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I haven't read the study in detail, but your description of it makes me distrust it.
I'm not so sure that pizza qualifies as simply a high-fat meal. It's made up of flour, tomatoes, meat, and cheese. The last two of these may be fatty, but the first two are high in starches and sugars. Could the rise in blood sugar be possibly due to the first two ingredients?
A less ambiguous experiment would be to feed subjects something truly fatty, without sugars and starches. For instance, fried pork rinds, bacon, brie cheese. And THEN look at their blood sugars.
Pizza is such a mixture of macronutrients that the results don't tell me anything usefl.
Alejo Hausner
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Kim: great blog!! I totally concur on the use of CGMS for diagnostic purposes ideally for those difficult areas you discussed above (growth spurts, unexplained hyperglycemia etc)and especially in young children and in teens. Indeed, our Diabetes Team at Children's National does have a protocol in place that uses several continuous glucose sensors (MM, Navigator and Dexcom) for just that purpose: as a diagnostic tool. We, too, have found amazing information especially in regard to food (BAGELS and Cereal as well as "neon sign foods") and the need to bolus before meals as much as possible to match the carbohydrate excursion. Thanks for sharing your experience.
DrC