How to Eat 3 Donuts and Stay In Range
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- Опубліковано 27 сер 2024
- #diabetes #type1diabetes #timeinrange
Steve and Jeremy eat three donuts in a 15-minute time span to see if they can keep their blood sugars in range (between 70-180mg/dL). They each try a different technique…Steve uses ultra-rapid-acting insulin with a pre-bolus, and Jeremy uses inhaled insulin Afrezza. Please keep in mind we are not advocating that anyone eat three donuts at a time, but this experiment demonstrates that, with the right tools and education, you can eat your favorite foods in moderation while living with diabetes.
The video Jeremy references about Afrezza can be found here:
Inhaled Insulin: If You're Too High, Take a Hit of This
• Dose of Dr. E - Inhale...
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So you're in a 9am office meeting, there are donuts. "Excuse me folks, I just need to go run some stairs, I'll be right back" is not exactly an option. So yeah, it can be done, but it takes some doing. I'm especially sympathetic to Steve's experience at the end where he had to stomp on the brakes with a big proactive-correction, then had to slurp some lemonade to stop the downslide on the other side. "You can have whatever you want, just bolus for it" has a hidden caveat: "But the less insulin you have to take, the easier it is to manage!"
Start doing body squats. If anyone asks what you’re doing, just tell them you’re making sure your blood sugar stays in range.
This video was amazing! I am posting it for the folks that went off on me for my free Kryspy Kreme when I got my second COVID shot. Great seeing you both. You make such an amazing team!!
This was so helpful to see in real life how other people manage their blood sugar. Thank you, thank you!
You're so welcome! We've got more planned too....pasta, burritos, etc. :)
What a fun video, loved watching you guys eat yummy donuts, great tips! Usually when I decide to eat donuts I wear a rain coat, hat, and sunglasses so I’m not recognized because I feel like I’m sinning... UHG! Type1 44 years, still on planet 🌎 earth...
Haha! That's so funny (and so true!) And congrats on the 44 years - you are a legend in our book!
Thank you! Loved this!.... As an Aussie, I had to keep pausing to look up a BG conversion table all the way through, so if your lovely editor would like to overlay the numbers on the screen, that would be my one true wish... Save the world from Math! - Thanks again! :)
What a great Video! Both very educational and funny. A lot of invaluable info for those on an insulin pump, CGM, short acting insulin subQ, and inhaled insulin. Very informative all-in-one video. Great job Steve, Jeremy and Eric!- Ramon C, MD
I don’t have the guts to eat three donuts but just loved watching you guys do it! I’m sending this link to every type 1 I know. So funny to test your gluco normal camera guy!
Haha - thanks! Yes we do not endorse trying this challenge yourself, but we have fun doing them all in the name of science!
Fascinating exercise. I've watched a lot of good videos on YT and have received instruction from my Diabetes (T2) clinic staff, but this video really taught me how and when to add more inhaled insulin if needed. Many thanks, guys!
Sure thing - we do these challenges from time to time for fun, but you can find more info on inhaled insulin here: ua-cam.com/video/mVsSo9IpvS0/v-deo.html
I'm low carb so even seeing people eat this makes me feel ill. I'm all about experimenting and learning but 3 donuts is too much and that is way too much work to even bother.
Incredibly irresponsible video and confusing to diabetics who hear conflicting info. Organ damage starts at glucoses above 140-150. Why do this to themselves?
Oh right....followers 🙄
@@cobbspurpose1745 What you said about organ damage is not true. The international bodies of diabetes organizations deemed 70-180 the ideal range…that’s why it’s called “time in range”, so wherever you got your information is wrong. We’ve received an overwhelmingly positive response on how to live life normally with diabetes.
Classic appeal to authority! Even with the facts right in their faces!
I appreciate this video so much. I've been taking insulin for 23 years and I still have mental hurdles to jump over every time I inject. Even if I know I have enough carbs to cover - it's irrational. But now I can picture Dr. P inhaling 12/24 units and being A-ok ^_^
I love these eating test videos!
So do we - and we're overdue for another one. If there's anything you'd like to see, let us know!
@@TCOYDtvmaybe chinese take out! Lots of fried rice and noodles lol
YES!!! That is on our list for sure! :)
I wish I had the bravery to stay in range. I hate lows, 120 with an arrow slanted down gives me so much anxiety, high anxiety!
You're not alone. :)
Wow, as a type-1 diabetic who eats a low carb diet, this video stresses me out lol. Also, according to the instructional video, after inhaling afrezza, you're supposed to hold your breath for as long as is comfortable... I take afrezza.
Great idea for a video! Questions:
1) Was Steve using a rapid insulin e.g. Humalog/Novolog, or an ultra-rapid insulin such as Fiasp/Lyumjev in his pump?
2) Did your pumps adjust their basal rates over the 3 hour period (e.g. Basal-IQ/Control-IQ), or were the basal rates fixed?
Thanks!
I was using Humalog or Novalog, not the ultra-rapid insulin, but that wold have been better - I just didn't have any with me. Both of us are on hybrid closed loop systems. Jeremy is on Tandem CIQ and I'm looping. Both systems were doing their thing.
@@TCOYDtv Can you help me understand - does the LOOP only deal with the natural up and downs of BS - for example in over night hours? The LOOP does not sense a rise and treat for the donuts - Obviously not - but I wasn't sure when the Loop knows to dose? Guess I will have to watch that video ;-)
@@jannastern4620 The pump will give insulin if it predicts your blood sugar is going up, but when you eat something with that many carbs (like the donuts) you need to give an extra bolus. That is the hybrid closed loop system. The next generation will be a totally closed loop system where you don’t have to give an extra bolus or do anything about it, you just eat. But yes, watch the video on DIY AP systems in our website’s video vault for more information on looping.
This was awesome love the video format too great information, demonstration and comedy haha loved it!
Fascinating experiment. Interesting to see the impact on your camera man too. Thanks.
Stay tuned...more experiments coming this year too!
I’m definitely going to start combining a little exercise with insulin for big meals because of this video.
Or eat better food that won't spike you
Hey! Thanks for the video! I’m a mom to a 10 year old T1, diagnosed 10 months ago. The thing that I wonder about is with continuing to give so much insulin, such as those 8 extra units upon seeing it go towards 160s, aren’t you sure to see it go low within a few hours? I know you can try to catch it before it goes low but is there some way to prevent the lows? It seems like I often need to give more insulin than should be required for some things but then always have to catch lows. Thanks 😊.
Well for starters, it’s much easier when you’re only eating one donut, and not three. Pre-bolusing is key. You can also try to plan some exercise after the donut so the insulin is more effective and works faster. Set the CGM low alert at 80 in order to try to catch the lows, and if your child isn’t on a CGM, that is a must!! Also, in a few years when your child is 18, you can try using Afrezza.
@TCOYDtv JFC, am newly diagnosed at 38 just at end of oct, I'd be terrified to take that much insulin at one time. Lol
Thank you for making this! I wish I could show this to every "Food Police" idiot who ever told me, "You can't eat that.....".
I'd just like to add, thank goodness for modern insulins and CGM's and pumps. This was far more difficult (probably impossible to stay in range) 35 years ago, when I was first diagnosed.
That's true...and yes, thank goodness for insulin, CGM and pumps!
With Loop, you enter the carbs plus 50% of the fat as carbs. Carbs @ 4hrs at the time you eat. Then a fat carbs entry 90 minutes in the future @ 3 or 4 hours, depending on the shop. Use an auto bolus branch. Done.
That initial drop is very common. Minimal prebolus.
Thanks Kenny! I've always wondered about bolusing for fat - if it was needed, and how to do it if necessary.
Hi. This was my first TCOYD video. Loved it.
How long before eating the donuts did Steve take the 8U & 3U boluses please?
(Did Steve's grandparents have a house on Long Island, NY (near mine)?)
I gave the 8 units 20 minutes before I ate, and then the 3 units when I saw the trend arrow going diagonal up. And YES my grandparents had a house on Long Island!!! My mom’s side of the family is from there - her maiden is Fleischer. My dad is not from there but Edelman is a s common name.
Hey guys!!! Excellent video!! Dr P, how does ur tandem account for the Afrezza??
Although the hard core software engineers would say it messes up the algorithm, I use Afrezza on top of the insulin in my CIQ all the time (as well as my patients) and do very well. Remember that these hybrid closed loop systems regulate the insulin delivery based on the rate of change and predicted glucose, so if it sees glucose changing because of Afrezza, it does its own adjustment.
@@TCOYDtv thank u for explaining that!! I’m gonna ask my endo to try it. It worked really well for u in the 3 donut experiment!!
What about a person with type 2?
Well we don’t recommend eating three donuts every day, but if you do indulge, make sure you enjoy it, and if you’re on mealtime insulin you can always take more and just monitor your blood sugar. If you’re not on insulin, get out and get some exercise! Or, in exchange for the donuts, you can also cut back the calories in your previous meal or the meal you eat after.
..."with the right tools and education, you can eat your favorite foods in moderation while living with diabetes" Sure, but if you eat things like donuts on a regular basis, you will also likely gain weight and develop insulin resistance. And how, pray tell, is eating THREE donuts "moderation"?
I think you missed the point.
This was fun to watch. But I wonder if all those corrections end up stacking? Did either of you end up going low?
I did have to have a small box of juice near the end of the video..so technically Jeremy won. BUT he used Afrezza which has a rapid on and rapid off time course of action...a great way to avoid stacking.
@@TCOYDtv I had heard of it before. I’m MDI, this was a fun experiment. But only one that can be done early in the day because I’d be afraid of crashing if it was late afternoon or later in the day. I still manage to stay 70-120 75% of the time, and eat pretty much what I want. But this video gave me anxiety with all the early preventative corrections lol
@@anatredrea5117 Yeah, it was a lot of work, just for the sake of the experiment! :) Congrats on your great TIR!
Don't tell my endocrinologist that I was here! I ❤❤❤ donuts! Thanks for being honest about how you do it! And consuming them in 15 minutes...hehehehehehehhehehe, definitely real-world. No rage bolusing this round!
I am wondwring does Caffiene not affect you guys? It ruins me LOL
Everybody’s different, and for some people, they’re very sensitive to caffeine.
This was so fun.
I'm seriously missing VG's. I've moved to the MidWest and we just don't have anything like VG's. Great info and fun to watch. Thanks guys.
Really great video; a lot of fun and super interesting.
I loved this ... and when reposting it put it down as "Two diabetics get together with a non-diabetic ... and the experiment begins!". Now I'm craving donuts but we're in Lockdown again in my part of Canada! Dang!!!
The worst video you all have ever made.controlling diabetes is about doing what you can to minimize meds.The unspoken truth about meds/insulin is that people use it to less compliant.What’s needed is a mindset of appreciating healthy habits,not finding ways to avoid them
Please go back and watch the beginning of the video and listen to what we said.