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I have a question about the mechanics of the LC/HF diet and insulin dosage.

As background, I am Type 1 taking Lantus for Basil and Humulin R for Bolus. Last week I did some work on my Basil dosage, and I believe I have it set now, so that when I do not eat bg stays level.

I am seeing an interesting phenomon occur when I eat a high fat breakfast with nearly no carbs. I get a bg spike that I have to compensate for with Bolus insulin. This morning I ate an egg with cheese, sausage, and coffee with 1 tblspn of coconut oil (1 carb - in the american cheese). Since I took no bolus insulin for nearly the same breakfast yesterday and saw a 90 point spike, I took 4 units this morning, but still saw a rise of 35 points 1 hour after. My fasting readings were about 100 both days. I generally take about 1 Unit of insulin for every 5 carbs. I will have to check in couple of hours before lunch, because I think the 4 units may have been too much? But I am surprised that such a breakfast would cause much of a bg impact?

Does anyone have any ideas of what is going on? Do I need to figure some rate of Bolus insulin coverage for fat/protein also? Fats would be pretty hard to figure - I have never had to really count them and have no experience. Thanks.

 

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Thanks Daytona. I think that link explains it. Due to having to fast a couple of days last week to set my basil rate, I have probably gone into Ketogenisis, which evidently is the trigger for fat to be turned into glucose. It explains why high fat diets can supply the energy you need. The body will do this only as a last resort, when there are no carbs available. Sounds pretty tricky to stay in the place that I have found myself. I guess I have a lot more to learn about this.

 

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Thanks for the input....perhaps some of this info will help my wife stop worrying about all the carbs I am not eating, but need to eat to keep up my energy level. :argue: