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  Back to Chat Transcripts Food Matters: I Am the Count

I Am the Count! Fat and Carb Counting to Meet Your Goals
With Lea Ann Holzmeister, RD, CDE from October 16, 2000

Chat Room Administrator chat@childrenwithdiabetes.com (206.112.197.133) Mon Oct 16 2000 20:29:10 Eastern US
Our special chat, "I am the Count! Fat and Carb Counting to Meet Your Goals" with Lea Ann Holzmeister will begin at 9pm Eastern.

Mon Oct 16 2000 20:48:11 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Just to let you know I'm here!

Mon Oct 16 2000 20:48:37 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Just to let you know I'm here!

Mon Oct 16 2000 20:50:22 Eastern US
Jeff Hitchcock (Marissa, 13, dx'd at 24 months, pump) from 206.112.197.133
Hi LeaAnn. I'll let everyone know.

Mon Oct 16 2000 20:52:34 Eastern US
Jeff Hitchcock (Marissa, 13, dx'd at 24 months, pump) from 206.112.197.133
LeaAnn, expect some chatters to join anytime.

Mon Oct 16 2000 20:52:58 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Sounds good.

Mon Oct 16 2000 20:53:19 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
Hi LeaAnn, we have a hard time counting candy things. It seems that if our 2 girls have junk food one day and we keep their numbers good that day, the numbers are lousy the next

Mon Oct 16 2000 20:53:48 Eastern US
BettyB (Tempe, AZ) from 152.163.204.182
Hi, Lea Ann - thanks again for coming!

Mon Oct 16 2000 20:54:33 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Have you been able to find food counts for candy items? We will be chatting next week about that very topic!

Mon Oct 16 2000 20:55:36 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
Yes, adn we follow the carb amounts...maybe it the same for the girls as it is for me when I overindulge..just don't feel good the next day..sugar hangover

Mon Oct 16 2000 20:56:11 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Hi

Mon Oct 16 2000 20:56:40 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Linda: That could be. What is there appetite like? Do they feel like they've overindulged?

Mon Oct 16 2000 20:58:05 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
They both feel lousy when they eat too much but that doesn't stop them the next time.

Mon Oct 16 2000 20:58:10 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: Welcome!

Mon Oct 16 2000 20:58:23 Eastern US
Janice (mom to Danny 9, dxd at 4.) from 204.244.242.74
My son usually does not overindulge ever in too many candy items, the times he has made him feel awful, so he naturally over the last 5 years has adapted to a low sugar diet, and I don't use aspartame anymore, he hates it

Mon Oct 16 2000 20:59:24 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Linda: On the day after overindulging do they decrease their intake requiring adjustments in insulin? They is the natural thing for kids to do to balance they're overall intake over time.

Mon Oct 16 2000 20:59:51 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
I am looking for the ultimate reference book for carb counting. I don't like "Exchanges for All Occasions" because it has a lousy index.

Mon Oct 16 2000 21:00:20 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
I think they might do that LeaAnn, it seems like Kim's insulin especially will fluctuate as many as 20u per day

Mon Oct 16 2000 21:00:33 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 152.163.207.199
I have the Doctor's Pocket Calori Fat & Carbohydrate Counter...it's pretty good, even has restaurants.

Mon Oct 16 2000 21:00:50 Eastern US
BettyB (Tempe, AZ) from 152.163.204.182
Carol, Have you seen Lea Anns' book - to me, it seems to really cut to the case and is very complete for a paperback

Mon Oct 16 2000 21:01:06 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: Have you tried "The Diabetes Carbohydrate and Fat Gram Guide"? It includes carbs/fats and exchanges.

Mon Oct 16 2000 21:01:24 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 152.163.207.199
which book is that LeAnn?

Mon Oct 16 2000 21:01:26 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Kelly, can you look in the index for say, doughnut holes, and find them?

Mon Oct 16 2000 21:01:40 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Janice: Your son sounds wonderful? Any tips for other parents?

Mon Oct 16 2000 21:02:36 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
LeaAnn, no, I haven't but am reluctant to order something sight unseen after being so frustrated in the past. I really need a good index.

Mon Oct 16 2000 21:02:43 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 152.163.207.199
when I look in the index, Carol, it says doughnuts and Dunkin Donuts.

Mon Oct 16 2000 21:03:07 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Kelly: The Diabetes Carb/Fat Gram guide is available through the ADA. It also has a large list of fast foods for an all in one guide. It was recently updated to include ethnic foods also!

Mon Oct 16 2000 21:03:50 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Kelly, that sounds good. LeaAnn, what is your book? Hope it's not "Exchanges...";-)

Mon Oct 16 2000 21:04:25 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 152.163.207.199
I ordered my book through Amazon.com and have been pretty happy with it.

Mon Oct 16 2000 21:05:51 Eastern US
Steve (Allie - 14 - dx 6/97 pump 12/99) from 12.23.126.200
Hi all - my personal favorite is....The Complete Book of Food Counts by Corinne T. Netzer (Mass Market Paperback )

Mon Oct 16 2000 21:06:06 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: "The Diabetes Carbohydrate and Fat Gram Guide" Over 5000 foods in alphabetical order by food category.

Mon Oct 16 2000 21:07:08 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
LeaAnn, how do we need to incorporate fat and fiber when we are carb counting? I have never really learned if/how to do it and just try to limit higher fat foods at most meals unless Marissa has been exercising a lot.

Mon Oct 16 2000 21:07:14 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
LeaAnn, it's the food category that trips me up in "Exchanges..." I just want to look up the food in an alpha index and find it.

Mon Oct 16 2000 21:08:39 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 152.163.207.199
glad I am not the only one Brenda :-)

Mon Oct 16 2000 21:09:22 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
Our problem isn't so much food that's already made up, but rather home cooked foods

Mon Oct 16 2000 21:09:33 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
I just look at the package and see CARBS--not sure I look at much else. Well, sometimes I do compare different brands of certain items and buy the one that is lower in fat.

Mon Oct 16 2000 21:09:58 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 152.163.207.199
Eating out is always a problem for us.

Mon Oct 16 2000 21:10:11 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Brenda: Fiber is counted in the carbohydrate amount on food labels. Fiber is not absorbed therefore you take this into account when determining carb intake. As far as fat goes, it can slow the absorption of glucose, delaying its effect.

Mon Oct 16 2000 21:10:18 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
It seems that when Kim was first dx'd, we worried so much about making sure that she got all her carbs, that we left out the fat and fiber stuff...how do we fix that (we have the same problem you have Brenda)

Mon Oct 16 2000 21:10:46 Eastern US
ms from 152.163.207.208
to add to linda's comment, it tends to be combination foods that present a bigger problem for me

Mon Oct 16 2000 21:11:03 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 152.163.207.199
LeAnn, how do you take fiber into account when determining carb intake? Do you subtract the total fiber from the total carb count?

Mon Oct 16 2000 21:11:30 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
That is the hardest thing, Linda. Kathryn, 10 (my budding chef) made choc. chip cookies yesterday. I thought I had determined that one was 1.5 units of insulin for Marissa (about 40g), but she talked Kathryn into make a larger, almost 4.5 in. diameter, cookie for her. She has forgotten about it, thank goodness.

Mon Oct 16 2000 21:11:43 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Why, exactly should we avoid fat? I read Betty's talk last week and came away with idea that fat is not really bad, we just need to account for it.

Mon Oct 16 2000 21:11:51 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Linda: The Diabetes Carb/Fat Gram guide also includes ingredients for calculating home recipes. Once you've done it you'll have your own data for home cooked recipes.

Mon Oct 16 2000 21:12:05 Eastern US
ms from 152.163.207.208
LeaAnn, I was under the impression that one should subtract the fiber from the total carbs if the fiber is greater than 5 grams?

Mon Oct 16 2000 21:13:28 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Linda: THis is common at DX. So much focus on getting the essentials in. It is a good idea to learn about eating an overall lowfat diet.

Mon Oct 16 2000 21:14:16 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
ms: Combination foods are included in my book. Think of the food in terms of the main components, carb sources, fat sounces, etc.

Mon Oct 16 2000 21:15:18 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
ms--I don't quite understand that at all! I've seen references to it.

Mon Oct 16 2000 21:15:20 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Kelly: As far as fiber goes,subtract the total fiber from the carbs. What a bonus! Less carbs!

Mon Oct 16 2000 21:15:28 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
LeaAnn, what do you do with the fat info with regard to calculating insulin dosage?

Mon Oct 16 2000 21:15:39 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
What is a good way to get kids more interested in veggies and fruits?

Mon Oct 16 2000 21:16:01 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 152.163.207.199
cover them in chocolate Linda - LOL

Mon Oct 16 2000 21:16:30 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
So, if 5 crackers are 19g CHO, but contain 6g fiber, you'd say it was really 13g Carbs?

Mon Oct 16 2000 21:16:31 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
Good answer Kelly! LOL

Mon Oct 16 2000 21:16:52 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: Saturated fat is the real culprit. It is linked to blood lipid levels.

Mon Oct 16 2000 21:17:00 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Either that or high fat cheese/cream sauces!

Mon Oct 16 2000 21:17:24 Eastern US
ms from 152.163.207.208
I'm not sure where I picked it up - I think from a nutritionist I saw a while back - who i thought was quite competent. I do take fiber into account if it is 4 or 5 grams or more

Mon Oct 16 2000 21:17:45 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Linda, I do 2 things. 1) Keep putting them out. 2) Ask that they at least try two bites at meals.

Mon Oct 16 2000 21:18:26 Eastern US
ms from 152.163.207.208
Linda, make things like carrot "cake" ?? :-)

Mon Oct 16 2000 21:18:26 Eastern US
Heidyn from 164.106.22.59
Hello

Mon Oct 16 2000 21:18:55 Eastern US
ms from 152.163.207.208
linda, make things like carrot cake?? :-)

Mon Oct 16 2000 21:19:20 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: A higher fat meal may require an increase in basal insulin following the meal.

Mon Oct 16 2000 21:19:56 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Even better, ms. I told Kathryn she got her fruit serving when she had apple cake the other day. I did serve apple slices with Fat Free Caramel dip to the Tiger Cubs last night. Not sure how many boys ate it, but I liked it!

Mon Oct 16 2000 21:20:11 Eastern US
Kelly (Marley 2, dx'd 11m, pumping) from 152.163.207.199
Time for me to turn in , thanks for the tips LeaAnn. Goodnight everybody.

Mon Oct 16 2000 21:20:14 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
LOL I'll do that ms
I love that stuff Brenda!

Mon Oct 16 2000 21:20:32 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Linda: To get and keep kids interested in veggies/fruits just keep offering them and making them an option. Don't give up! That's sometimes the best we can do!

Mon Oct 16 2000 21:20:45 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
I had actually gotten some of that caramel stuff, but the girls were eating too much of it, so when they weren't looking, I threw it away

Mon Oct 16 2000 21:21:23 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
OK LeaAnn, I'm just hoping that they'll discover fruits and veggies before they really blimp up

Mon Oct 16 2000 21:21:47 Eastern US
ms from 152.163.207.208
LOL brenda

Mon Oct 16 2000 21:21:54 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
It's frustrating that insulin and boys = muscles and insulin and girls=fat

Mon Oct 16 2000 21:22:57 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Fruits and veggies are not a problem for Marissa. I can't get her siblings to enjoy them as much. We did get Kathryn to eat blackberries a few months back--she'd ignored them for years. Just proved that "new" foods can be tasty! I try to serve veggies that "everyone" will eat, but I still put out the spinach and green beans and hope the youngest two will actually eat them some day.

Mon Oct 16 2000 21:23:00 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Brenda: When the fiber content is over 5 grams subtract the fiber grams from the total CHO.

Mon Oct 16 2000 21:23:06 Eastern US
ms from 152.163.207.208
linda, i was touch and go with fruits and vegetables throughout my youth - my parents were always into them - now, i do eat them (have to be in the mood) along with everything else - there is hope!!

Mon Oct 16 2000 21:24:07 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Linda, I don't think that's true. I've seen a big change in Brooke's body compostition since she's been doing gymnastics regularly. But her food and insulin have gone up - it's the exercise that really makes a difference.

Mon Oct 16 2000 21:24:44 Eastern US
ms from 152.163.207.208
be creative - make blueberry soup/muffins/pancakes
Make spinich/strawberry salad - there is a lot of recipes out there

Mon Oct 16 2000 21:24:54 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Brenda: Way to go with the veggies!

Mon Oct 16 2000 21:25:59 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
The guy at the local soft serve ice cream store tried to get me to try pumpkin the other night. Guess I'd have gotten some extra beta carotene and it would've been low in fat!

Mon Oct 16 2000 21:26:03 Eastern US
Heidyn from 164.106.22.59
that is interesting,LeaAnn,I never knew that fiber affected bgs

Mon Oct 16 2000 21:26:44 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
I have found that if I put cold, raw vegetables on the table WHILE I'm making dinner, they get eaten.

Mon Oct 16 2000 21:27:07 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Linda: Keep in mind that body composition will be different for boys/girls at different stages of development. Keep a healthy diet with lots of exercise options and trust their appetitie as much as possible.

Mon Oct 16 2000 21:27:13 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Very hungry eyes will see them in a new light.

Mon Oct 16 2000 21:27:20 Eastern US
ms from 152.163.207.208
brenda, i think i would have tried it just for the heck of it :-)

Mon Oct 16 2000 21:27:30 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
OK, you've inspired me, I'll be more creative
Now, what are some ways to get fats out of our diet...without out children knowing?

Mon Oct 16 2000 21:27:52 Eastern US
ms from 152.163.207.208
Carol - good thinking - i like that!

Mon Oct 16 2000 21:28:20 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: I do the same thing. It curbs their munchies and they get eaten! Plus there is no coaxing involved.

Mon Oct 16 2000 21:28:49 Eastern US
ms from 152.163.207.208
linda, i cant help there :-) I am trying to get myself to do that - I go in spurts :-)

Mon Oct 16 2000 21:30:59 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Linda: I would start with sources of saturated fat like dairy. Don't take out dairy but choose lower fat dairy. Dairy foods are some of the highest in saturated fat. Then take a close look at snack/convenience foods. There can be alot of palm/coconut oils.

Mon Oct 16 2000 21:32:23 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
LeaAnn, is there a low fat cheese that tastes good? Don't say cottage cheese, that won't fly.

Mon Oct 16 2000 21:35:15 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: Some cheese is naturally lower in fat like mozarella. I try to stick with 1% or 2% milk cheese in place of whole milk cheese. It helps not to buy so much and use it as a condiment instead. I haven't found allot of tasty fat-free choices in cheese.

Mon Oct 16 2000 21:35:45 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Leann, also, how long do you think that basal insulin needs to be increased for high fat like pizza? I know it varies; just give me a general idea.

Mon Oct 16 2000 21:37:12 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
Hi Folks. Just tuning in.

Mon Oct 16 2000 21:39:12 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Carol, I have to agree. I got some Reduced Fat cheddar and no one liked it.

Mon Oct 16 2000 21:39:56 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: When you talk pizza, it could be the carbs or a combination of the carbs/fats and the sources they come from sauce/crust/cheese/meat. It may require an adjustment in basal insulin for several hours. Everyone is individual.

Mon Oct 16 2000 21:40:40 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
I suppose that people who have heart disease and HAVE to cut the fat eat the reduced fat cheeses and stuff. Jeff occasionally uses Benecol on bread. It's supposed to help lower your LDL, I think. He had a lipid profile done and his LDL was somewhat elevated.

Mon Oct 16 2000 21:43:28 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Brooke's overall cholosterol is borderline, but we were advised not to modify her diet at this point. So we drink skim milk but eat regular cheese. I am going to work harder on the snack food end, though.

Mon Oct 16 2000 21:44:04 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
I was reading back. BH, apple slices with caramel - what a good idea. Keep feeding the boys stuff like that and they may not become "dependent" on cookies (like mine did) - BTW "orange" was my favorite year. They're at a great age.

Mon Oct 16 2000 21:44:40 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
I think I'm going to try to have more veggies and fruits cut up and on the table before dinner and after the kids come home from school

Mon Oct 16 2000 21:46:15 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Sue, I got those little packages of the caramel dip so I could have a better idea of the carbs. I thought Marissa, who initially chose them, would take one at lunch; she prefers to buy junk like fries and Skittles. I think I will pack her a lunch for tomorrow and make sure to include grapes and carrots!

Mon Oct 16 2000 21:46:19 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
It's such a catch-22. Fat is bad for arteries and heart, esp. in diabetics, but we need fat for satisfaction and to keep blood sugar from tanking overnight. (That's where the cheese comes in for us.)

Mon Oct 16 2000 21:47:04 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: I like the idea of modifying one or two key things that contribute saturated fat and leaving total fat intake moderate. With diabetes being a risk factor for heart disease it won't hurt.

Mon Oct 16 2000 21:48:56 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
What are some good ideas for packing lunches for our kids? (Right now Kim and Alla are eating french fries and pizza every day, because that's what's served! YUCK!!!)

Mon Oct 16 2000 21:49:15 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
regarding school lunches. There's some mandate that they must be 30% or lower in fats, but they sure don't know how to balance carbs. I find that most offerings are either very hi or very low with regard to carbs. Next year in the middle school, I fear I'll lose ALL visibility of what Evan's eating.

Mon Oct 16 2000 21:49:24 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
LeaAnn--is there an easy way to remember what the different fats are and which are good vs. bad? I know of unsaturated, satured, polyunsatured and trans-fats. I cook with either olive oil or safflower oil and don't know where either fits.

Mon Oct 16 2000 21:50:07 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
Linda, were your daughters diagnosed at the same time?

Mon Oct 16 2000 21:50:36 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
actually, we just adopted Alla in April, so we're still learning about her D

Mon Oct 16 2000 21:50:51 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
LeaAnn, what do you think about butter vs. margarine?

Mon Oct 16 2000 21:51:43 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Marissa and Kathryn like those Oscar Meyer lunchable things. Their current choice, which I don't buy too often, is one with bologna, cheese, crackers and two sm. choc. chip cookies. YIKES! Just grabbed one and see the Tot. fat is 31g, sat fat 13g. Carbs 31--Marissa never eats the cookies, though and I try to give her fruit to eat, too.

Mon Oct 16 2000 21:52:51 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Found one with Lean Turkey--only 18g total fat.

Mon Oct 16 2000 21:53:08 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Linda: There's no doubt that packing lunches gives you the control of what is served. Take Kim and Alla to the store with you and ask them to help "pick out" several lunch items that you both agree are better than pizza and fries. Have them compare the carbs/fats. My kids like bagels/chef salads/canned fruit/pudding/and the stand-bys. Even if you pack 1-2 days per week it will likely improve things.

Mon Oct 16 2000 21:54:11 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
thx Linda. Mine were, and I get curious when I learn of >1 sibling w/ diabetes. Good luck adjusting to Alla's D, I understand that adolescence is a very challenging time.

Mon Oct 16 2000 21:54:36 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
LeaAnn--what do you think of the Glycemic Index? I don't put too much stock in it, but I do know Marissa's BG will be higher after a higher GI food like Corn Flakes.

Mon Oct 16 2000 21:54:53 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
What would be a good fat gram total for a meal

Mon Oct 16 2000 21:55:39 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
I've learned this year that middle school menus offer many choices. From time-to-time we talk about the choices and what are good choices. Luckily Erin likes healthy things but my next one will be scary! Erin eats at school twice per week to help balance the options.

Mon Oct 16 2000 21:55:52 Eastern US
ms from 152.163.207.208
well, I am headed off - goodnight everyone - and thank you Lea Ann :-)

Mon Oct 16 2000 21:57:08 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Marissa says they have chef salads, carrot sticks, celery sticks, etc. along with fries and stuff, plus the standard menu item. Apparently, she doesn't choose very wisely at lunch time, despite her intentions.

Mon Oct 16 2000 21:57:24 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Brenda: Your oil choices are great! Fats that are solid at room temperature are more saturated. The more liquid the better.

Mon Oct 16 2000 21:58:36 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
Brenda, I think they offer the salads, etc. in order to meet mandates re: fat, but it's not working when they offer it next to fries and pizza. That's asking too much of kids I think.

Mon Oct 16 2000 21:58:55 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: It depends on the type of fat and amount of trans fat in margarine. Soft margarine with liquid oil as the first ingredient would win over butter.

Mon Oct 16 2000 22:00:00 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
In middle school, I can see my son eating pizza 5 days a week. I hope I can still coax him to bring lunches some times.

Mon Oct 16 2000 22:00:36 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
LeaAnn, my margarine says the 1st ingred. is liquid soybean oil and partially hydrogenated soybean oil. What do you think that means? The "and" part, I mean.

Mon Oct 16 2000 22:01:27 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
I think I bake with margarine that is 65% veg. oil, which is supposed to make better baked goods. I have no idea if it's healthy, but I use it, unless the recipe says use Butter, no substitute. I go with the unsalted variety.

Mon Oct 16 2000 22:02:03 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Brenda: Using the glycemic index is like using another tool to "guess" the response of foods on blood glucose. It can be challenging at times and the numbers that are published require interpretation. Use your own experience with individual foods and blood glucose responses.

Mon Oct 16 2000 22:03:35 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Perhaps, if I were cooking just for myself and I had diabetes, I would use the GI. Cooking for 5, I don't have the time to keep looking up all the different information--GI, fat, fiber, carbs, etc.

Mon Oct 16 2000 22:03:58 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carol: They have hyrogentated some of the soybean oil which means that it contains some trans fatty acids. If you can find one with safflower or canola oil as the first oil list go for it! They are lower in saturated fat than soybean.

Mon Oct 16 2000 22:05:04 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
hi everyone :-) i have a comment and a question... tiff needs no insulin if given ice cream at bedtime. her bg rises and falls before the insulin kicks in. any idea why, lea ann??

Mon Oct 16 2000 22:05:18 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
LeaAnn, that is good to know. I would never have known that safflower or canola is better than soybean!!!

Mon Oct 16 2000 22:05:59 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
I have a sort of unrelated question: how to they "condense" soup that they put in cans? Jeff asked this as he consumed a can of Beef with Veg and Barley soup at lunch time. Not that important--just curious!

Mon Oct 16 2000 22:06:41 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
The problem with GI, and with using "experience" is that no two situations will include exactly the same individual/combination of food, quantity of food, with the same amount of activity at the same time of day!

Mon Oct 16 2000 22:06:41 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Rhonda--do you give her insulin if she's 250 and is eating ice cream?

Mon Oct 16 2000 22:08:06 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Rhonda: Hard to say without knowing insulin schedule. Ice cream is high in fat which may lower the effect on blood glucose.

Mon Oct 16 2000 22:08:28 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
brenda, can't. i can't explain it either. at bedtime, i have to give her a sandwich or milk and cover that only.

Mon Oct 16 2000 22:09:14 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Rhonda, it was my understanding that if you are pumping H, it kicks in immediately when you bolus. If her basal rates cause a drop than I'd guess her basal rates were too high--just my guess. What happens if she skips snack? Does she drop really low?

Mon Oct 16 2000 22:09:23 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Brenda: Condensed soup basically has some of the water taken out. The label directs you to add water which makes a larger batch.

Mon Oct 16 2000 22:09:28 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
if it's an afternoon snack, i have to covwer half of the ice cream. i don't know. she just seems to be the odd one. even her endo doesn't get it

Mon Oct 16 2000 22:10:28 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Yes, but we were curious as to how they removed the water. Just a crazy question.

Mon Oct 16 2000 22:10:30 Eastern US
Carol (Brooke, 10, dx'd at 7, pumping 1.5 years) from 24.142.244.126
I must say goodnight and tend to my darling daughter. Thanks for the helpful info.

Mon Oct 16 2000 22:10:34 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
brenda, nope. just ice cream is the odd one. and she doesn't need a square wave or any other bolus pattern, not even for pizza. i guess her body just uses the food differently

Mon Oct 16 2000 22:10:35 Eastern US
Carole (Evangeline 4, dx'd @ 2) from 152.163.201.187
Hello.
Ihave a question. My daughter gets 3H in the am. while eating approx. 30-40 carb. for breakfast but is still usually high at lunch (I have checked her between Break. & lunch & she is not going low) but at dinner I can give her .5H for 20-30 carbs. & she will go low in two hours or be right in range at bedtime snack. How is that possible?

Mon Oct 16 2000 22:10:44 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Is Tiff still in her honeymoon?

Mon Oct 16 2000 22:10:50 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
night carol

Mon Oct 16 2000 22:11:43 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
Good night Carol.

Mon Oct 16 2000 22:11:52 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
brenda, no. her basals are between her body weight and what she seemed to require on shots. she gets between .5 and .7 at all times

Mon Oct 16 2000 22:11:56 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
hi carole

Mon Oct 16 2000 22:12:18 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Carole: Larger amounts of insulin are usually required in the morning due to hormones at work.

Mon Oct 16 2000 22:13:06 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
brenda, even her endo doesn't understand her. that's why they didn't argue about the pump. she was getting 4-8 shots a day pre pump!! a few too many fotr me

Mon Oct 16 2000 22:13:22 Eastern US
Carole (Evangeline 4, dx'd @ 2) from 152.163.201.187
ah, I didn't know the hormone thing. Thanks :-)

Mon Oct 16 2000 22:13:51 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Rhonda--guess you just have to pay closer attention at times. Clearly, I don't know the answer. I'm just a mom who's lived with Marissa's diabetes for over 11 years.

Mon Oct 16 2000 22:14:04 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
Carole, when my daughter was on shots, I only used H at dinner, for breakfast, I used Regular. This helped her not bottom-out in the mid morning, and helped her not be too high at lunch.

Mon Oct 16 2000 22:14:36 Eastern US
LeaAnnH (Chat Host) from 12.72.32.224
Chatters: It's been fun! My family is coming home and ready for tuck-ins. Good luck and if you get a chance, check out "The Diabetes Carbohydrate and Fat Gram Guide".

Mon Oct 16 2000 22:15:06 Eastern US
Jeff Hitchcock (Marissa, 13, dx'd at 24 months, pump) from 206.112.197.133
LeaAnn: Thanks so much for taking time to chat with us. We all appreciate it!

Mon Oct 16 2000 22:15:18 Eastern US
Carole (Evangeline 4, dx'd @ 2) from 152.163.201.187
We used to use R but it seem to be the same & I hate the having to wait 30 minutes.

Mon Oct 16 2000 22:15:22 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
brenda, what do you mean by "closer attention"?? i do. i don't understand that comment

Mon Oct 16 2000 22:15:56 Eastern US
Carole (Evangeline 4, dx'd @ 2) from 152.163.201.187
thanks LeaAnn!

Mon Oct 16 2000 22:16:30 Eastern US
Rhonda-CA (Tiffany 9, dx'd 10/98; pumping 8/00) from 63.237.165.98
thanks Lea Ann

Mon Oct 16 2000 22:17:39 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
Rhonda, while I've never done this myself, I do know of two other moms who actually combine H, R and their intermediate acting. One had to do some convincing to her endo, but it worked well for her son. Maybe worth a try?

Mon Oct 16 2000 22:17:58 Eastern US
Linda/UT (Kim 12, Alla 12) from 216.190.28.33
Sometimes you can mix R and H together. We did that with Kim for breakfast before her pump..it really helped

Mon Oct 16 2000 22:18:03 Eastern US
Jeff Hitchcock (Marissa, 13, dx'd at 24 months, pump) from 206.112.197.133
Time to wind down our special chat. I'll leave this room open for a few more minutes. If you'd like to continue chatting, I suggest the Parents Room.

Mon Oct 16 2000 22:18:46 Eastern US
Carole (Evangeline 4, dx'd @ 2) from 152.163.201.187
How do you combine them? I never heard that.

Mon Oct 16 2000 22:18:56 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Rhonda--I thought you might have to watch carefully when she eats ice cream because some day her BG's may decide to be drastically different. See you all later.

Mon Oct 16 2000 22:20:37 Eastern US
Carole (Evangeline 4, dx'd @ 2) from 152.163.201.187
Im gonna go to Parents chat, see ya'll there...

Mon Oct 16 2000 22:20:46 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
Carol, as I said, I've never done this. I figure you use a little trial and error, albeit, careful trial and error.

Mon Oct 16 2000 22:21:25 Eastern US
Sue, CT (Evan,10dx@7,inhaling;Casey,5dx@2,pumping) from 64.12.105.42
Taking a small break. I'll join parents chat in a few.
Bye all.



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