1. Too much insulin with dinner; 2. Result from too much juice in response to low; 3. The period of the fatty lunch in question
No school today. Major errand = purchase trumpet. Trumpet shop near miracle Diet Coke machine. Not able resist lure this machine. Unfortunately, Diet Coke machine housed inside Five Guys Burger & Fries.
12PM Before lunch. Trumpet shop parking lot. Secretary of State John Kerry discuss Syria on special NPR coverage while scribble-scribble BG/insulin notes on back of hand: 110mg/dL-ish; Dexcom straight arrow. Pre-bolus 3u for 45g CHO (Know fatty bacon cheese burger lunch will be at least 45g. SWAG: bun 20, ketchup 5, french fries 20, diet coke 0.)
12:30PM After order lunch, look up actual carbs on Five Guys nutrition page. Small bacon cheese burger = 40. Regular french fries = 78. 78 divided by 4 = approx. 20. So real total Bubs’s lunch = 60. Plus ketchup’s 5 = 65. Plus Diet Coke; Bubs choose cherry vanilla: 0. New SWAG total = 65.
65g minus 45g already covered= 20g more. Requires 1.35u more. Plus 1.5 bonus units for fatty food insulin resistance. (<—this is new territory. Always afraid take this step.) Bravely dial in combo bolus 3 units (because 1.35 + 1.5 = 2.85, with extra 0.15 units for Syria anxiety) @30% now, 70% over 3 hours.
3 hours over @3:30PM. BG normal. (!)
It work? For real?
Zoom in on après lunch time:
The combo bolus is over, but is the wrath of the bacon cheeseburger/ white potato fries over?
Later…
OMG. I think I did it. Did I do it? What is the half life of a fatty lunch’s power to muck up a person’s blood?
If this really work, must remember try again next time cheeseburger:
1. 30 minutes before eating: Test. If in range, pre-bolus for SWAG carbs
2. Upon ordering food: add on for more carbs if inadequate pre-bolus; then calculate 33.33333% (AKA one-third) of the carbs bolus (eg 1.5 bonus units on a bolus for carbs of 4.5-ish units) and program a combo bolus at 30% now, 70% over 3 hours
3. Collect MacArthur Genius Award
Tagged: cheeseburger, combo bolus, dexcom G4, five guys, skillz, Type 1 Diabetes 
