I'm new to this so sorry if there's already a post about this.
I have a 4 year old who's had diabetes for 8 months. We use Animas Pump and we just recently started Dexcom CGMS.
Of course now with the Dexcom I can see what foods are causing the biggest jumps in her BG. Mostly all day long the graph looks like rolling hills. We are slowly getting used to her eating patterns and so it's becoming easier to bolus before a meal instead of after/during a meal. That's kinda hard to do with a 4 year old. But we are getting better.
The worst meal of the day is breakfast. She likes cereal. Cereal seems to provide the biggest spike - a huge rise and a huge fall. We try to give breakfast insulin 10-15 min before she eats (wish I could hold her off longer) and we've been doing the "super bolus" technique all week if you are familiar with that. The superbolus has helped, but she still gets a big spike and fall. Without the superbolus she spikes over 400 before returning to normal. With the super bolus she spikes in the 200's before falling.
I'm sure the answer to this is just to bolus longer before she eats cereal, like 20min.
I could cut out cereal altogether, but why? The dietician told us in the beginning, "there are no 'no's' in diabetes, just match with insulin".
I'm a perfectionist, so this is a bad disease for me! (or is it a good one? It depends on the day!)
So far the worst cereal was Raisin Bran. I truly have noticed the lower GI foods are better in regards to the 'spikes'.