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 almost always have at least 3 kinds of carbs when I eat. I think of it as a form of diversification. The cracker up front might hit pretty quickly but the apple comes 30 minutes later and hits pretty slowly (for me at least) so that everything tends to balance out.
Nattysmom, you sound like a terrific mother!
If I were you, I'd keep on doing what you're doing for your daughter. That 6.7 A1c is great for a child. I wouldn't take anything the ADA has to say as gospel. They are more interested in furthering the interests of their funding sources (food and drug companies) than in what's actually the best thing for adult diabetics.
I would look into finding a pediatric endocrinologist, if there's one available anywhere near you. I'm a strong advocate of a very low-carb diet for adult diabetics, but children are a whole other story. The nutritional needs of a growing child are bound to be very different from those of an adult! I do know that there are a number of terrific blogs written by the parents of T1 children. You might find it helpful to read them and get in touch with other parents who are dealing with similar situations.
Hi nattysmom, I have so much respect for you and the other parents of Type 1 children. I was diagnosed Type 1 at the age of 27 so didn't have to deal with diabetes as a young child. I think you're doing an awesome job and your daughter is so lucky to have you to guide and support her. I think her A1c is great for a child!
I agree with those who say that you should keep doing what you're doing. It's all about balance with kids I believe. After 25 years with diabetes, I think it's important for parents of children to remember that it's a marathon not a sprint. If you severely restrict your daughter's food at a young age to the point where she feels deprived, I believe you're more likely to see her rebel with food choice as a teenager or young adult.
My sister-in-law would not allow her (non-diabetic) kids to eat sweets growing up, they only ate organic and very healthy at home...but when those kids were away from home, I saw them dive into a plate of cookies with both hands and mouths stuffed.
While I personally low carb as an adult because that's the only way I can get stability these days, I did not always. In my younger years it was much more predictable for me and I could handle eating more carbs while still getting decent numbers.
Now answer me this: if you are eating very low carbs are you eating more protien? or more fats? cause with to much protien I would then start worrying about the weight issues.... give me some ideas about low carbs and what else in place to you guys eat?
A few thoughts (trying not to reiterate what others have said):
With T1, it's hard to balance everything - keep the A1c but don't become so rigid with food that you create emotional issues. You want her to have a normal childhood but the obsession over preventing complications can stand in the way of creating a "normal" environment. It's all a balancing act and it sounds like you're doing a really good job.
I think this is a great response.
I would add, if it is possible give your daughter as much control and autonomy in managing her diabetes as possible. At 9 they are quite independent little people. Make this something she manages with your help rather than something that is imposed on her and she has to go along with. She and you could research on this and make it a special project so that she fully understands the whats and whys of management (age appropriately).
Maybe also set up a reward system that such that if she achieves mutually agreed goals for a certain period of time she will then get something / or get to do something special.
I just checked my pump to see how many carbs I eat in a day, man it is a lot, but I believe what I have learned and why I think I am low carbing, is that I avoid carbs that I know will result in a definite high (and a long lasting high.)
Autonomy is important for many reasons. Before you know it, she is going to be staying away from home for stretches of time, whether she's staying after school for activities or hanging with friends. You need to make sure that she knows how to handle her diabetes in those settings without your guidance. At her age, she should definitely be operating the pump herself (under your supervision). Also, things happen and (I think) as a parent it would be reassuring to know that if you were separated from her for any reason (i.e., she got lost in a mall or you were hospitalized for a period of time) that she could take care of herself.
yes she know hows to give herself boluses, she knows how to get info from the pump!! but she doesnt know how to change her pump, nor does anyone else in my household know... whick i know needs to change, and soon enough she will be able to change it hersef!! I do take alot of the responsiblity and I think thats the control freak in me.... but I know I have to make some changes!! but right now in my household theirs alot going on... So as soon as evertyhing stablaizes assuming it does I will need to teach others how to change her pump!!!!!!
My daughter is 7 years old and is always hungry; especially for carbs. I have to say that the lunch you describe sounds really similar to what we feed my daughter, although Vivian would usually even add a fruit to that for a typical lunch of 60-80 carbs total. Those A1C's also sound great for a child as well. My daughters have always been in the 7's. I should proably be asking you for advice! But I will go ahead and share with you my latest strategy for my daughter's meals.
My latest strategy is to focus on food groups. I talk to her about how it is important to eat some fruits, vegetables, meats, dairy. If she eats a meal and is still hungry (which is about half the time) I ask her to pick something from a food group that she did not eat already (I leave out the sweets food group altogether for meals). This typically leaves her with only really healthy options. This gives her some choices so she doesn't really complain or try to talk me into non-healthy food like she used to.
As she gets older we may decide together to decrease carb intake, but right now I am just trying to strike a balance between keeping her healthy and letting her be a kid. I think it is important for her to be educated about her disease, so I will continue to teach her about how food (as well as other factors). With this knowledge she may decide to go on a lower carb diet at some point (which I would completely support), but I want to wait until she has some understanding and say in the matter. I am hopeful that with this approach, she will be a little less likely to rebel once she is out of the house.
I wish you and your daughter the best!!