

pieces of whether they had so much stuff piled on top of the crust to spike

it that high, I just don't have enough info.

Long story short, pizza is out.

Why you had a low sugar after a burger and fries, I don't know. But that

will produce less of a spike than pizza. The thing about burgers that spikes

sugars, the bread the burger is on AND the sauces that the restaurant puts

on. Personally, I like it with just mustard and a LITTLE catsup, hold the

" secret sauce. "

Bill Powers

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Hi Terri,

Pizza is notorious for raising blood sugars. So much so that the rise you get

hours later is referred to as the " pizza effect " by many.

Pizza has a lot of fat and grease, which slows down the absorption of

carbohdyrates. This is why you were high the next morning even if your blood

sugar was fine two hours after eating. I am type 1 and find that by using a

combination bolus on my pump, which gives me some insulin up-front and spreads

teh rest of the dose out over a span of 5-8 hours, I can eat pizza without

spiking. I usually also set a temporarily higher basal rate so that I get more

insulin overnight and don't wake up high the next morning. This is now possible

to do, however, if you are type 2 or even type 1 if you're not on a pump.

Most of the pizza I eat is homemade with fairly thin whole wheat crust. Order

out pizza is much harder to handle, and it's rare that I can eat from somewhere

like Pizza Hut without going into the 14-20 range afterwards (that's 250-350).

This is particularly true if I forget to use a combination bolus on my pump.

Pizza is brutal.

Jen

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As Jen has indicated, pizza can be problematic, yet, with proper insulin dosing,

it is possible to eat pizza. Having said that, since Terri is t2, I suppose

it's not so simple, and therefore, I would pass this advice along: Enjoy pizza

now and then, eat it earlier in the day, and only eat a single slice. If you're

used to eating pizza a lot, and lots of it, well, you will probably need to

modify your pattern or suffer complications down the road. As far as fast food

hamburgers and fries, well, eat the pickle and bread, then go for a good walk!

Really, those things are so incredibly high in saturated fat that they should be

outlawed! Again, however, if you must have one, do so very infrequently and

get a small one. Or, take a couple of bites of the big one and throw the rest

out. Don't give the rest to your mother or friend either since you won't be

doing them any favors! <smile>

Dave

Re: Pizza

Hi Terri,

Pizza is notorious for raising blood sugars. So much so that the rise you get

hours later is referred to as the " pizza effect " by many.

Pizza has a lot of fat and grease, which slows down the absorption of

carbohdyrates. This is why you were high the next morning even if your blood

sugar was fine two hours after eating. I am type 1 and find that by using a

combination bolus on my pump, which gives me some insulin up-front and spreads

teh rest of the dose out over a span of 5-8 hours, I can eat pizza without

spiking. I usually also set a temporarily higher basal rate so that I get more

insulin overnight and don't wake up high the next morning. This is now possible

to do, however, if you are type 2 or even type 1 if you're not on a pump.

Most of the pizza I eat is homemade with fairly thin whole wheat crust. Order

out pizza is much harder to handle, and it's rare that I can eat from somewhere

like Pizza Hut without going into the 14-20 range afterwards (that's 250-350).

This is particularly true if I forget to use a combination bolus on my pump.

Pizza is brutal.

Jen

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Terri,

When it comes to bs control, in my experience there is nothing better than

counting carbs and dosing prandial insulin like Humalog or Novolog. I used oral

meds to control diabetes for 16 years, and the best A1C I had during that time

was 5.8. I was definitely a needle wimp, and I refused to use injectable

insulin until I was forced to do so, since the oral meds no longer worked for

me. In other words I became insulin dependent after 16 years of using oral

meds. Usually, a diabetic will become insulin dependent some where between 10

and 15 years after being diagnosed as a type2 diabetic, using oral meds. I

imagine the several heart attacks I had during that time was due to the spiking

in my bs levels, which should be avoided by all diabetics. Of course I was

never told back then to avoid those spikes in my bs. Today my opinion is

completely different. I recommend using injectable insulin along with carb

counting. If you inject Humalog along with the carbs consumed and obtain a two

hour post prandial bs of 120 or lower, your bs will usually give you an A1C of

5.5 or lower, which is much closer to a normal A1C level, which can help a

diabetic avoid those dreaded diabetic complications like vision loss, heart

attacks, kidney problems and others. Unfortunately, I love pizza, and it is

still difficult for me to keep my bs level from spiking above 160 even dosing

with Humalog. While I still eat thin crust pizza from time to time, it is no

longer a preferred food for me due to the delayed spikes it causes.

Pizza

Hello everyone,

It's been a while since I have posted. So I thought that I'd give everyone

an update, and ask a question.

First of all, I hope everyone is doing well. Things are going pretty well

here, except that my blood sugar seems to swing a lot.

I have had both high numbers and low numbers in the last few months. At

times, it makes no sense to me as to why it goes up, or down for that

matter.

For instance, I was out the other day at the commission for the blind

getting my computer looked at. My neighbor had dropped me off, and he was

supposed to pick me up an hour later. Well, he didn't come back for a few

hours, and I was getting hungry. So I decided to get a bite to eat.

Well, there really weren't any healthy choices of course, so I decided to

make the best decision possible. They had some extra food that they were

selling, due to some classes that were going on. So I bought a barbecue

pork sandwich, which came with some ruffles chips, and I got some apple

siter. I figured that this would be better than soda.

When I got home, I tested my blood sugar, because it was time. It was fine,

in the normal range.

Then yesterday for lunch I was out with some friends. We stopped off at a

burger place, and I got a burger, some fries, and a diet coke.

Well when it was time to test my sugar, it was going toward the low side.

It was 70.

So you see, I really don't understand why it fluctiates so much.

So here is my question.

Is it possible that pizza can really raise somebody's blood sugar? If so,

why? Is it because of the carbs, or something else?

It seems that when I eat pizza that my blood sugar really goes up. I

ordered one Friday night, and I have been eating off it the last couple of

days.

I have had readings like, 208, 270, 212, and some others.

What is really odd to me though, is that this still occurs even though I am

taking my medication. Also, after 8 or 9 hours, for instance in the

morning, my readings are still high. This morning it was 208, and I ate the

pizza at about 10:00 last night. I didn't go to bed right away either.

So what is the deal? Anyone have any thoughts on this?

Also I was wondering, is anyone familiar with Vyetta? Not sure if I've

spelled that right or not, but maybe you all will know what I mean.

My doctor is considering putting me on this, but he wants to see more of my

blood sugar results before making the decision. I go to see him in mid

November, so I am hoping to know something by then.

I am really not sure how I feel about this. I hate needles, and the thought

of giving myself injections just freaks me out a bit.

Also, I feel that I am still getting used to all this, and that everything

is happening too fast.

Well I think this is all I have to write for now. Any thoughts you all have

will be much appreciated.

Thank you,

Terri

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Dave,

Another way to help control things besides infrequently eating burgers in a

fast food place is something I've done for years. On fast-food orders that

come with fries, which I don't go out of my way to order, you then pick a

number between 1 and 10 and that is the number of fries you eat, then

discard the rest. Oh yes, you get strange looks for dumping all those " good

fries. " My answer: I'd rather throw them away than wear them. "

Bill Powers

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oh, how creative about the fries. Can't wait to do that, in front of a whole

restaurant people, of course. Well, maybe better toss them outside.

Vicki Breffe

All Scripture is inspired by God and is useful to teach us what is true and to

make us realize what is wrong in our lives. It straightens us out and teaches

us to do what is right.

It is God's way of preparing us in every way, fully equipped for every good

thing God wants us to do.

nlt.--2 3-16, 17.

Re: Pizza

Dave,

Another way to help control things besides infrequently eating burgers in a

fast food place is something I've done for years. On fast-food orders that

come with fries, which I don't go out of my way to order, you then pick a

number between 1 and 10 and that is the number of fries you eat, then

discard the rest. Oh yes, you get strange looks for dumping all those " good

fries. " My answer: I'd rather throw them away than wear them. "

Bill Powers

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I have a friend who never orders fries. But if she is with someone who does

order fries, she eats a few of theirs. That’s another good plan. Or you

could order them and after eating a few, pass the rest to the people you are

out with.

Becky

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of Vicki Breffe

Sent: Monday, November 05, 2007 9:40 PM

To: blind-diabetics

Subject: Re: Pizza

oh, how creative about the fries. Can't wait to do that, in front of a whole

restaurant people, of course. Well, maybe better toss them outside.

Vicki Breffe

All Scripture is inspired by God and is useful to teach us what is true and

to make us realize what is wrong in our lives. It straightens us out and

teaches

us to do what is right.

It is God's way of preparing us in every way, fully equipped for every good

thing God wants us to do.

nlt.--2 3-16, 17.

Re: Pizza

Dave,

Another way to help control things besides infrequently eating burgers in a

fast food place is something I've done for years. On fast-food orders that

come with fries, which I don't go out of my way to order, you then pick a

number between 1 and 10 and that is the number of fries you eat, then

discard the rest. Oh yes, you get strange looks for dumping all those " good

fries. " My answer: I'd rather throw them away than wear them. "

Bill Powers

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Vicky,

You need to put your mind to it, stick to your guns and eat only a few fries

then toss 'em. If you do get any snide remarks from onlookers, it won't kill

you, and you will gain more willpower through the strength of going through

this small bit of persecution. It gets easier the next time. Hey, it might

even make them think about what they're eating, too!

Bill Powers

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Becky,

That's also a good idea to pass the fries around after just eating a few.

There's more than one way to exercise your willpower and cut down on certain

foods without denying yourself. The key is to be practical and realize we

have to make some sacrifices, just not total sacrifice.

Another thing that really helps me to cut down on the amount that I eat, is

drinking water or even Crystal Light about 20 minutes before I eat. I'm not

going to want as much food then, which is good. I don't always do that but

I'm getting better at it, and it does help in the weight loss and sugar

control department.

Bill Powers

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Look at it this way. You should never feel bad about making the right choice.

I pity all the people who are caught up in this fast food world and are

literally addicted to the stuff. Let them think what they want. You are making

the smartest and best choice by not eating the junk food that is killing so many

people.

Dave

Re: Pizza

Vicky,

You need to put your mind to it, stick to your guns and eat only a few fries

then toss 'em. If you do get any snide remarks from onlookers, it won't kill

you, and you will gain more willpower through the strength of going through

this small bit of persecution. It gets easier the next time. Hey, it might

even make them think about what they're eating, too!

Bill Powers

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All of those meals you mentioned would have put my sugar way up! Pizza

just kills me-several hours later. You get the pizza affect as

mentioned by others because of the amount of fat in the pizza. Also,

the crust has lots of four, the sauce is high in carbs and depending on

what else is on the pizza, you can have even more fat or carbs! Byetta

has been proven to do a couple of things. One it decreases appetite so

it helps people lose weight and it usually makes you eat less so your BG

levels can go down. Usually the doc puts you on a low dosage to start

as it can cause extreme nausea. It sues very small needles-like insulin

needles, so it doesn't hurt. I heard the byetta comes in pesn too.

Pizza

Hello everyone,

It's been a while since I have posted. So I thought that I'd give

everyone

an update, and ask a question.

First of all, I hope everyone is doing well. Things are going pretty

well

here, except that my blood sugar seems to swing a lot.

I have had both high numbers and low numbers in the last few months. At

times, it makes no sense to me as to why it goes up, or down for that

matter.

For instance, I was out the other day at the commission for the blind

getting my computer looked at. My neighbor had dropped me off, and he

was

supposed to pick me up an hour later. Well, he didn't come back for a

few

hours, and I was getting hungry. So I decided to get a bite to eat.

Well, there really weren't any healthy choices of course, so I decided

to

make the best decision possible. They had some extra food that they were

selling, due to some classes that were going on. So I bought a barbecue

pork sandwich, which came with some ruffles chips, and I got some apple

siter. I figured that this would be better than soda.

When I got home, I tested my blood sugar, because it was time. It was

fine,

in the normal range.

Then yesterday for lunch I was out with some friends. We stopped off at

a

burger place, and I got a burger, some fries, and a diet coke.

Well when it was time to test my sugar, it was going toward the low

side.

It was 70.

So you see, I really don't understand why it fluctiates so much.

So here is my question.

Is it possible that pizza can really raise somebody's blood sugar? If

so,

why? Is it because of the carbs, or something else?

It seems that when I eat pizza that my blood sugar really goes up. I

ordered one Friday night, and I have been eating off it the last couple

of

days.

I have had readings like, 208, 270, 212, and some others.

What is really odd to me though, is that this still occurs even though I

am

taking my medication. Also, after 8 or 9 hours, for instance in the

morning, my readings are still high. This morning it was 208, and I ate

the

pizza at about 10:00 last night. I didn't go to bed right away either.

So what is the deal? Anyone have any thoughts on this?

Also I was wondering, is anyone familiar with Vyetta? Not sure if I've

spelled that right or not, but maybe you all will know what I mean.

My doctor is considering putting me on this, but he wants to see more of

my

blood sugar results before making the decision. I go to see him in mid

November, so I am hoping to know something by then.

I am really not sure how I feel about this. I hate needles, and the

thought

of giving myself injections just freaks me out a bit.

Also, I feel that I am still getting used to all this, and that

everything

is happening too fast.

Well I think this is all I have to write for now. Any thoughts you all

have

will be much appreciated.

Thank you,

Terri

__________ NOD32 2642 (20071106) Information __________

This message was checked by NOD32 antivirus system.

http://www.eset.com

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I thought you meant small doses of pizza, juse came in on this one. I was

thinking, okay, let's try it. I'll be okay.

Vicki Breffe

All Scripture is inspired by God and is useful to teach us what is true and to

make us realize what is wrong in our lives. It straightens us out and teaches

us to do what is right.

It is God's way of preparing us in every way, fully equipped for every good

thing God wants us to do.

nlt.--2 3-16, 17.

Pizza

Hello everyone,

It's been a while since I have posted. So I thought that I'd give

everyone

an update, and ask a question.

First of all, I hope everyone is doing well. Things are going pretty

well

here, except that my blood sugar seems to swing a lot.

I have had both high numbers and low numbers in the last few months. At

times, it makes no sense to me as to why it goes up, or down for that

matter.

For instance, I was out the other day at the commission for the blind

getting my computer looked at. My neighbor had dropped me off, and he

was

supposed to pick me up an hour later. Well, he didn't come back for a

few

hours, and I was getting hungry. So I decided to get a bite to eat.

Well, there really weren't any healthy choices of course, so I decided

to

make the best decision possible. They had some extra food that they were

selling, due to some classes that were going on. So I bought a barbecue

pork sandwich, which came with some ruffles chips, and I got some apple

siter. I figured that this would be better than soda.

When I got home, I tested my blood sugar, because it was time. It was

fine,

in the normal range.

Then yesterday for lunch I was out with some friends. We stopped off at

a

burger place, and I got a burger, some fries, and a diet coke.

Well when it was time to test my sugar, it was going toward the low

side.

It was 70.

So you see, I really don't understand why it fluctiates so much.

So here is my question.

Is it possible that pizza can really raise somebody's blood sugar? If

so,

why? Is it because of the carbs, or something else?

It seems that when I eat pizza that my blood sugar really goes up. I

ordered one Friday night, and I have been eating off it the last couple

of

days.

I have had readings like, 208, 270, 212, and some others.

What is really odd to me though, is that this still occurs even though I

am

taking my medication. Also, after 8 or 9 hours, for instance in the

morning, my readings are still high. This morning it was 208, and I ate

the

pizza at about 10:00 last night. I didn't go to bed right away either.

So what is the deal? Anyone have any thoughts on this?

Also I was wondering, is anyone familiar with Vyetta? Not sure if I've

spelled that right or not, but maybe you all will know what I mean.

My doctor is considering putting me on this, but he wants to see more of

my

blood sugar results before making the decision. I go to see him in mid

November, so I am hoping to know something by then.

I am really not sure how I feel about this. I hate needles, and the

thought

of giving myself injections just freaks me out a bit.

Also, I feel that I am still getting used to all this, and that

everything

is happening too fast.

Well I think this is all I have to write for now. Any thoughts you all

have

will be much appreciated.

Thank you,

Terri

__________ NOD32 2642 (20071106) Information __________

This message was checked by NOD32 antivirus system.

http://www.eset.com

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