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Before You Come

Morning Appointments

Target Glucose: 150 or higher

Eat a healthy, balanced breakfast before you arrive.

Take all medications as prescribed, EXCEPT take only 1/2 your normal dose of insulin.

Hold all oral diabetic medications and insulin the day of treatment.

Afternoon Appointments

Eat a healthy, balanced meal before you arrive.

The night before, take all medications as prescribed.

Take 1/2 your insulin dose on the morning of your treatment.

Take all other medications as prescribed.

Insulin Pump Users

Turn pump off two hours before treatment.

Do NOT eat breakfast if you have a morning treatment.

Turn pump back on immediately after treat is complete.

What to Eat Before You Come

Prior to a PIR infusion, it is advised to eat higher-protein meals/snacks. If a high amount of carbohydrates is consumed prior to treatment, blood glucose levels will affect the infusion. Consuming foods/snacks higher in protein will not cause extreme spikes in blood glucose levels. 

Approved Foods


  • Jerky (meat that has fat trimmed) typically 9g of protein per oz. 

  • Trail mix, combination of dried fruit and nuts 

  • Turkey (deli meat) roll ups, add low fat cheese & vegetables 

  • Greek yogurt parfait 

  • Vegetables and Greek yogurt dip (add ranch powder) 

  • Hard-boiled egg 

  • Cheese and nuts 

  • Tuna salad 

  • Peanut butter and celery sticks or apple slices 

  • Roasted chickpeas or hummus with vegetables 

  • Cottage cheese with fruit and nuts 

  • Protein shake with skim milk 

  • Protein bars


  • Chobani vanilla Greek yogurt: 16 g of carbs & 14g of protein per 3/4 cup serving 

  • Greek yogurt has a higher protein content compared to traditional yogurt due to the straining process 

  • 1 large egg: 6g of protein 

  • Idea: egg scramble with black beans, avocado, lime, and pico de gallo. 

  • Whole grain English muffins: 23g of carbs & 5g of protein 

  • add eggs and cheese for extra protein 

  • Cottage cheese: 5g of carbs & 12g of protein 

  • Breakfast burrito/tacos: eggs, beans, chorizo, cheese, avocado 

  • Egg sandwich with English muffin: eggs, cheese, turkey bacon or chicken sausage (these are lower in sodium and fat) 

  • Sausage egg casserole: sausage, onion, bell peppers, cheese, milk, eggs 

  • Egg bites/cups: add greens (spinach), tomato, bacon, cheese, eggs, and milk 

  • Protein bites: peanut butter, oatmeal, chocolate chips, can add protein powder



  • Tuna salad, chicken salad, egg salad with toast or crackers 

  • Quesadilla, taco, burrito 

  • Use a lower carb tortillas, add meat, beans, and cheese 

  • Chicken Fried Rice 

  • Add egg to add extra protein, follow the serving size of rice 

  • Wrap with deli meat 

  • Chili with meat/chicken and beans 

  • Rice bowl with vegetables, eggs, chicken/meat, garbanzo beans 

  • Meat and non-starchy vegetables


Approved Fast Food



  • Egg McMuffin 

  • Sausage McMuffin w/ egg 

  • Sausage burrito 


  • Ask for the burgers or chicken sandwich without a bun 

  • Chicken nuggets 



  • Loaded breakfast burrito 


  • Ask for burgers without a bun 

  • Limit chicken tenders, the breading contains carbohydrates

Taco Bell


  • Cheesy toasted burrito bacon 

  • Cheesy toasted breakfast burrito 


  • Ask for “Fresco Style” 

  • Remove mayo-based sauces, cheese, sour-cream to reduce fat content, add freshly diced tomatoes 

  • Add beans to meals to increase protein content 

  • Monitor how many carbs through how many tortillas you eat

Burger King


  • Egg-normous burrito


  • Ask for a burger or chicken sandwich without a bun



  • Wake-up wrap 

  • Turkey sausage, egg and cheese on English muffin 

  • Egg and cheese on English muffin



  • Breakfast burrito 

  • Egg white grill 

  • Bacon/sausage, egg & cheese muffin 

  • Greek yogurt parfait 


  • Grilled or fried chicken sandwich 

  • Grilled or fried nuggets/tenders 

  • Greek yogurt parfait 

Rule of Thumb

Opt for no bun and grilled protein (when available). Avoid mayo-based and creamy sauces. You can find nutrition facts for fast food menus on their website.

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