I dont have my daughter on that tight of a meal plan, her Endo and Nutritionists have said to me " if she wants it give it to her" Grant it she can no longer grab a bag of chips or banana or whatever whenever she wants it all has to be acconted for, but for lunch today for example she had: turkey and cheese sandwich on whole grain white bread, a gogurt, and 13grams of sunchips, it was a total of 64 carbs, when she was first Dx she was on a 60 or less carbs per meal... but if she wants 80 i give it to her... and her #s are still good and bad... but her A1C is 6.7.. its been as low as 6.3.... am I making mistakes?
I was 16 when I was dx'ed however I'm sort of too old to remember that long ago. I had a "if I want it, eat it" sort of motivation for a long time and did ok however my weight gradually increased over time. I was dx'ed at 16 (1984) at about 120 lbs (down from 150 due to loss of weight) and hit 275 by 2006ish? Some of that was sort of "overshooting" insulin to "cover" whatever I wanted to eat. Your duaghter is clearly too young to consider that type of long term thing but, at the same time, it's not a bad idea to watch out for stuff like that? These days I'm 275 and don't eat all that much and do ok and am pretty active. Some of that is perhaps motivated by trying "lower carb" diets but there's a lot of people who do ok on more carbs. I've observed that some people are doing ok w/o going really low carb and there's not a definitive answer that I've seen as to "how many carbs 'count' to get the benefits of less carbs?"
Yogurt, chips and a sandwich was *exactly* what I ate for years as I got bigger and bigger? It's pretty carb heavy. If you are "controlling" this, it's a pretty high insulin to nutrition ratio. My daughter is very much oriented along that "food axis" but I've sort of stopped buying chips because when I do, I eat them myself. I've also noticed through running pretty regularly as part of my post-275 lb maneuvering that eating more vegetables seems to make me feel better, despite having had diabetes for 27 years and working out hard to get in shape? Maybe it's psychosomatic but I perceived a difference last summer and feel like I'm moving in the right direction. Last week, my daughter said "your muscles are getting bigger" and my boss asked me if I was working out?
A lot of this applies to "straight" people who don't have diabetes too but I think that looking at diversifying her diet might lead to less up and down, if she's seeing that?
thanks for the input, as she gets older and maybe her metabolism slows We will for sure be cutting back carbs. Right now she has alot energy. But I definetly need to start making better choices when i shop.... its really hard when she is 9 and her brother and cousins are eating what kids eat... or when theres a Bday party in her class and the parents bring cupcakes for all the kids in class.... its frustrating because their are 35 kids in her class, so you its a bday at least once or twice a month..... Now as a parent of a Diabetic I am so agaisnt school parties and bday celebration with junk food!!!! kinda of not fair either way you look at it!!!!!RRRGGGG Thanks for your input again!!
It's the same numbers of parties in my son's kindergarten class, thank goodness it's my other son that was dx'd at 14, and he doesn't have to be bombarded by that. It's enough that High School kids all around him are stuffing their face with pizza. He usually does have a treat after lunch, snack and dinner but most the time it's no more than 15 carbs. We haven't said too many things are hands off, things that you might use for a low are strictly for that; reg. soda, juice, reg. syrup etc. I make his lunch daily, and come up with around the same carb count as you. You might consider losing the gogurt, for something less refined like an oatmeal or peanut butter cookie. We also opt for a whole grain bread, one that take some chewing. :) They get used to it. I make pizza at home, use whole wheat dough and roll it super thin, a reasonable amount of cheese and good toppings and it becomes a total different meal to cover than trying to cover the pizza joints abominations! My point is, I rather not deny my son growing son the food all kids like so I incorporate it smaller amounts or give healthier versions. He rather not be above his range either and if that means eating a quarter of the carbs his friends do that's OK to him. Your new "normal" will feel easier when you can find a balance between letting her not feel deprived and getting reasonably good control. Pump and Cgm are super tools in that regard.
Tip: Throw up a list of carbless and <5grams snack on the frig. for her to go to. I also weighed (with a gram scale) nearly everything for about a year, still do for somethings and remember she can had a portion of a serving, and be happy you don't have a teenage boy, who is a vacuum at the table! That's why AcidRocks comment hit home with me! Ha Ha.
I was diagnosed at 57 and don't have children so I'm probably the worst person to make a suggestion - but that never stopped me before. An A1c of 6.7 is certainly good for a child and the difference between 6.7 and 6.3 isn't that great. My A1c bounces +/- .4 all the time.
I don't think the food thing has to be a binary choice between eating anything she wants and maintaining a very rigid diet. You might want to encourage her to think about what she eats and make choices without telling her no all the time. She had a fair number of carbs for lunch but it was a reasonably healthy meal. The last thing either of you need is for her to rebel against her diabetes and start acting out.
Thank you, I try to let her feel as normal as possible but food is a sore subject for us now....and it shouldnt be but it is.... maybe in a another yr we might be at a better place with it,.... thanks for ur input
I have some input, but please understand this is with best intention and my own ideas.
Using the formula of (6.7 x 35.5)-77.3 to translate A1C into average blood sugar, this would give an average blood sugar level of about 161. This would mean that she is getting levels well above 161 some of the time....
What was her BS 2 hours after that meal?
I personally would think that an A1C of below 6.0 would be a healthier target (aiming to at least keep average blood sugars below 140. Risk of complications is way less with blood sugars below that.... the closer to 'normal' the better, and this will also minimise the impact of diabetes on her growth and development.
The only way to achieve this without unreasonable highs and lows is really to reduce carbohydrates to some degree.
I personally think that a diabetic cannot eat the same way as a non-diabetic. This doesn't mean never have pizza, but it becomes a rare treat, and carbohydrate control is pretty much key.
For the above meal; a possible alternative may have been vege wrap sandwhich (wrapping the cheese and turkey) in lettuce leaves instead of using bread. Some nuts could have been added to a small serve of yoghurt to make it filling and give more calories, then she probably could still have had a few chips to fill it out.
I make low carb wraps for my daughter by making a very eggy pancake mix - with just enough flour (gluten free in her case) to hold it all together.
Have you read Bernstein's Diabetes Solutions? I don't think you have to stick to his degree of carb counting (ie. 35g/day) to benefit from his approach, but I would think that carb counting and limiting is required.
In addition if you are testing after meals you may find that some carb foods spike her regardless and others don't. This will help you plan meals that are and aren't suitable.
Lower carb eating is actually beneficial for everyone. If your whole family adapts their ways of eating then she is not going to feel out.
My daughter has celiac and dairy intollerance and can't eat gluten or any gluten or dairy containing foods. She can't eat what she wants, though I always make sure we have appropriate food choices for her. She understand that she can't have these because it will give her a sore tummy. She now at 3 can ask if she is allowed to ahve a new food before she eats it. Sometimes she can't have that food and she's NOT happy. Unfortunately we have no choice but to impose these limits on her if we want her to grow and be healthy.
I am diabetic and can't eat a lot of carbs at any meal without consequences and spikes and requirement for massive doses of insulin. Unfortunately that is just part of life.
My sister's daughter is allergic to milk and has anaphalactic reaction to it. She can't have any dairy at all.
Many people have restrictions on their diet for all sorts of reasons. I am just trying to say that it is alright to teach your daughter the types of food choices which are wise for her, and that the if she wants it then she should have it may not be the only approach.
A1C's are different for young children, they are in growth spurts and in hormone overload. I believe most pediatric endos suggest a broader higher range for children! That A1C is great, you're doing a good job!
And I would NOT recommend LOW carbing for a growing child..they need carbs and need to be eating, milk, protein, fruits, grains, veggies and yes...that snack too.
Thank you!! it can so overwhelming... im really glad I joined this website!!!
true....they're adults and manage on very low carbs. it's different for a growing child.
you're welcome. Yes, it is overwhelming. I'm sorry your daughter (and you) had to join this Type 1 club, cuz..is ain't no fun. How old is she and when was she Dx? That A1C is awesome for a child!