Carbohydrate Counting at Meal Time Followed by a Small Secondary Postprandial Bolus Injection at 3 Hours Prevents Late Hyperglycemia, Without Hypoglycemia, After a High-Carbohydrate, High-Fat Meal in Type 1 Diabetes

adjustments at mealtime and administering additional bolus insulin units 3 h later provide similar postprandial glucose control to a meal containing negligible fat, without causing hypoglycemia.Patients should be advised that increasing the mealtime insulin dose alone is not an effective strategy and is an approach that may increase the risk of early postprandial hypoglycemia.