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?
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 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!!!!!!