<<Disclaimer: Verify this information before applying it to your situation.>> Pizza -- Its an intereting question. Both my wife and youngest daughter are type I diabetics (I'm type II). Both of them have found that when they eat pizza (well, my daughter now has to have GF pizza) they have to adjust their insulin differently. Both of them are on insulin pumps and use the dual-wave feature which gives two insulin boluses spread out over a period of time. Apparenty the problem with pizza is the rate at which the different ingredients are digested. I have found that using humalog myself I have the same problem that many of you report. Larry Hammes