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  Back to Chat Transcripts Food Matters: Restaurant Eating

Food Matters: Restaurant Eating: Focus on Fast Foods
With Hope Warshaw from September 25, 2000

Chat Room Administrator chat@childrenwithdiabetes.com (206.112.197.133) Mon Sep 25 2000 20:45:14 Eastern US
The 'Food Matters' chat room is now open.


Mon Sep 25 2000 20:54:14 Eastern US
chick29420 (13) from 205.188.200.59
hello

Mon Sep 25 2000 20:54:43 Eastern US
chick29420 (13) from 205.188.200.59
anyone e-mail viper bite2000

Mon Sep 25 2000 20:55:59 Eastern US
Jeff Hitchcock (Marissa, 13, dx'd @ 24 months, pumping) from 206.112.197.133
I'm here ... expecting Hope at 21:00.

Mon Sep 25 2000 20:57:02 Eastern US
HopeW (Chat Host) from 205.188.192.22
Hi, I'm on and waiting.

Mon Sep 25 2000 20:58:02 Eastern US
BettyB from 205.188.196.23
Hi Hope -- just a little moral support. Are you ready to dazzle?

Mon Sep 25 2000 20:58:15 Eastern US
Caitlin (15yr old girl, dx'd at 3, pumping sicne '98) from 152.163.205.73
hello everyone

Mon Sep 25 2000 20:58:38 Eastern US
Jeff Hitchcock (Marissa, 13, dx'd @ 24 months, pumping) from 206.112.197.133
Good evening Hope and Betty! Thanks Hope for joining us.

Mon Sep 25 2000 20:59:08 Eastern US
Maryann (michigan) (Jill 15, dx'd 96, pumping) from 63.23.174.67
Hi, I was wondering what your feelings are about diets of type 1 verses type 2. I feel their needs are much different

Mon Sep 25 2000 20:59:18 Eastern US
BettyB from 205.188.196.23
Hi Caitlin - welcome

Mon Sep 25 2000 20:59:55 Eastern US
HopeW (Chat Host) from 205.188.192.22
Ready and waiting. My clock just struck 9:00, guess we'll begin.

Mon Sep 25 2000 20:59:56 Eastern US
Jeff Hitchcock (Marissa, 13, dx'd @ 24 months, pumping) from 206.112.197.133
Hope, I've just let everyone in the Parents room know you're here. We should get a crowd here soon.

Mon Sep 25 2000 21:00:16 Eastern US
HopeW (Chat Host) from 205.188.192.22
Related to our topic of Eating Fast Food - Healthfully, what do people want to know/discuss?
What do you need help with?

Mon Sep 25 2000 21:00:20 Eastern US
Caitlin (15yr old girl, dx'd at 3, pumping sicne '98) from 152.163.205.73
i am not really on any type of meal plan, and i never erally have been...just count carbs and try to eat healthy

Mon Sep 25 2000 21:01:45 Eastern US
HopeW (Chat Host) from 205.188.192.22
Caitlin - what are your choices in fast food restaurants? How do you calculate the carb content of various foods?

Mon Sep 25 2000 21:03:14 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 205.188.192.187
hi. Everytime we eat out, I can never get the carb counting right...my daughter always ends up high afterwards. Any suggestions?

Mon Sep 25 2000 21:03:35 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Hope, Although I enjoyed your book, I found that it was lacking enough information. Although it was nice to see the recommended Healthy Foods from restaurants, most of us have kids who don't always choose the healthiest. Do you have plans to do a revised edition with more of the "junk" foods our kids eat.

Mon Sep 25 2000 21:04:00 Eastern US
HopeW (Chat Host) from 205.188.192.22
Anyone else want to respond to my question to Caitlin?

Mon Sep 25 2000 21:04:44 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Ever since the web site gathering in Orlando, our biggest challenge is in determining how many carbs in a Shirley Temple. They come in various sizes and rarely with diet Sprite or Ginger Ale, whatever it is. LOL

Mon Sep 25 2000 21:04:59 Eastern US
Sally/MI (Nora,) from 207.75.176.176
Hi :-)

Mon Sep 25 2000 21:05:41 Eastern US
BettyB from 205.188.196.23
Kelly - do you think you're not counting the carbs right or is it a matter of having the right amount of inslin for what you counted or something else?

Mon Sep 25 2000 21:05:49 Eastern US
Kristy (Drew 7yrs dx @ 3, pumping 3+years) from 199.174.147.217
I need to be here as my family eats out a lot!!

Mon Sep 25 2000 21:06:12 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Hope, I often use Fast Food Facts when we go out, but your book lists many more restaurants. And, you still have a guess a bit when you get the McD's burger PLAIN vs. fully loaded.

Mon Sep 25 2000 21:06:13 Eastern US
Judy from NY (Elissa..age19..2nd year of college...pumping 15 years) from 24.161.8.110
I find Chinese food the most difficult to "guesstimate"

Mon Sep 25 2000 21:06:18 Eastern US
Kathy (MI) (Allie, almost 8, pumping) from 216.93.54.81
I guess I will join you guys, too.

Mon Sep 25 2000 21:06:24 Eastern US
Lisa from 205.188.192.37
Hello

Mon Sep 25 2000 21:06:34 Eastern US
Sally/MI (Nora,) from 207.75.176.176
There are so many good reference books on food counts out these days, I feel like the tools are there for people to use to count carbs. I also like the "carb factors" from the Pocket Pancreas :-)

Mon Sep 25 2000 21:06:48 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 205.188.192.187
it's very difficult for me to count correctly in a restaurant. When I am at home, I have all the info I need, right on the boxes. Out in a restaurant, I have a book, but it doesn't seem to help. And ketchup is a real killer!

Mon Sep 25 2000 21:07:03 Eastern US
Lisa (Chapman 7, dx'd 5/97) from 205.188.192.37
I thought after Jeff reminded us several times it was a hint to hop over here!!! lol

Mon Sep 25 2000 21:07:12 Eastern US
HopeW (Chat Host) from 205.188.192.22
Shirley Temple - my best recall on a Shirley Temple is it is regular soda, a bit of Grenadine (sugary red syrup) and a cherry. Someone is clearly mixing this drink up for you. You can certainly ask for it to be made with a diet soda. The grenadine is concentrated sugar, but a bit is OK.

Mon Sep 25 2000 21:07:33 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Kelly, I would think Marley is quite a challenge because she probably eats a much smaller portion than is listed in any book.

Mon Sep 25 2000 21:07:37 Eastern US
Judy from NY (Elissa..age19..2nd year of college...pumping 15 years) from 24.161.8.110
If you know what you might order ahead of time, cyberdiet has many, many listings

Mon Sep 25 2000 21:08:02 Eastern US
HopeW (Chat Host) from 205.188.192.22
What books are you using Kelly? Why don't you feel they help?

Mon Sep 25 2000 21:08:05 Eastern US
Sally/MI (Nora, 6, dx @ 4) from 207.75.176.176
... I really should start counting ketchup!! Its one of Nora's favorite foods :-o

Mon Sep 25 2000 21:08:12 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Unfortunately, most restaurants DO NOT have diet soda, except for Coke or Pepsi.

Mon Sep 25 2000 21:08:48 Eastern US
Amy in VA from 207.172.11.147
any suggestions on the carb values on the large bagels from Giant?

Mon Sep 25 2000 21:08:49 Eastern US
HopeW (Chat Host) from 205.188.192.22
Agree - Cyberdiet is a good website resource. In addition ediets is a new to me website that seems to have a good data base of offerings.

Mon Sep 25 2000 21:08:57 Eastern US
BettyB from 205.188.196.23
So what would you guess on the carb count for the Shirley Temple, Hope -- with diet and with regular -- say grams per 8 oz?

Mon Sep 25 2000 21:09:39 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 205.188.192.187
she eats much smaller portions and doesn't eat everything on her plate. she grazes..a bite here, a bite there, so it's hard to guess how many carbs are in three bites of peas and six bites of chix nuggets.

Mon Sep 25 2000 21:09:42 Eastern US
Kristy (Drew 7yrs dx @ 3, pumping 3+years) from 199.174.147.217
I have found the book, Food Values of Portions Commonly Used is by far a wonderful resource..although a bit large to put in my purse to take in a restaurant..LOL

Mon Sep 25 2000 21:10:03 Eastern US
Lisa (Chapman 7, dx'd 5/97) from 205.188.192.37
We have started requesting diet dr. pepper, diet sprite etc. everywhere we go and make sure to send a request to the manager of the restaurant. It may work in time if enough people do it.

Mon Sep 25 2000 21:10:03 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Hello! We have 3 or 4 carb counting books...Hope, what is the name of your book...sorry...missed that info earlier...

Mon Sep 25 2000 21:10:15 Eastern US
HopeW (Chat Host) from 205.188.192.22
Carb values on bagels - funny you should ask. In my work to develop the ADA Guide to Healthy Restaurant Eating I discovered how many grams of carb in bagels - oh my!! It's about 50-75 for most bagels - that's equal to 3-5 slices of bread!!

Mon Sep 25 2000 21:10:25 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Betty, I think the last one Marissa had (with 3 cherries in it) was about 12 oz. including ice. I think I had her cover it with 3 units, which covers about 40g carbs.

Mon Sep 25 2000 21:11:05 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
I stick with the frozen bagels that have the carb count on the package. I think they are 26g per plain bagel.

Mon Sep 25 2000 21:11:16 Eastern US
HopeW (Chat Host) from 205.188.192.22
Books - I have written two books about healthy restaurant eating - Guide to Healthy Restaurant Eating, American Diabetes Association and
The Restaurant Companion: A Guide to Healthier Eating Out, Surrey Books. For more info go to my website www.hopewarshaw.com

Mon Sep 25 2000 21:11:36 Eastern US
Sally/MI (Nora, 6, dx @ 4) from 207.75.176.176
How'd that work out, Brenda? Shirley Temples are a treat for my girls, too.

Mon Sep 25 2000 21:12:04 Eastern US
Lisa (Chapman 7, dx'd 5/97) from 205.188.192.37
How do you count carbs with chicken fingers/nuggets? It is a very popular food for children of all ages.

Mon Sep 25 2000 21:12:08 Eastern US
Amy in VA (Pump) from 207.172.11.147
Hope, it's a lot, but if half a bagel goes with protein for dinner, it's not so large:-)

Mon Sep 25 2000 21:12:14 Eastern US
HopeW (Chat Host) from 205.188.192.22
A trick I've been teaching people about bagels, at least if you are eating them at home, is buy good bagels, and cut them in thirds. That way you get two pieces, but about 15 grams less carb.

Mon Sep 25 2000 21:13:32 Eastern US
HopeW (Chat Host) from 205.188.192.22
For chicken nuggets, the carb count should be easy enough to find. Look in some resources or books that have the nutrition info for these items. If you are eating them in a restaurant without the info, take an average of the ones that do have counts.

Mon Sep 25 2000 21:13:49 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 205.188.192.187
Perdue makes a package = 5 nuggets=15 carbs I think. I try to go by that when I am out. Of course, ketchup throws us off everytime.

Mon Sep 25 2000 21:14:10 Eastern US
Kristy (Drew 7yrs dx @ 3, pumping 3+years) from 199.174.147.217
Hope, I work for ADA. I just gave away a copy of your Guide to Healthy Restaurant Eating to a raffle winner at a health fair. She was so excited to recieve your book:-)

Mon Sep 25 2000 21:14:14 Eastern US
Lisa (Chapman 7, dx'd 5/96) from 205.188.192.37
I thought you could just tell us Hope.

Mon Sep 25 2000 21:14:19 Eastern US
Betty B from 205.188.196.58
Sounds about right to me, Brenda. I'd guess about 100 calories or 25 grams per 8 oz made with real soda

Mon Sep 25 2000 21:14:41 Eastern US
HopeW (Chat Host) from 205.188.192.22
About chicken nuggets - whose are you eating and I'll tell you the count.

Mon Sep 25 2000 21:14:58 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Sally, I think that was the right amount, but Marissa seems to have only bolused 2 instead of 3 according to my notes and was 212 3 hrs. later. So, it must be about 40-45g. per 12 oz with 3 cherries.

Mon Sep 25 2000 21:15:11 Eastern US
Lisa (Chapman 7, dx'd 5/96) from 205.188.192.37
Either McDonalds, or Wings restaurant

Mon Sep 25 2000 21:15:29 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Hope, any idea how many carbs are in the Hershey pie slices (individual box) from Burger King? The don't list it in their nutrition info sheet....

Mon Sep 25 2000 21:15:57 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
oops, The = They

Mon Sep 25 2000 21:16:10 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 205.188.192.187
I never heard of the pie slices at Burger King...sounds delicious. LOL

Mon Sep 25 2000 21:16:23 Eastern US
HopeW (Chat Host) from 205.188.192.22
15 g carb in 6 piece McD's. Just looked it up in my book.

Mon Sep 25 2000 21:16:27 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Kathy, have you tried www.burgerking.com? Last time I checked, I couldn't find their mini pancakes, but they did have an extensive list on their site.

Mon Sep 25 2000 21:17:07 Eastern US
Linda/UT from 216.190.28.33
I think McD's is the best having carb info available. Other places seem more concerned about fat content instead of carbs.

Mon Sep 25 2000 21:17:09 Eastern US
Lisa (Chapman 7, dx'd 5/96) from 205.188.192.37
Thanks for the info Hope. How do we get more information on your books?

Mon Sep 25 2000 21:17:12 Eastern US
Maryann (michigan) (Jill 15, dx'd 96, pumping, husband type 2) from 63.23.174.67
Hope, are your books more geared toward reg restarants? and not junk food eating? I think us moms are pretty used to trying to figure out what the junk food ads up to, and then we feed reg food when home

Mon Sep 25 2000 21:17:28 Eastern US
HopeW (Chat Host) from 205.188.192.22
Sounds like Hershey pie slices is new. Can you describe further?

Mon Sep 25 2000 21:17:54 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Brenda, did check their web site, but no info on the pie....I'll check my book for you...I might have the mini pancake info...

Mon Sep 25 2000 21:18:05 Eastern US
Judy from NY (Elissa..age19..2nd year of college...pumping 15 years) from 24.161.8.110
Hershey pie has been around for a couple of years

Mon Sep 25 2000 21:18:05 Eastern US
HopeW (Chat Host) from 205.188.192.22
What do you consider "junk food?"

Mon Sep 25 2000 21:18:15 Eastern US
Maryann (michigan) (Jill 15, dx'd 96, pumping, husband type 2) from 63.23.174.67
oh, the drumstick flurries are YUMMY!!

Mon Sep 25 2000 21:18:48 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Maryann--We have the Guide to Healthy Rest. Eating and Hope lists the recommended "healthier" foods. It's a good book, but lacking in all the doughnuts and milkshakes we consider junk!

Mon Sep 25 2000 21:19:05 Eastern US
Betty B from 205.188.196.58
There are links to Hopes' books in her biography and the information page that were posted for the chat tonight,Lisa.

Mon Sep 25 2000 21:19:15 Eastern US
Maryann (michigan) (Jill 15, dx'd 96, pumping, husband type 2) from 63.23.174.67
oh there are a few less junky foods at mcdonalds and burgerking, but don't all kids go for fries and shakes, and burgers?

Mon Sep 25 2000 21:19:16 Eastern US
Linda/UT from 216.190.28.33
Do you have some general rule of thumb ideas for counting carbs?

Mon Sep 25 2000 21:19:31 Eastern US
HopeW (Chat Host) from 205.188.192.22
Drumstick Flurries - is this chicken orice cream?

Mon Sep 25 2000 21:20:14 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Hope, it sort of has an oreo cookie crust...made by Edwards baking in Atlanta for Burger King....check Edwards Baking sight also...no luck..

Mon Sep 25 2000 21:20:25 Eastern US
Maryann (michigan) (Jill 15, dx'd 96, pumping, husband type 2) from 63.23.174.67
I can also talk till I am blue in the face and my husband will not eat the more healthy stuff!! and those salads in a plastic glass are the stuppidest invention ever!!

Mon Sep 25 2000 21:20:33 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
Hi all - just dropped in here - hope - we don't have problems with the major chains - most seem to be very responsive with either in-house nutrition guides or website info. But, we do have problems sometimes getting information from smaller chains - for example a local chain of pancake houses where we love to eat has an apple pancake that allie really likes - and we can't seem to get any sort of carb count out of them.....

Mon Sep 25 2000 21:21:18 Eastern US
HopeW (Chat Host) from 205.188.192.22
Rule of thumb for counting carbs? You need to have the carb count of foods - when it comes to restaurant foods, you can get the exact info on some items and then take your best guess from what you've learned from nutrition labels, etc.

Mon Sep 25 2000 21:21:28 Eastern US
Maryann (michigan) (Jill 15, dx'd 96, pumping, husband type 2) from 63.23.174.67
flurry has sugar cone bits and stuff like an icecream drumstick

Mon Sep 25 2000 21:21:33 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
I don't know what Drumstick Flurries are either! LOL
I must correct my earlier statement--Hope's book does indeed include a lot of JUNK food. It must not have listed something in particular that I was trying to find one night. I think it was a milkshake at TGIFriday's.

Mon Sep 25 2000 21:22:13 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Now, I get it Maryann. After all the nuggets talk, I had visions of ground up chicken in ice cream. LOL

Mon Sep 25 2000 21:22:51 Eastern US
HopeW (Chat Host) from 205.188.192.22
I agree with Steve. I've found many major national fast food chains have been somewhat forced into giving their info. The chains that I found the worst was the family style - Friday's, Outback, Chili's etc. They didn't want to tell.

Mon Sep 25 2000 21:22:53 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
and that;s just what we do, hope - and usually allie guesses a lot better than Lori or I do

Mon Sep 25 2000 21:23:08 Eastern US
Linda/UT from 216.190.28.33
Our dietician told us that a very gerneral (not necessarily totally accurate)would be 1oz bread=15 grm carb 1oz cake, cookies etc.=30 grm. How accurate do you think that is?

Mon Sep 25 2000 21:24:02 Eastern US
HopeW (Chat Host) from 205.188.192.22
Linda - that sounds like a reasonable approximation.

Mon Sep 25 2000 21:25:02 Eastern US
HopeW (Chat Host) from 205.188.192.22
Are there any fast foods/meals people have found surprisingly escalate their BG?

Mon Sep 25 2000 21:25:07 Eastern US
Maryann (michigan) (Jill 15, dx'd 96, pumping, husband type 2) from 63.23.174.67
I would find it helpful to know what an ounce of sugar has for carbs.

Mon Sep 25 2000 21:25:18 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 205.188.192.187
and approximately how big is one ounce?

Mon Sep 25 2000 21:25:47 Eastern US
Maryann (michigan) (Jill 15, dx'd 96, pumping, husband type 2) from 63.23.174.67
onion rings!! our dietician obviously never had any big juicy ones like we like!

Mon Sep 25 2000 21:26:16 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
CHINESE!!!!!

Mon Sep 25 2000 21:26:33 Eastern US
HopeW (Chat Host) from 205.188.192.22
Someone mentioned ketchup a while ago. If you or your child is going to use a good bit of ketchup, barbecue sauce, honey mustard sauce, etc - sugar based sauce, then you'll need to figure some insulin for this.

Mon Sep 25 2000 21:26:49 Eastern US
BabyShelly from 24.28.1.129
french fries

Mon Sep 25 2000 21:27:20 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Yeah-Marissa loves french fries.

Mon Sep 25 2000 21:27:22 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
Allie has to add about 33% to the bolus for the amount of apparent carbs in the meal - then ups her basal by 50% for four hours afterwards

Mon Sep 25 2000 21:27:26 Eastern US
Kristy (Drew 7yrs dx @ 3, pumping 3+years) from 199.174.147.217
My son has a few fries usually with a plate full of ketchup..how many carbs in one little pack?

Mon Sep 25 2000 21:27:28 Eastern US
HopeW (Chat Host) from 205.188.192.22
Chinese - you are not alone. I think that is for a couple of reasons - rice, sauces that contain sugar.

Mon Sep 25 2000 21:27:44 Eastern US
Linda/UT from 216.190.28.33
Chinese and pizza..hard to plan insulin for us. Those two seem to stay in their bodies forever and need a lot more insulin that I ever imagine!

Mon Sep 25 2000 21:27:46 Eastern US
BabyShelly from 24.28.1.129
how do you figure out insulin if you are going to eat something sweet?

Mon Sep 25 2000 21:28:17 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Pizza will escalate b/s...have to give extra insulin for all the cheese & fat!

Mon Sep 25 2000 21:28:23 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
and cornstarch in the sauce, too

Mon Sep 25 2000 21:28:29 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 205.188.192.187
Kristy, one package is about 1 Tablespoon, which equals 4 grams.

Mon Sep 25 2000 21:28:53 Eastern US
HopeW (Chat Host) from 205.188.192.22
One tbsp of ketcup is 4 grams of carb. So about 3 tbsp of ketchup = 1 starch or carb serving.

Mon Sep 25 2000 21:29:11 Eastern US
HopeW (Chat Host) from 205.188.192.22
Good - consensus on ketchup.

Mon Sep 25 2000 21:29:21 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
and don't forget new york bagels (not thomases or lender's - the real ones) - run about 20CHO to the ounce by weight - an egg bagel at our local bagel shop weighs almost 7 oz - 140CHO for a single bagel!!!!!!!

Mon Sep 25 2000 21:29:48 Eastern US
Kristy (Drew 7yrs dx @ 3, pumping 3+years) from 199.174.147.217
Pizza is a challenge for us also..even with the pump..it is still a food we rarely eat at dinner..runs him high all night..

Mon Sep 25 2000 21:30:35 Eastern US
Shannon from 152.163.207.72
I just popped on, My son was just dx. 7/00, age almost 3. When will I get the hang of all this. The nutritionist they sent in at hosp. had no info. because there's no strict meal plan?

Mon Sep 25 2000 21:30:39 Eastern US
HopeW (Chat Host) from 205.188.192.22
Pizza is an interesting one. In fact, there actually was a study or two done that look at the glycemic effect of pizza. They showed a delayed effect of BG rise - meaning didn't rise as quickly. Probably is the higher fat content, but might be other factors as well.

Mon Sep 25 2000 21:30:49 Eastern US
Linda/UT from 216.190.28.33
Ouch Steve!

Mon Sep 25 2000 21:31:01 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Marissa doesn't eat pizza. How do toppings affect people? Do things like pepperoni, sausage and other high fat items contribute?

Mon Sep 25 2000 21:31:02 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Pizza is a good meal if they're going out with friends to a dance, football game, etc., don't have to worry so much about a low!!

Mon Sep 25 2000 21:31:44 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
actually - and this is the wonderful thing about diabetes - NOT!!!!! - pizza doesn't spike allie - we just count 40CHO/slice and that works

Mon Sep 25 2000 21:31:58 Eastern US
HopeW (Chat Host) from 205.188.192.22
Shannon you do need some guidelines, like how much insulin for how much carb, you need some resources. Certainly you've come to a good place for support on this website.

Mon Sep 25 2000 21:32:18 Eastern US
Kristy (Drew 7yrs dx @ 3, pumping 3+years) from 199.174.147.217
Pizza is also a good meal for the nights you leave your kids with a babysitter. I can be assured that Drew will not go low on pizza night!

Mon Sep 25 2000 21:32:41 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
We count 40 grams too, Steve....we don't buy deep dish....it's even more carbs!

Mon Sep 25 2000 21:33:23 Eastern US
Shannon from 152.163.207.72
Any general guidelines you have to offer & when approx.& when will I get this all down?

Mon Sep 25 2000 21:33:59 Eastern US
HopeW (Chat Host) from 205.188.192.22
People who are on pumps. Do you use extra insulin when you eat pizza? Or do you use a longer duration of insulin delivery?

Mon Sep 25 2000 21:34:42 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Shannon, Marissa has had diabetes for over 11 years and we are still learning. After a while you get to know about certain foods, then your child will change his/her eating habits!

Mon Sep 25 2000 21:34:50 Eastern US
Kristy (Drew 7yrs dx @ 3, pumping 3+years) from 199.174.147.217
I have found that using extra insulin to cover the pizza results in a low..best to do a square wave to cover pizza intake!

Mon Sep 25 2000 21:34:53 Eastern US
BabyShelly from 24.28.1.129
is anyone having weight problems? my doctor put me on a 1000 calorie diet b/c i gained a lot of weight after being diagnosed.
how safe is a 1000 calorie diet b/c i feel like i am not eating anything.

Mon Sep 25 2000 21:35:12 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
nope to the extra insulin for pizza for allie - but i KNOW that many people do......

Mon Sep 25 2000 21:35:17 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Shannon, did they teach you about counting carbs?

Mon Sep 25 2000 21:35:33 Eastern US
HopeW (Chat Host) from 205.188.192.22
Shannon - I would encourage you to seek out a diabetes nutrition educator who works with young children with diabetes. There's lots of help out there for you if you get to the right person. Also books. Look on the website for Sweet Kids.

Mon Sep 25 2000 21:35:44 Eastern US
Linda/UT from 216.190.28.33
We use extra insulin for french fries and pizza...Pizza is one of those things we used to give R for...worked really well

Mon Sep 25 2000 21:36:48 Eastern US
HopeW (Chat Host) from 205.188.192.22
Linda - you no longer use R because you use H - lispro?

Mon Sep 25 2000 21:36:55 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Linda--how is your new daughter doing with her adjustment to American food? Linda and her family adopted a Russian girl, age 11, I think this past summer (or was it earlier?? time flies).

Mon Sep 25 2000 21:38:16 Eastern US
Linda/UT from 216.190.28.33
Kim is on a pump and Alla is working toward a pump

Mon Sep 25 2000 21:38:43 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Does Alla eat a lot of "junk" food and how are her BG's doing?

Mon Sep 25 2000 21:39:15 Eastern US
Shannon from 152.163.207.72
No, not really! Just very general.But, I know I'm basically hitting the target with calories & the servings & carbs. But I want specifics. I have the book Sweet Kids...read it, it was very helpful. I've read alot since July.Can you give me a general idea how many carbs a meal & for snacks to aim for?

Mon Sep 25 2000 21:39:49 Eastern US
Linda/UT from 216.190.28.33
Gosh, her bgs are so all over the place Brenda. she does love junk food...eats pizza every day for lunch at school.

Mon Sep 25 2000 21:40:22 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
shannon - sorry i missed it earlier - how old is your child and when dx'd?

Mon Sep 25 2000 21:40:39 Eastern US
HopeW (Chat Host) from 205.188.192.22
Shannon - it is too difficult in this setting to give numbers for a child I don't know anything about. Cal and carb needs need to be individualized.

Mon Sep 25 2000 21:41:19 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
Our biggest problem right now is getting her to understand the correlation of carbs to insulin...

Mon Sep 25 2000 21:41:42 Eastern US
HopeW (Chat Host) from 205.188.192.22
Can some of you experts out there give Shannon some tips about where to get some good information.

Mon Sep 25 2000 21:42:00 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Shannon, I don't have any idea how many carbs a 3 year old should have each day....can you call your Doctor's office and have them hook you up with a nutritionist/dietician?

Mon Sep 25 2000 21:42:25 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.74.3
shannon - you would have to get that info from your endo or CDE - they have designed your child's insulin dose to match a certain amount of carbs at meals and snacks

Mon Sep 25 2000 21:42:35 Eastern US
HopeW (Chat Host) from 205.188.192.22
Linda - I gather you have a daughter who has diabetes and you adopted a girl with diabetes?

Mon Sep 25 2000 21:42:40 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 205.188.192.187
carbs a 3 year old "should have" and "will have" are two different stories.

Mon Sep 25 2000 21:42:54 Eastern US
Shannon from 152.163.207.72
oh okay...thanks! Steve, my son will be 3 next week & he was dx. in July.

Mon Sep 25 2000 21:43:15 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Very true, Kelly!

Mon Sep 25 2000 21:43:31 Eastern US
sharon (2 kids with D) from 165.247.43.29
hi all

Mon Sep 25 2000 21:43:46 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Hi Sharon...

Mon Sep 25 2000 21:44:26 Eastern US
sharon (2 kids with D) from 165.247.43.29
hi kathy, how are you?

Mon Sep 25 2000 21:44:44 Eastern US
HopeW (Chat Host) from 205.188.192.22
I'm encouraging you to give Shannon more general info - like where to find help, how to get to a specialist, etc.

Mon Sep 25 2000 21:45:09 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Doing OK, Sharon...how about you?

Mon Sep 25 2000 21:45:21 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
Yes Hope...it's been interesting. Kim was dx'd at 9 and actually listened to me for the first 2 years...Alla has had D since she was 5 and is still afraid to trust me completely with figuring her insulin dose

Mon Sep 25 2000 21:46:19 Eastern US
sharon (2 kids with D) from 165.247.43.29
feeling a bit lousy, daughter has bronchitis & i must have caught something from her, but otherwise ok, thanks

Mon Sep 25 2000 21:46:53 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Shannon, might try calling your local ADA office also...pediatrician, endo, nurse...

Mon Sep 25 2000 21:47:00 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
Plus, in Russia Alla tested 3x's a week and here she's testing 5x's a day. but I really believe that H has been a god-send to all of us dealing with D

Mon Sep 25 2000 21:47:24 Eastern US
HopeW (Chat Host) from 205.188.192.22
Any other fast food questions out there?

Mon Sep 25 2000 21:47:57 Eastern US
Shannon from 152.163.207.72
I'm looking into a Youth Seminar in my area that is educating in carbs., etc. It's in Oct.

Mon Sep 25 2000 21:48:36 Eastern US
HopeW (Chat Host) from 205.188.192.22
Good Shannon.

Mon Sep 25 2000 21:48:58 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Hope, do you know the carbs in a TJ Cinnabun?

Mon Sep 25 2000 21:49:16 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
or is it cinnabon?

Mon Sep 25 2000 21:49:40 Eastern US
sharon (2 kids with D) from 165.247.43.29
lol kathy. we stopped eating those when gabi was dx. i would guess about 7 million, give or take...

Mon Sep 25 2000 21:49:52 Eastern US
sharon (2 kids with D) from 165.247.43.29
cinnabon. yum.

Mon Sep 25 2000 21:50:11 Eastern US
HopeW (Chat Host) from 205.188.192.22
I don't know the carbs off hand of a Cinnabun. But let me toss out a guess - at least 90!!

Mon Sep 25 2000 21:50:19 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Kathy--probably 600!

Mon Sep 25 2000 21:50:34 Eastern US
HopeW (Chat Host) from 205.188.192.22
My suggestion on a Cinnabun - split it.

Mon Sep 25 2000 21:50:43 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
The mall sells them....also Arby's....7 million sounds about right to me also! LOL

Mon Sep 25 2000 21:50:48 Eastern US
Connie(BC) (T 1) from 207.194.24.83
hello. I see I'm late again.....

Mon Sep 25 2000 21:50:51 Eastern US
Shannon from 152.163.207.72
I read & I look into anything I can get into to educate myself & my family. I want to learn as much as possible & keep on top of things!

Mon Sep 25 2000 21:51:02 Eastern US
susanne (Mary 8 pumping 3 months) from 207.89.168.28
evening everyone. Finally the kids are in bed.

Mon Sep 25 2000 21:51:11 Eastern US
sharon (2 kids with D) from 165.247.43.29
they do have the small cinnabons too

Mon Sep 25 2000 21:51:21 Eastern US
sharon (2 kids with D) from 165.247.43.29
hi susanne

Mon Sep 25 2000 21:51:32 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Hope, I was guessing approximately 75...not too far off!

Mon Sep 25 2000 21:51:44 Eastern US
HopeW (Chat Host) from 205.188.192.22
That's good to know. Do you know the carbs on them?

Mon Sep 25 2000 21:51:46 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
where can we get a copy of your book Hope?

Mon Sep 25 2000 21:51:50 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Hi Susanne...

Mon Sep 25 2000 21:52:16 Eastern US
sharon (2 kids with D) from 165.247.43.29
maybe 3 million?

Mon Sep 25 2000 21:52:17 Eastern US
Shannon from 152.163.207.72
Hope- I know fast food isn't good & we don't get it often, but sometimes he asks fo Burger King, ham. & fries, no ketchup. What does that come out to be?

Mon Sep 25 2000 21:52:27 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Shannon, the best we all SHOULD do is feed our children lower fat foods from all the food groups. Of course, they usually don't eat that way. Our non-D 6 yr. old carb loads at every meal, skipping almost all the other food groups. I try to offer them, but....

Mon Sep 25 2000 21:53:05 Eastern US
susanne (Mary 8 pumping 3 months) from 207.89.168.28
Reading back I saw that everyone was trying to figure out pizza. We USED to give a unit of regular and counted carbs with Humalog. Now that we are pumping I still have not figured out how to cover pizza.

Mon Sep 25 2000 21:53:07 Eastern US
HopeW (Chat Host) from 205.188.192.22
Is that a kid's meal?

Mon Sep 25 2000 21:53:52 Eastern US
Shannon from 152.163.207.72
Yes, it is.

Mon Sep 25 2000 21:53:59 Eastern US
Connie(BC) (T 1) from 207.194.24.83
Me either Susann, pizza put me up to nearly 500 the other night!!

Mon Sep 25 2000 21:54:06 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Hi Connie...didn't "see" you!

Mon Sep 25 2000 21:54:12 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Hope's book says 28g for the burger, 43g for Med. fries.

Mon Sep 25 2000 21:54:28 Eastern US
HopeW (Chat Host) from 205.188.192.22
BK hamburger is 28 g carb and medium FF is 43 g carb.

Mon Sep 25 2000 21:55:15 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
At least I know I was looking at the right thing, Hope. :-)

Mon Sep 25 2000 21:55:33 Eastern US
Connie(BC) (T 1) from 207.194.24.83
Does anyones have a problem with the "starchy" carbs like pizza and potatoes, carrots etc messing up you bgs at night?

Mon Sep 25 2000 21:55:34 Eastern US
sharon (2 kids with D) from 165.247.43.29
all this food talk is making me hungry! nite all, time for snack & bed

Mon Sep 25 2000 21:56:01 Eastern US
susanne (Mary 8 pumping 3 months) from 207.89.168.28
For fast food Mary does her best on soft chicken tacos at Taco Bell or sandwiches at Subway.

Mon Sep 25 2000 21:56:32 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Subway is supposed to be much lower in fat.

Mon Sep 25 2000 21:57:47 Eastern US
HopeW (Chat Host) from 205.188.192.22
Subway has done a nice job giving us some healthier choices - 6" sandwiches and whole grain bread. What's great about subs is they are made in front of you so you can ask for what you want and don't want.

Mon Sep 25 2000 21:59:04 Eastern US
Connie(BC) (T 1) from 207.194.24.83
Ellen mentioned something about Z not eating pizza for supper, so I looked back over all my #'s for the past 2 months, the only good nights I had were low carb suppers(green vegy), but if I eat high carbs for breakfast or lunch, I have very few problems.........

Mon Sep 25 2000 22:00:36 Eastern US
HopeW (Chat Host) from 205.188.192.22
Learn from what you observe. But recognize that if you take insulin, you need to learn to adjust insulin based on BG results and what you are going to eat.

Mon Sep 25 2000 22:01:23 Eastern US
Marlyn (Meghan; 15; dx'd @ 7; pump 11/99) from 216.160.141.165
We have found the same trend in Meghan's bgs Connie; high carbs seem to affect her more at night than during the day

Mon Sep 25 2000 22:01:43 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Hope, is your book recommended for people with Type 2? Seems like it should be.

Mon Sep 25 2000 22:02:16 Eastern US
Connie(BC) (T 1) from 207.194.24.83
Hope, 3 hours after I had eaten the slice of pizza with a square wave bolus of 10 over 1 hour, my bg was 86, byr 2 a m , 4 hours later it was nearly 500....go figure.....

Mon Sep 25 2000 22:02:58 Eastern US
susanne from 207.89.168.28
Yikes. Connie

Mon Sep 25 2000 22:03:10 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
That's exactly the kind of thing we've seen Connie. Pizzas the food that keeps on giving!

Mon Sep 25 2000 22:03:47 Eastern US
Connie(BC) (T 1) from 207.194.24.83
potatoe, carrots, turnip,corn, bread, they all do the same to me

Mon Sep 25 2000 22:04:29 Eastern US
HopeW (Chat Host) from 205.188.192.22
Most definitely. Let me wrap this up by telling you the titles of my two books again. Guide to Healty Restaurant Eating is published by ADA. It's the nutrition info for the foods in the to 60 chains in America - burgers, pizza, subs, etc. The Restaurant Companion is a book for everyone. It provides general info about eating healthy in just about any cuisine - Chinese, Middle Eastern, Japanese, Etc. For more about each book look on my website at www.hopewarshaw.com. Good night all. Thanks for joining.

Mon Sep 25 2000 22:05:20 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Again, for those who missed it. If you click on the Food Matters Chat link (next to Disney 2001), you can click on the book title to order it through www.amazon.com The ADA probably carries it as well.

Mon Sep 25 2000 22:05:27 Eastern US
susanne from 207.89.168.28
thank you Hope

Mon Sep 25 2000 22:06:00 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Thanks, Hope!

Mon Sep 25 2000 22:06:04 Eastern US
Brenda H. (Marissa, 13, dx'd at 24 mos.) from 10.0.1.3
Hope, on behalf of Jeff, we at childrenwithdiabetes thank you for taking the time to share your knowledge with us.

Mon Sep 25 2000 22:06:09 Eastern US
Marlyn (Meghan; 15; dx'd @ 7; pump 11/99) from 216.160.141.165
Thank you Hope :-)

Mon Sep 25 2000 22:06:25 Eastern US
Kathy/Ohio (Tom - 16, dx'd at age 9) from 64.24.102.206
Goodnight everybody!

Mon Sep 25 2000 22:06:31 Eastern US
Shannon from 152.163.207.72
Thanks Hope!

Mon Sep 25 2000 22:06:49 Eastern US
Connie(BC) (T 1) from 207.194.24.83
thank you Hope, I'll read the archives!!

Mon Sep 25 2000 22:07:03 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
Thank you Hope...

Mon Sep 25 2000 22:07:28 Eastern US
Marlyn (Meghan; 15; dx'd @ 7; pump 11/99) from 216.160.141.165
Nite Kathy, take care!



                 
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Last Updated: Thursday August 29, 2002 21:04:30
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