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Laura Plunkett says

White flour breads convert to sugar very quickly in the bloodstream. Dinners of grilled cheese or hamburgers can end up with prolonged highs and lots of nighttime checks. The highs last even longer when fat and protein are added to the mix.

Ultimately, we changed to whole wheat and sprouted wheat products, even
though our kids protested. It took some time, but the blood sugar control
was worth it, and now the kids choose wheat over white.

Also, giving insulin 20 minutes before the meal (unless your child's blood
sugar is low) definitely helps cut down on postprandial highs.

Alicia H. McAuliffe-Fogarty says

First make sure you carb counting accurately (sometime those dense breads
can be tricky)....but bolusing before eating so you do not spike can help as
well as trying a square-wave/dual wave bolus (a time release bolus) to avoid spikes later on - especially during the holidays!

Gary Scheiner says

Bolus in advance (15-20 minutes) if possible.  These types of breads digest very quickly and cause a major post-meal BG spike.  Also, if you're unsure of the carb count, weight the food on a gram scale and use its "carb factor" to determine the exact amount of carbohydrate.  For example, 48% of French bread's weight is carbohydrate.  Weigh the bread in grams and multiply by .48 to get the exact carb count.

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