We have a basic I:C for MOST foods…foods that we know will require more insulin such as pizza, we adjust for. But most foods…if it’s 20 carbs…we bolus for a straight 20 carbs…we don’t differentiate carbs from one food -vs- carbs from another food (unless, as I said, it’s something high starch content or will digest over a longer period of time and typically spike for us.)
So we check BG’s, then, if they’re in range, we just program X carbs, and have the PDM adminster whatever the correct dose is based on the variables we’ve established for him (I:C, DIA, ISF, etc.,)