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 dunno if A1C is the "target" as much as the result of all the other targets added together and adjusted for the vagaries of the data reporting. I agree the overall BG goal should be sort of conservative. One way to smooth out the curves and reduce the margins of inevitable errors would be to cut out some of the carbs?
If your ratio were 10G/U and you eat 60G of carbs, the chances of the food being exactly 60 are sort of slim, as there might be a big piece of meat (+3G) or a bubble in the bread (-2G) or junior might peel the crust off (my kid does this @ 13, it drives me nuts, I save it for some other battle...), maybe -5G? I think a little bit off can really give the insulin some "teeth" and drive it down or help the carbs blow up an afternoon number. By eating a few less carbs, maybe 45G of carbs, not exactly "starving" (inevitable kid complaint...), the there's only 4.5U of insulin so there's not as many teeth to "bite", as it were?
Aimee: wow about the paramedics, we have not had that at school luckily... and she has been as low as a 29 while at school and she was ok, she was pale and shaky but awake and talking!!! she seemed fine, dont know for how long she would have stayed fine! is your daughter newly DX? my daughter started realizing her lows really early on, some dont though, my daughter as well has dropped quickly too, sometimes even if she has been very active in a day it will linger all day and sometimes into the next day, and make her #s low. Im having a hard time going back to work, I just coincedently was laid off 4 months before she was hospitalized, and now its getting to the end of my unemployment and I need to go back to work, I have been looking but no luck! Im not sure how I can with her Diabetes,And most daycares are not qualified to have a type1 in there daycare. now do i want someone elses maintaining it... I need it maintained like I would so later on she dont have problems due to the lack of care. eventually she will be able to all of it but for now she dont. do you feel the same about working? well anyways good luck to you!
When she was hospitalized they had her on a 60 carb or less meal plan, And she ate hotdogs, pizza, mac and cheese, basically whatever, as long as it was 60 or under.... its kinda hard when from the get go u are taught its ok for this or that....and i thought A1C is good under 7 ? for diabetic...? its been about a year and a half.... so its a long learning process....I think ill try to start lowering the carb amount per meal.... thanks for the input...also my son is 18 and has always been a very picky eater... always and one day I hope that changes but it hasnt yet.... so its very very very hard grocery shop.... hes so picky he wont eat anything new..... so its hard to tell him to bad we cant have this food in the house anymore..... I almost need a cabinet for him and fridge with a lock...... RRGGGG..... frustrating...
With Diabetes, less is best, less carbs, less insulin equals better control and less roller coasters.
many people eat carbs (and not less carbs) and take insulin. that's best for you, not for everyone else and certainly not for a growing, young child.
Right on! There is a reason that there are pediatric endocrinologists. Kids have different needs than adults and trying to treat a young child just like an adult is just wrong headed.
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?