
- With Mayo Clinic diabetes educators
Nancy Klobassa, R.N., and Peggy Moreland, R.N.
read biographyclose windowBiography of
Nancy Klobassa, R.N., and Peggy Moreland, R.N.
Nancy Klobassa and Peggy Moreland
Nancy Klobassa, R.N., B.S.N, C.D.E
Nancy Klobassa is a registered nurse who has worked in diabetes education for 14 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in Nursing (M.S.N.) and Health Care Education.Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Nutrition & Metabolism at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a diabetes educator in the Division of Endocrinology, Diabetes, Nutrition & Metabolism at Mayo Clinic in Rochester, Minn.Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. Peggy enjoys working with patients to set and achieve diabetes self-management goals.
Latest entries
- Caffeine and blood sugar: What's the connection?
Nov. 24, 2009
- Coping with the ups and downs of managing diabetes
Nov. 17, 2009
- Don't let grocery store sidetrack a healthy diabetes diet
Nov. 10, 2009
- Diabetes diagnosis
Nov. 3, 2009
- A1C test helps diagnose diabetes
Oct. 27, 2009
Mayo Clinic Health Manager
Get free personalized health guidance for you and your family.
Get StartedLiving with diabetes blog
-
March 28, 2009
With diabetes, eating pizza not always a treat
By Nancy Klobassa, R.N., and Peggy Moreland, R.N.
For people who don't live with diabetes, eating pizza is usually a treat. The worst problem is you might eat too much.
My dietitian friends tell me pizza can be a healthy food (protein, vegetables and complex carbohydrates). "Can be" is the key. Those thick crusted, deep dish, meat lovers specials with extra cheese are probably not what my dietitian friends are talking about as far as a healthy meal.
Here are some interesting statistics from an industry Web site:
- Americans eat approximately 100 acres of pizza each day or about 350 slices per second.
- Pizzerias represent 17 percent of all restaurants.
- Pizza is a $30 billion per year industry
- Pizza accounts for more than 10 percent of all food sales.
- Sixty-seven percent of Americans order pizza for a casual evening with friends.
- Each man, woman and child in America eats an average of 46 slices or 23 pounds of pizza a year.
For people with diabetes, just thinking about pizza creates all kinds of emotional turmoil:
- "Pizza, never touch the stuff, it causes my blood sugars to go crazy."
- "I wish I could eat pizza, it's one of those things I haven't figured out how to cover with my meal insulin."
High fat foods such as pizza can cause a delay in the absorption of the carbohydrates for 2-3 hours after eating and can elevate the blood sugar for up to 8 hours.
So what's a person with diabetes to do? As you know, there are no hard fast rules in diabetes management; many times it's trial and error. You can do everything such as diet, activity and medication consistently and the blood sugar results will vary.
Some tips:
- Experiment with one brand of pizza (preferably a thin crust). Test your blood sugar before and after the pizza and watch the patterns in your blood sugars. When does your blood sugar start to rise? If you are on an insulin pump or a multiple daily injection program (MDI), you can time the rapid insulin accordingly. It may mean taking the insulin after you eat.
- If you are on an insulin pump, you can use an extended/combo or square/dual wave bolus, according to the patterns of blood sugars you've seen. Ask your diabetes educator to explain how these functions work and how to set these programs up on your insulin pump.
- After you have one pizza mastered, you can move on to others.
- If you are on insulin programs or oral diabetes medications other than the multiple daily injection program (MDI) or insulin pump, don't adjust your medication for the pizza intake (ask your doctor if you have any questions or concerns about this issue). Just be aware your blood sugar may run a little higher a few hours later or even into the next morning depending on when you ate. On the other hand, pizza may not have much of an effect on your blood sugar. Naturally, the amount of pizza you eat will make a difference in your blood sugar results.
Is eating pizza worth it? I'll be anxious to hear from you this week.
- Nancy
24 comments posted
October 31, 2009 11:22 a.m.
i'm writing this for my 10 year old son . We have it figured out there is 60 carbs in a personal pan pizza hut pizza he put that into his pump and does fine with it .His blood sugar seems to be alittle higher but he is very out of control it doesn't seem to matter what he eats.
- Tricia
October 24, 2009 2:34 p.m.
I am Type 2 Diabetes. I eat pizza that I make myself. I prefer whole wheat dough, but not available at all grocery stores. I use l don't always use cheese. I most use veggies, like spinach, cauliflower; lemons slices;bacon bits;tomatoes;cabbage. I explore a lot. I very rarely use meats with a lot of fat.
- whyi57
September 28, 2009 7:28 p.m.
Papa Murphy's has a Dee-Lite (sp?) pizza that we get with veggies and ham. Nutrition is posted on their site. I also make my own brownbag lunch pizzas with low-carb tortillas. You have to brown both sides of the tortilla first, or it will be soggy. They're easy to make, though, and I keep some in the freezer.
- I Heart Pizza
September 22, 2009 1:03 p.m.
P.S. the 20g of carbs mentioned in my previous post are NET carbs, not total. Sorry for any confusion.
- LeAnne
September 22, 2009 12:57 p.m.
Cici's Pizza, a rapidly expanding chain, used to offer what they called an "Atkins Pizza:" tomato sauce, cheese and toppings layered in a pan (no crust!) and baked in the pizza oven. It's no longer on the menu officially, but we have found that most managers know of the Atkins Pizza and will gladly prepare them for us. By my calculations, my usual (hamburger/mushrooms/onions/green peppers) is about 269 calories, 20g carbs and 9.3g of fat. An Atkins Pizza plus all the salad you care to eat makes a very satisfying meal.
- LeAnne
September 2, 2009 7:59 a.m.
No matter what kind of pizza I eat I get a spike in blood sugar levels. I have tried all kinds even one piece will do it. I am on glyburide was taken off metformin because of problems. I just gave up eating pizza.
- Lorain
August 3, 2009 4:59 p.m.
Eating Pizza is always worth it for me. I always get white pizza (oil and garlic) instead of pizza sauce. I usually get a protein such as chicken with a veggie like spinach. How many slices I eat depends on the size of the slice or how thick the crust. You can enjoy Pizza as a diabetic so long as you are making the proper choices according to your specific needs.
- Teresa
July 25, 2009 10:55 a.m.
Ihave eaten pizza all my life, homemade and pizzarea (spelling). I have type 2 diabetes and have had for thirty years. I only order ham and pineapple most times with a thin crust. I only eat 2 slices, which is the recommended amount from the Canadian Diabetes Association. I don't understand your blood glucose levels in the U.S.A. but mine after eating two slices only rises 3 levels or 10-13. If anyone could inform me what this would be on the U.S. scale of the index I would be greatful.
- Paul
June 28, 2009 8:15 p.m.
I love pizza and not long before I found out I was diabetic I started having pains in my stomach the day after pizza, bowel issues and it felt like a stick was stuck in my intestines for a day, to stand or sit or bend over was very uncomfortable till the pains went away. Still happens even though I am on metformin now. I have tried two pieces one day and two the next and still causes me problems so no more of that, just not worth it to me for two tiny little pieces that will still get me in the end .
- Sally Smart
June 24, 2009 8:50 a.m.
I was in shock when I had a l/2 piece of pizza (because I was out) and when I came home, checked my blood sugar it was 270. I love pizza, is one my favorite, but I believe should be out from now on.
- Rpsario
May 22, 2009 1:57 p.m.
I order thin crust cheese/sausage. I scrape the toppings off, eating only the cheese and sausage. Most of the sauce stays behind along with the carb crust.
- Mike C.
May 21, 2009 1:13 a.m.
Love Pizza but it effects my blood sugar bad. It is good to get some info on what other people are doing. i am going to try Marvin M. idea i think that would work better for me.
- Aaron
April 22, 2009 12:14 p.m.
I love pizza and am controlling my diabetes through diet alone. I found that by having a large salad and eating my one piece of thin crust pizza with a knife and fork, I can "have my pizza and eat it too"!
- Pam
April 22, 2009 10:11 a.m.
I have found that many pizzerias now are making whole wheat pizza, not only does it taste better than regular pizza but my sugar levels stay within my target.
- angela
April 13, 2009 11:01 a.m.
I take Metformin for Type 2.And four to five times a month I eat two slices of a large,thin crust veggie pizza along with a medium sized apple without boosting my usual , controlled glucose level.
- Jabli Izvesti
April 8, 2009 2:12 a.m.
I adore pizza. I find that if I get a veggie type pizza --small size, and thin crust, that I am fine. However, I limit myself to it just a couple of times a month. Since I am not on meds, I have a Mich Ultra with it, which helps keep my readings in check. I want to tell you that the Papa John's wheat crust raised my glucose more than anything , because it has extra sweeteners ( molasses), etc. I won't touch it again. I wish they would manufacture a thin low carb healthy crust, so I could make my own. :) If so, please post it.
- Stephanie
April 2, 2009 3:09 p.m.
I also take Metformin and found that a small thin crust does not hurt me much. If I try to eat too much, my BG does spike to around 225. Conversly, a lady I know orders her pizza with no crust. Sounds awful, but she says it does no affect her glucose level abnormally. She just enjoys eating her pizza with a fork. Good luck to the rest of you.
- Jimmy C.
March 31, 2009 6:02 p.m.
I have type II and take Metformin. Wheneve I eat pizza I try to have a good sized salad with low/0 carb dressing before hand, otherwise I will eat too much. I also read the labels for frozen pizza and try to make the proper size ieces. I still am not totally comfortable around pizza because of the temptation to overeat. (over learned lifestyle pattern-pizza and breadsticks). I also find that by using my favorite pizza sauce as a veggy dip it takes some of the craving away.
- Julie B
March 31, 2009 1:53 p.m.
I generally eat tomato pie... Pizza without the cheeze.
- Jerry C
March 30, 2009 12:39 p.m.
I've seen people avoid the crust by flattening chicken breasts or pork chops into a thin layer and cooking that separately. After it's cooked put your toppings on and you've got a nice filling 'crust' substitute that won't spike your insulin.
- John
March 30, 2009 11:31 a.m.
You could make low-carb pizza at home.
- Maggs
March 30, 2009 11:10 a.m.
I scrape the toppings off the shell, and leave it. Also, Papa Johns has a whole wheat crust, you can eat one shell wedge of it.
- Beth H
March 28, 2009 11:39 a.m.
Usually I inject 10 units of Humalog at the start of a meal. One or two slices of thin crust pizza four inches wide do not pose a problem. It is when I eat more than two slices a problem is created. I add three units of Humalog for each extra four inch slice I eat and when I test for glucose 2 hrs later it is usually below 120 mg/dl.
- Marvin Magarian
March 28, 2009 10:14 a.m.
I have insulin pump and used the extended delivery and did not have good success. I am sure that was caused by incorrect estimation af carbs. My BG was very high for me! I like one that has small amount of chicken and veggies with garlic sauce. I bake one and cut in portion size and wrap individualy for freezer. Of anyone knows how to calculate carbs please let me know. It is a real treat for me!
- Ann Carroll
24 comments posted