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  Back to Chat Transcripts Carbohydrate Counting

Food Matters: Carbohydrate Counting
With Hope Warshaw on May 21, 2001

Chat Room Administrator Mon May 21 2001 20:15:00 Eastern US
The 'Food Matters' chat room is now open.

Mon May 21 2001 20:55:20 Eastern US
BettyB (Caht Moderator) from 64.12.103.171
Welcome to the Food Matters Chat. I'm delighted to introduce our guest host for this evening, Hope Warshaw. Hope is a well-known dietitian and diabetes educator and the author of many articles and books that have been tremendous resources for epople with diabetes. My personal favorite is "The Restaurant Companion." Tonight, Hope is here to take questions on a topic that is always a favorite on CWD/Diabetes123 -- Carb Counting. Hope is the co-author of a soon-to-released book from the American Diabetes Assocaition: ADA's Complete Guide to Carb Counting. I hope you'll really let the questions fly to take advantage of having Hope with us tonight. We start in 5 minutes.

Mon May 21 2001 20:58:47 Eastern US
PAM from 63.95.122.2
Hello is anyone around yet?

Mon May 21 2001 20:59:03 Eastern US
Sara in Seattle (Sam, 18) from 63.226.200.38
I'm over here now. Hi Pam.

Mon May 21 2001 20:59:26 Eastern US
Sara in Seattle (Sam, 18) from 63.226.200.38
I think we're one minute early.

Mon May 21 2001 20:59:28 Eastern US
PAM from 63.95.122.2
HI Sara :-)

Mon May 21 2001 20:59:31 Eastern US
karen (Cameron 13) from 24.241.37.235
hi hope. My son Cameron is going into the hospital tomorrow to begin his pumping life. We know a little about carb counting. It scares me that we might over count or under count. Do you have to weigh and measure everything?

Mon May 21 2001 20:59:41 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Hello!!

Mon May 21 2001 20:59:48 Eastern US
PAM from 63.95.122.2
Sara guess better early than late..

Mon May 21 2001 21:00:00 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
Hi, took the night off sick tonight, so I can participate in this while I am home

Mon May 21 2001 21:00:00 Eastern US
Sara in Seattle (Sam, 18) from 63.226.200.38
Hey Connie.

Mon May 21 2001 21:00:04 Eastern US
BettyB (Caht Moderator) from 64.12.103.171
Hi, Sara and Pam -- welcome. Hope's not here yet - we shuld be kicking off any minute.

Mon May 21 2001 21:00:41 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
Hi all

Mon May 21 2001 21:00:43 Eastern US
PAM from 63.95.122.2
Hi Betty :-)

Mon May 21 2001 21:00:44 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
hi everyone!

Mon May 21 2001 21:01:03 Eastern US
Sara in Seattle (Sam, 18) from 63.226.200.38
Hi Betty. This is the first time I've made it to one of your chats. Judith has been a great salesman for your book in the Parents room. :-)

Mon May 21 2001 21:01:34 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Betty check you're tirle.......

Mon May 21 2001 21:01:34 Eastern US
BettyB (Caht Moderator) from 64.12.103.171
Hi Connie -- I just noticed I spelled Chat wrong for all to see all evening -- think I'll exit stage left and try again!! LOL

Mon May 21 2001 21:01:44 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
title....

Mon May 21 2001 21:02:11 Eastern US
Sara in Seattle (Sam, 18) from 63.226.200.38
Hi Beth. How you doing??

Mon May 21 2001 21:02:16 Eastern US
Hope, aka chief chatter from 152.163.194.199
Hi all - I'm here. What does anyone want to chat about?

Mon May 21 2001 21:02:31 Eastern US
Sara in Seattle (Sam, 18) from 63.226.200.38
Connie, you're a fine one to correct her spelling! lol

Mon May 21 2001 21:02:36 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Sara, you'll enjoy it!

Mon May 21 2001 21:02:41 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
I can't usually get to these chats because I work Monday evenings, took tonight off sick--but mostly I was just tired

Mon May 21 2001 21:02:54 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Welcome, Hope - I like the Chief Chatter thing --

Mon May 21 2001 21:03:04 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
Sara, I am just tired. A really long two weeks for us here.

Mon May 21 2001 21:03:13 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
you weren't supposed to notice that...I'm eating at the same time.....supper time here

Mon May 21 2001 21:03:23 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Hi Hope

Mon May 21 2001 21:03:32 Eastern US
Hope, aka chief chatter from 152.163.194.199
Today I saw my first patient on the new insulin glargine. Does anyone have any questions about it. Not that I'm the expert, by any means.

Mon May 21 2001 21:03:41 Eastern US
Sara in Seattle (Sam, 18) from 63.226.200.38
Hope, we eat out A LOT. What restaurant secrets do you have?

Mon May 21 2001 21:03:57 Eastern US
Hope, aka chief chatter from 152.163.194.199
Any carb counting thoughts/questions?

Mon May 21 2001 21:03:59 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
Hi Hope,

Mon May 21 2001 21:04:09 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
You need a night off Beth!:-)

Mon May 21 2001 21:04:12 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Well, Sara and Rhea, we're glad you could make it - be sure to ask all yur hard questions tonight - Hope's here to make it easy on me!

Mon May 21 2001 21:04:21 Eastern US
PAM from 63.95.122.2
Hope What is the insulin glargine?

Mon May 21 2001 21:05:36 Eastern US
Hope, aka chief chatter from 152.163.194.199
Glargine (Lantus is the brand name) is a long acting (24 hr) peakless insulin. It's taken once a day before bed. Then you take rapid acting, such as humalog and match that with carbs.

Mon May 21 2001 21:05:42 Eastern US
Richard (Type one (35 years)) from 152.163.207.211
Evening everyone :-)

Mon May 21 2001 21:05:44 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
oops - BETH

Mon May 21 2001 21:06:06 Eastern US
Hope, aka chief chatter from 152.163.194.199
Betty - any experience yet with Glargine?

Mon May 21 2001 21:06:12 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Why before bed?

Mon May 21 2001 21:06:19 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Hi, Richard - welcome - jump in with any questions - topic tonight is carb counting

Mon May 21 2001 21:06:35 Eastern US
Sherry (MIndy, 12, dx'd at 10) from 216.198.62.44
Hello, at our last dr. visit they talked about changing us to the new insulin. How well does it work?

Mon May 21 2001 21:06:36 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
that's okay Betty,

Mon May 21 2001 21:07:22 Eastern US
Richard (Type one (35 years)) from 152.163.207.211
Thanks Betty

Mon May 21 2001 21:07:41 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
None, yet, Hope - I think it's likely to be a nice option for some folks with type 1 - but I'm a little concerned that they're promoting it heavily for Type 2

Mon May 21 2001 21:07:44 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Hope that might work for Justin for hes on the Humulin N and is going high in the evenings after the peak... Something to ask our endo about./

Mon May 21 2001 21:07:57 Eastern US
Hope, aka chief chatter from 152.163.194.199
I don't exactly know why before bed. You need to pick one time of day to take it. Perhaps that was thought as most convenient. Betty anything you know?

Mon May 21 2001 21:08:13 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Welcome, Sherry

Mon May 21 2001 21:08:21 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Hope, would that be an option for a pumper who is having surgery?

Mon May 21 2001 21:08:45 Eastern US
Sherry (MIndy, 12, dx'd at 10) from 216.198.62.44
We are doing good on our insulins now. Why change?

Mon May 21 2001 21:09:07 Eastern US
Hope, aka chief chatter from 152.163.194.199
I agree with the promotion for type 2. I was at a conference this w/e and the word was they are promoting it as the only necessary medication for type 2.

Mon May 21 2001 21:09:17 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Hope is the insulin available through all states?

Mon May 21 2001 21:09:48 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
I think they put the single shot there because Lantus CANNOT be combined with any other insulin - taking it at bedtime eliminates the possibility of people combining it with a meal insulin dose.

Mon May 21 2001 21:09:58 Eastern US
Sara in Seattle (Sam, 18) from 63.226.200.38
We first heard about Glargine over a year ago. Is it out yet?

Mon May 21 2001 21:10:03 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
for type 2, would they still need to take the Humalog with the food

Mon May 21 2001 21:10:19 Eastern US
Hope, aka chief chatter from 152.163.194.199
A pumper having surgery doesn't need to go off their pump. They just need to make sure there are people during surgery and before and after that know how to use the pump. Once the person is able they should be back to being able to adjust their pump themselves.

Mon May 21 2001 21:10:38 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Hi, Pam-- good to see you.

Mon May 21 2001 21:11:10 Eastern US
Hope, aka chief chatter from 152.163.194.199
Glargine appears to be in the hands of endocrinologists at the moment. It is not well distributed yet at pharmacies.

Mon May 21 2001 21:11:22 Eastern US
karen (Cameron 13) from 24.241.37.235
Hope, my son is starting pumping tomorrow at the hospital and I am concerned about the carb counting and over counting or undercounting. He also loves sesame chicken we eat at a chinese resturant. How do we figure out how much to bolus for that?

Mon May 21 2001 21:11:46 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
That's what I;m worried about, not pump friendly where I need to go, in fact the chief endo there is very discouraging about it, which is why I changed endos

Mon May 21 2001 21:11:56 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
I have a friend in northern Italy who has her teen on it and so far they've been quite pleased with Glargine. I've heard from others it stings when injected.

Mon May 21 2001 21:12:00 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
HI Betty :-)

Mon May 21 2001 21:12:10 Eastern US
Hope, aka chief chatter from 152.163.194.199
Beth - there are so many ways type 2s can manage their diabetes today. You might see Glargine mixed with an oral med before humalog is added or replaced.

Mon May 21 2001 21:12:29 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Sherry, that'sa question to ask your doctor. If Mindy's control is good without hard-to-control highs or lows, then I'd want to know why the doctor thinks a change is necessary.

Mon May 21 2001 21:13:10 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Hope Justin is on glucotrol and glucophage with a small dose of insulin at the moment for they dont know his type ..

Mon May 21 2001 21:13:12 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
FIRST TIME IN THIS CHAT ROOM

Mon May 21 2001 21:13:29 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
Connie, you need to to go somewhere where they aren't pump friendly? I have confidence in you that you will change them!

Mon May 21 2001 21:13:38 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
Right now I am taking glucotrol XL and glucophage, since I upped the glucophage to 1500 mg. a day, my bgs have been very good, even under a lot of stress

Mon May 21 2001 21:14:06 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Ellen, I fond all insulin stings!

Mon May 21 2001 21:14:15 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Hey, Ellen and Karen - Ellen, the stinging is a known side-effect and for some is quite pronounced from what I've heard - but some people were not effected that way.

Mon May 21 2001 21:14:51 Eastern US
Hope, aka chief chatter from 152.163.194.199
Someone was asking about under or over counting carbs. I encourage people to start with a higher ratio of carb to insulin than have it suggesting too much insulin. So err on the side of less insulin. You can always rachet up.

Mon May 21 2001 21:15:13 Eastern US
Ronda (Megan 7 dx jul 99) from 152.163.207.196
Hi. How would giving humalog after dinner compare to beore dinner? Megan gets Lente and Humalog before dinner and we count carbs. Endo said we could let her eat what she likes and then give humalog to her after she eats. We eat at 6. Then we check glucose levels at 8:45. Would her 8:45 glucose reflect the action of the humalog?

Mon May 21 2001 21:15:14 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
DOES ANYONE KNOW HOW MUCH SUGAR CONSTITUTES BEING A CONCENTRATED SWEET?

Mon May 21 2001 21:15:22 Eastern US
Sherry (MIndy, 12, dx'd at 10) from 216.198.62.44
I don't think I could talk our daughter into it if it can't be mixed that would mean an extra shot. She would not go for that!!!

Mon May 21 2001 21:15:23 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Ellen this endo is a witch

Mon May 21 2001 21:15:27 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Connie, if you think that the usual insulins "sting," then from what I;'ve read, you might have to come up with a stronger word to describe the effect Lantus has on some folks -

Mon May 21 2001 21:15:57 Eastern US
Hope, aka chief chatter from 152.163.194.199
This patient of mine today mentioned that all insulin stings him as well. Then I asked where he kept his insulin. He said frig. I encouraged him, as educators do, to keep the insulin he is using at room temp.

Mon May 21 2001 21:16:00 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Hi, Kathy. Welcome to that chat.

Mon May 21 2001 21:16:50 Eastern US
Leandra (Type 2, insulin) from 24.66.94.141
Hi to all - this is my first visit

Mon May 21 2001 21:17:00 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
I'm a woos(as Marcia says) Betty

Mon May 21 2001 21:17:02 Eastern US
Michelle(RI) (Adam 7 dx'd 2/00, pumping) from 24.18.142.149
Hi everybody

Mon May 21 2001 21:17:02 Eastern US
Hope, aka chief chatter from 152.163.194.199
I would encourage you to drop the term concentrated sweet. There is no defined term and basically carb is carb. Questions?

Mon May 21 2001 21:17:25 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
HI, BETTY

Mon May 21 2001 21:17:41 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
We are letting Justins insulin be at room temp and he says it doesnt sting.. But maybe hes one of the lucky ones that it doesnt sting.

Mon May 21 2001 21:17:46 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
Hi Kathy, how are you doing?

Mon May 21 2001 21:17:48 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
Good afternoon from NZ

Mon May 21 2001 21:18:39 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
I keep Rea's insulin in the fridge until we open the bottle, then leave it out --she has never complained about it stinging when we do that

Mon May 21 2001 21:19:17 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
HOPE, YES I HAVE LOTS, THE ENDO AND THE DIETICIAN DO NOT AGREE, HE SAYS NO "CONCENTRATED" SWEETS AND SHE SAYS COUNT CARBS.

Mon May 21 2001 21:19:26 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Ronda, there are a couple of studies that show that giving Humalog at the end of the meal produces about the same control as giving it before. it should be given within 15 minutes after the end of the meal. The 8:45 test would definitely show the effect. Depending on how slowly she eats, it could be someh\where between a 1 and a 2 hour post meal value. Has your doctor given you a target blood sugar for after meals?

Mon May 21 2001 21:19:47 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
Hope, why were they promoting the glargine as the only med for T2 ?

Mon May 21 2001 21:20:07 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
HI LEANDRA

Mon May 21 2001 21:20:11 Eastern US
Hope, aka chief chatter from 152.163.194.199
On glargine for type 2. Who is they?

Mon May 21 2001 21:20:13 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Kathryn, welcome!!

Mon May 21 2001 21:20:27 Eastern US
brenda (type 2) from 166.72.148.113
How do you count carbs?

Mon May 21 2001 21:20:48 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Could someone tell me what bolus means..I figure everything I can learn is something I will probalby need in the future..

Mon May 21 2001 21:21:02 Eastern US
Sherry (MIndy, 12, dx'd at 10) from 216.198.62.44
We also do shots after eating. It works well for us. She gets to eat what she wants.

Mon May 21 2001 21:21:10 Eastern US
brenda (type 2) from 166.72.148.113
I was told to eat 165 carbs for a 1200 calorie diet..A lady today told me I needed to eat protein too..how much? Anyone know?

Mon May 21 2001 21:21:12 Eastern US
Ronda (Megan 7 dx jul 99) from 152.163.207.196
We do not have a target for post meal value. The 8:45 glucose check is for bedtime snack. We give carbs according to glucose level at 8:45.

Mon May 21 2001 21:21:23 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
Did you not say you were at a conference....

Mon May 21 2001 21:21:26 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Hi, also to lendra and Michelle - nice big group tonight!

Mon May 21 2001 21:21:33 Eastern US
Hope, aka chief chatter from 152.163.194.199
Bolus insulin is the amount of usually quick acting insulin like humalog that you take prior to a meal to "cover the carbs"

Mon May 21 2001 21:21:35 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
I sometimes bolus after eating

Mon May 21 2001 21:21:38 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
THE NUTRITIONAL LABELS GIVE A TOTAL CARB COUNT

Mon May 21 2001 21:22:34 Eastern US
Michelle(RI) (Adam 7 dx'd 2/00, pumping) from 24.18.142.149
I have a question, how do you know when to change the insulin to carb ratio? My son is only 7 and he gets 1 unit of insulin less than me per day and Connie we always bolus after eating.

Mon May 21 2001 21:22:35 Eastern US
brenda (type 2) from 166.72.148.113
Okay..I have been reading the labels. But I have only been counting carbs..what else do I need to count?

Mon May 21 2001 21:22:41 Eastern US
sharon (2 kids with D) from 165.247.44.24
hi all

Mon May 21 2001 21:23:05 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
This looks like a good time to mention Hope's new book again. Coming out from the aMERICAN dIABETES aSSOCIATION VERY SOON: ada'S cOMPLETE gUIDE TO cARB cOUNTING -- ALL THE INFO, TRICKS, AND FORMS YOU NEED TO MAKE IT HAPPEN, FROM WHAT i HEAR.

Mon May 21 2001 21:23:26 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
If Justins blood sugar is 120 at bedtime should he more than likely have a snack.. My endo says no and my dietician says yes so he wont go low at night... SO what is anyones opinion on here?

Mon May 21 2001 21:23:31 Eastern US
Hope, aka chief chatter from 152.163.194.199
A general 2 hour post meal blood glucose level you can use is less than 180 mg/dl (whole blood) using a meter that reads plasma is near 200 mg/dl. Betty thoughts?

Mon May 21 2001 21:23:34 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
LOLOL - love the caps thing!! Sorry!

Mon May 21 2001 21:23:34 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Michelle, I'm not an expert, but I think it's the best way

Mon May 21 2001 21:23:52 Eastern US
sharon (2 kids with D) from 165.247.44.24
hi betty. when does this book actually come out?

Mon May 21 2001 21:24:13 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
Where will we be able to get the book, will it be in book stores.

Mon May 21 2001 21:24:17 Eastern US
Leandra (Type 2, insulin) from 24.66.94.141
Is that book available in Canada?

Mon May 21 2001 21:24:21 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
Looks great Hope...and how interesting that you used lower case for the first letter of each word in the titile!

Mon May 21 2001 21:24:25 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Hope, we're a little more consrvative at DMTC -- shoot for less than 180 at 1 hour and less than 160 at 2 hours for most people.

Mon May 21 2001 21:24:30 Eastern US
Michelle(RI) (Adam 7 dx'd 2/00, pumping) from 24.18.142.149
me too because you never know if you are going to get interupted from a meal. This happens alot at my house.

Mon May 21 2001 21:24:30 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
title.

Mon May 21 2001 21:24:42 Eastern US
Hope, aka chief chatter from 152.163.194.199
Snack at night is more dependent on what insulin he has taken and what exercise has been like during the day. If he has exercised a lot he might need more food to keep BG up.

Mon May 21 2001 21:26:17 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
Michelle, I find with my son that we first confirm that fasting basals are accurate, then we adjust bolus ratios when the postprandials aren't coming in target.

Mon May 21 2001 21:26:34 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Hope he takes Humulin N once in the morning and glucophage and glucotrol in the evenings..He also exercises in the evenings.. so do you have any suggestions for a snack.

Mon May 21 2001 21:27:16 Eastern US
Heidyn (type 1) from 164.106.22.60
Hello

Mon May 21 2001 21:27:44 Eastern US
Hope, aka chief chatter from 152.163.194.199
The book is available from the American Diabetes Association via phone 800-ADA-ORDER or online www.diabetes.org. It's available from all online bookstores as well. It will be in store by midJune.

Mon May 21 2001 21:27:47 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Hello Heidyn is it storming your way? we are getting a heavy rain.

Mon May 21 2001 21:27:51 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
BETTYB NEW TO THIS, WHAT IS DMTC?

Mon May 21 2001 21:28:24 Eastern US
Hope, aka chief chatter from 152.163.194.199
Does Justin have type 1 or type 2 diabetes?

Mon May 21 2001 21:28:25 Eastern US
Michelle(RI) (Adam 7 dx'd 2/00, pumping) from 24.18.142.149
I have fixed every basal and I finally got the fasting basals good but I am having trouble everywhere else. I am calling the endo tomorrow because it is driving me crazy.

Mon May 21 2001 21:28:36 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
HI HEIDYN.

Mon May 21 2001 21:28:42 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Hope's book is available to be ordered right now, I believe, on the ADA website and at 1-800-ADAORDER.. but it might not be shipped for a few weeks since it's just nw going to print.

Mon May 21 2001 21:29:14 Eastern US
Heidyn (type 1) from 164.106.22.60
Whoo,boy,its been raining almost non stop since last week here,but just drizzling now.It varies,we had a downpour earlier today Pam

Mon May 21 2001 21:29:43 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Hope they dont know yet? Some say type 2 and some just dont know, But I think it may be type 1 for his C-Peptide test is showing hes only making 2% of insulin..

Mon May 21 2001 21:29:44 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Kathy, DMTC stands for Diabetes Management and training Centers. It is the diabetes center I own in Phoenix, Arizona.

Mon May 21 2001 21:30:07 Eastern US
CAT (NJ) from 208.17.170.11
Hello. Does anyone without the pump count carbs?

Mon May 21 2001 21:30:12 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
How do you work out how much carb you should be having ? We're both T2

Mon May 21 2001 21:30:14 Eastern US
Ronda (Megan 7 dx jul 99) from 152.163.207.196
Megan has been really good at eating a set amount of carbs for dinner. She has just recently verbalized she feels frustrated and is unhappy that others can eat what they want to and she cannot. It takes 30minutes to 1 hour to eat, depending on how much she and her brother plays. Maybe I will ask the endo for a guideline. Snack is also adjusted to activity during the day. We check Megan at midnite and give a snack if she is below 200.

Mon May 21 2001 21:31:14 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Hi, Cat and all others who have dropped in recently -- yes, Cat, carb counting can be used successfully by everyone with diabetes - not just pumpers.

Mon May 21 2001 21:31:27 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
CAT MY DAUGHTER WAS DX LAST WEEK AND WE WERE TAUGHT TO COUNT CARBS

Mon May 21 2001 21:31:30 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Which my D nurse is praying to go to again

Mon May 21 2001 21:31:58 Eastern US
Hope, aka chief chatter from 152.163.194.199
It is difficult to give a child (or anyone) a set amount of carbs. It is better for the child to eat what they want and need and then work the insulin around this. This is what you can do with 3-4 shot regimens.

Mon May 21 2001 21:32:13 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
Rea started out carb counting from day 1, I was doing the exchanges, but try to count carbs now as it is easier if we both do the same.

Mon May 21 2001 21:33:04 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
I do exchanges and count carbs a bit!

Mon May 21 2001 21:33:17 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
BETTY B DO YOU HAVE TO HAVE A REFERAL TO YOUR CENTER?

Mon May 21 2001 21:33:18 Eastern US
CAT (NJ) from 208.17.170.11
My son was diagnosed almost 4 years ago- he learned about carbs but not what I would call counting them. The endo suggests a visit with the nutritionist to learn to count carbs. He is a teenager- always hungry- if he doesnt eat enough carbs hes so hungry!!!

Mon May 21 2001 21:33:20 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Hope and/or Betty: what do you think about restricting the number of carbs for children in an effort to achieve tighter control? Is this advisable?

Mon May 21 2001 21:33:41 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Carb counting can be used to match food to a set dose of insulin -- that's necessary when you don't adjust doses. It can also be used to figure out how to adjust the insulin to the food (as when you adjust mealtime Humalog doses). And finally, it can be used by people who don't take injected insulin to match what they eat to the amount of insulin their pancreas can still put out.

Mon May 21 2001 21:33:47 Eastern US
Heidyn (type 1) from 164.106.22.60
Thats the first diet I was ever on,CAT(carb counting)been doing it since dx

Mon May 21 2001 21:33:52 Eastern US
Hope, aka chief chatter from 152.163.194.199
Don't let providers push rigid food plans on you or your children. The insulin needs to be worked out to fit your childs lifestyle and needs. Today we can do this!!

Mon May 21 2001 21:34:53 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Hi, Brenda -- good to see you! No, I am not a believer in food restriction in either children or adults. I'm much more an advocate of eating well and matching the insulin whenver people are able and willing to learn the skill.

Mon May 21 2001 21:35:02 Eastern US
CAT (NJ) from 208.17.170.11
Hope, I think that is what we'd been doing up until now- we would let Jay eat what he needed carb wise (no junk food) and then the endo would adjust the insulin after looking at his numbers. Now this seems to me like a change in the way we will do it

Mon May 21 2001 21:35:25 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
Great question Brenda, Z often has 230 grams of carbs at breakfast and there's no way his insulin cannot soar afterwards even if he takes all the insulin for it.

Mon May 21 2001 21:35:29 Eastern US
Hope, aka chief chatter from 152.163.194.199
I don't think restricting carbs is the way to achieve tighter control, unless the carb intake or food intake in total is out of control. A insulin program should be developed to match the needs of the child.

Mon May 21 2001 21:36:10 Eastern US
Hope, aka chief chatter from 152.163.194.199
Now 230 grams of carb sounds quite excessive. What does he eat?

Mon May 21 2001 21:36:32 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Kathy, most people come to our center on referral from local physicians, but since we are an education center primarily, we also ave many eople who self-refer -- when that happens, we contact their doctors to coordinate care.

Mon May 21 2001 21:36:57 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Personally, I don't restrict carbs, but I try to restrict fat, esp. when eating at home. Marissa was cute this afternoon when she asked if I could please make dinner for a change! On the 13th, Jeff and I attended a concert; kids and I to a ballgame on the 14th; Marissa was home to fend for herself Tues and Wed; Thurs. I can't recall; Friday was Marissa's 8th gr. dance and she dined out and I made fettucine for Jeff and I Sat because I didn't know Marissa's schedule and I was busy again last night and tonight!

Mon May 21 2001 21:37:11 Eastern US
Hope, aka chief chatter from 152.163.194.199
Cat - the endo should be teaching you to do the adjustments. Adjustments need to be done daily.

Mon May 21 2001 21:37:37 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
Three types of cereal, milk, chocolate chip waffles, orange juice, banana....

Mon May 21 2001 21:38:01 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Marissa also mentioned that her "Life Skills" class was discussing breakfast today and she was astonished that many kids eat 3 c. cereal before school. She eats 1 or 1 1/2 c. and is satisfied.

Mon May 21 2001 21:38:37 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
my child is 6yr. 40# and told 300 carbs per day.

Mon May 21 2001 21:38:43 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Ellen, does he have all 3 types, plus waffles, etc. each day????

Mon May 21 2001 21:38:57 Eastern US
CAT (NJ) from 208.17.170.11
Oh we do adjust the insulin when needed but still refer to her after a week or two to see how Jays doing

Mon May 21 2001 21:39:22 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
Brenda, yes.

Mon May 21 2001 21:39:47 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
Good grief - sounds so healthy. One of our public health problems is that kids either don't eat any breakfast at all, or they buy pies and chippies and pop on the way to school !

Mon May 21 2001 21:39:59 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Intake varies a lot from person to person, and 3 cups cereal may not be an excessive amount for bigger kids and adults, particularly those that are pretty active or GROWING.

Mon May 21 2001 21:40:10 Eastern US
CAT (NJ) from 208.17.170.11
About on the average how many carbs are teenage boys eating? Jay is 5'9", still growing and weighs about 140 which looks very thin on him

Mon May 21 2001 21:40:12 Eastern US
Hope, aka chief chatter from 152.163.194.199
Kathy - 300 grams of carb sound in range. That's without any details.

Mon May 21 2001 21:40:43 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Just a growing boy! Would he eat eggs or does he not eat them because his a vegetarian?

Mon May 21 2001 21:40:57 Eastern US
CAT (NJ) from 208.17.170.11
Kathryn- where are you from?

Mon May 21 2001 21:41:00 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
He eats eggs, but not often.

Mon May 21 2001 21:41:06 Eastern US
Ronda (Megan 7 dx jul 99) from 152.163.207.196
Megan HATES shots as she calls them. I asked her if she wanted take more insulin so she could eat what she wanted(especially at school). I was letting her eat lunch at school twice a week. I would go in and go through lunch line with her. But it is difficult to stay within 30-40 carbs when the choice is pizza, green peas, stewed apples and salad. Megan does not like salad. She has to get water. Megan has not told me if she wants to take insulin at school yet. I told her I would talk it over with the endo.

Mon May 21 2001 21:41:48 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
New Zealand - very large problem with increasing numbers of T2.

Mon May 21 2001 21:42:00 Eastern US
Hope, aka chief chatter from 152.163.194.199
If he is eating all this carb and taking enough insulin to cover with good BG control and good A1cs, and within range growth charts, then fine.

Mon May 21 2001 21:42:12 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Kathy, that amount sounds pretty average -- but did anyone look at her normal intake before setting that level? Is she able to comfortably eat that many in a usual day? If she's consistenyl hungry or consistently refusing food her plan says she should be etaing, then there is a mismatch.

Mon May 21 2001 21:42:52 Eastern US
Ellen (FL) (Zachary 13, dx'd 2.89, pump 5.5 yrs) from 64.12.103.27
A1C is 7.5 - obviously could be better. But he is growing very well.

Mon May 21 2001 21:42:55 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Justin has for breakfast a piece of toast 2 eggs, 2 pieces of sausage and half cup of milk and cup of cereal and jelly on his toast and he still gets hungry..

Mon May 21 2001 21:43:06 Eastern US
CAT (NJ) from 208.17.170.11
Here too Kathryn!

Mon May 21 2001 21:43:29 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Marissa's last A1C was 7.7 so we've been trying to achieve tighter control. From pre-breakfast Sat. until last night, she was 57-125 or so and the lows were exercise related.

Mon May 21 2001 21:43:35 Eastern US
CAT (NJ) from 208.17.170.11
Yes Jay is always hungry- cant feed him enough

Mon May 21 2001 21:43:57 Eastern US
Hope, aka chief chatter from 152.163.194.199
Pam - is Justin's BG in control?

Mon May 21 2001 21:44:02 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
I dont think we can fill growing boys up..

Mon May 21 2001 21:44:20 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Never finished my thought--not that good all the time, though.

Mon May 21 2001 21:44:53 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
bettyB, my child has never been as hungry nor eaten as much since dx.

Mon May 21 2001 21:44:54 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Hope its was 7 but its went up since his insulin production is dropping but on the insulin its coming back down again.

Mon May 21 2001 21:45:23 Eastern US
CAT (NJ) from 208.17.170.11
For instance pasta is Jays favorite thing- he hates to have what he considers a small portion and could eat 2 or 3 plates full if allowed.

Mon May 21 2001 21:45:39 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Last time it was 9.0 and he just started insulin 3 weeks ago and its 8,4 now

Mon May 21 2001 21:46:20 Eastern US
Hope, aka chief chatter from 152.163.194.199
I was asking because if his BG is consistently high, then he could be losing a lot of calories as sugar in his urine. That could result in hunger and loss of weight.

Mon May 21 2001 21:46:35 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Cat, why not let him and give him humalog to cover it?

Mon May 21 2001 21:46:41 Eastern US
CAT (NJ) from 208.17.170.11
Pam what do you mean he just started insulin 3 weeks ago if he was diagnosed in 99?

Mon May 21 2001 21:47:10 Eastern US
KATHY FITZPATRICK (MOM OF HANNAH, 6, DX'D@6) from 152.163.201.77
thanks for all the info goodnight all from virgina

Mon May 21 2001 21:47:18 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Hope Justin doesnt have any weight loss.. Cat they dont know what type Justin is?

Mon May 21 2001 21:47:21 Eastern US
Sherry (MIndy, 12, dx'd at 10) from 216.198.62.44
We have good control and A1c is 7.0, eating what she wants but not growing. We had blood work done and X-ray. Blood work came back fine but x-ray is 1.5 years younger than she is ?? Any thoughts??

Mon May 21 2001 21:48:08 Eastern US
CAT (NJ) from 208.17.170.11
Yes Connie. he often takes extra H but then very often he goes low afterwards- cant seem to get it right

Mon May 21 2001 21:48:35 Eastern US
Ronda (Megan 7 dx jul 99) from 152.163.207.196
Thanks evryone. My kids are enjoying the cartoons, but it is way past their bedtime. I'll discuss options again with Megan and endo and see if there is a better plan. Good-night.

Mon May 21 2001 21:48:43 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Cat--you could have him do some extra exercise before and/or after the pasta to help. Just depends on how you serve it. Fettucine is very high fat, but you could serve it with a very simple, low-fat sauce. Pasta salad, including veggies to help fill him up is another idea.

Mon May 21 2001 21:48:44 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Good night Kathy..

Mon May 21 2001 21:48:52 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Calorie needs- that is total need for food and the nutrients in it - is NOT effected by diabetes, Kids with diabetes need to eat the right amount for their personal needs. Carb counting is just a tool to help matching insulin to what's eaten. The diabetes food needs should NOT drive the overall nutrition - having to either force or witholf food too often suggests that something is out of whack..

Mon May 21 2001 21:48:59 Eastern US
CAT (NJ) from 208.17.170.11
Oh that must be confusing for all of you. I never heard of a child being Type 2. Is that common?

Mon May 21 2001 21:49:03 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Cat I know that feeling....

Mon May 21 2001 21:49:29 Eastern US
Hope, aka chief chatter from 152.163.194.199
Cat - you might want to divide the dose of humalog or if two shots is out, then give the insulin 15 minutes into the meal.

Mon May 21 2001 21:49:56 Eastern US
PAM (Justin 14 dx'd Jan 99) from 63.95.122.2
Cat they are saying type 2 is becoming more common... Time for bed.. Good night all and hope you all have a good nights rest......

Mon May 21 2001 21:49:57 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Cat, he could be Type 1b, which I don't really understand, but someone else might.

Mon May 21 2001 21:50:34 Eastern US
CAT (NJ) from 208.17.170.11
Thanks for the suggestions.

Mon May 21 2001 21:50:46 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
Can you tell me about glargine and T2s before closing ??

Mon May 21 2001 21:50:52 Eastern US
CAT (NJ) from 208.17.170.11
Type 1 B?

Mon May 21 2001 21:51:07 Eastern US
CAT (NJ) from 208.17.170.11
How is the diagnosis of type made?

Mon May 21 2001 21:51:26 Eastern US
Hope, aka chief chatter from 152.163.194.199
What do you want to know about glargine and type 2's. I will try to answer.

Mon May 21 2001 21:51:38 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Mindy;s growth may have been slowed down by out of range blood sugars and lack of insulin at the time of diagnosis, Sherry. But nornmally kids catch that loss up again when their sugars come back under control. Do you have an appointment to talk to your dcotor about the results?

Mon May 21 2001 21:52:02 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
from the diabetes dictionary:
Idiopathic diabetes (Type 1B). Some forms of Type 1 diabetes have no known etiologies. Some of these patients have permanent insulin deficiency and are prone to ketoacidosis but have no evidence of autoimmunity. Although only a minority of patients with Type 1 diabetes fall into this category, of those who do, most are of African, Hispanic, or Asian origin. Individuals with this form of diabetes suffer from episodic ketoacidosis and exhibit varying degrees of insulin deficiency between episodes. This form of diabetes is strongly inherited, lacks immunological evidence for beta cell autoimmunity, and is not HLA associated. An absolute requirement for insulin replacement therapy in affected patients may come and go.

Mon May 21 2001 21:52:28 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
Is it something that will replace oral meds ? ie give a background insulin level, with the T2s own fading insulin production then able to cope with the BGs produced by meals ?

Mon May 21 2001 21:52:35 Eastern US
Hope, aka chief chatter from 152.163.194.199
It is generally not that difficult to make the diagnosis between type 1 and type 2 diabetes. Yes, more children are developing type 2, but they are usually overweight with several other characteristics. Betty comment?

Mon May 21 2001 21:52:54 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Kathryn, glargine has been promoted by the company as "easy" therapy for type 2. I do NOT believe it will rove effective. Our best chance for good control in diabetes is ALWAYS tocome as close as possible to mimicking wwhat the non-diabetic body does -- and normal bodies simply do NOT pump out constant levels of insulin all day and night.

Mon May 21 2001 21:53:22 Eastern US
Brenda Hitchcock (Marissa, 13--dx'd 9/89, pumper) from 216.23.56.171
Betty and Hope: thanks for being with us tonight. I have to go trim some hair! Nothing like waiting until bedtime. BYE

Mon May 21 2001 21:54:00 Eastern US
Sherry (MIndy, 12, dx'd at 10) from 216.198.62.44
This is a big problem for us now, it is really getting her down. All her frieds are alot bigger than her now. The Dr. just said wait and see what happens.

Mon May 21 2001 21:54:47 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
It's estimated that right now about 30 per cent of new cases of diabetes in youngsters are type 2 -- this represents an very dramatic increase. These are for the most part kids from families where mom, dad, grandma, grandpa have type 2. They are insulin t\resistant from very early in their lives and this drives hunger and wieght gain, making matters worse. Rates are highest in latino and black kiddos, but there is also a huge rise among caucasians.

Mon May 21 2001 21:55:14 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
Betty, thanks for your advice regarding my husband's increasing BGs. He's seeing our diabetologist tomorrow for a review.

Mon May 21 2001 21:55:16 Eastern US
Hope, aka chief chatter from 152.163.194.199
Glargine can't cope with the rise of BG after eating. That's why it can't really be taken alone. I can see Glargine used with Prandin or Starlix - two oral meds that lower BG after meals. Don't think it is yet approved with any orals. Those studies, I believe, are being done.

Mon May 21 2001 21:55:46 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Sherry, Is your doctor a pediatric endocrinologist? If not, and if this is concerning you so, you might wnat to ask for a referral to one.

Mon May 21 2001 21:56:07 Eastern US
CAT (NJ) from 208.17.170.11
Wow Betty I had no idea!

Mon May 21 2001 21:56:21 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Gla to hear it, Kathryn. let us know how it turns out.

Mon May 21 2001 21:56:22 Eastern US
CAT (NJ) from 208.17.170.11
Got to go. Thanks again

Mon May 21 2001 21:56:30 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
sorry, I missed a lot of stuff, was on the phone

Mon May 21 2001 21:57:06 Eastern US
Daniel from 24.28.40.183
hi

Mon May 21 2001 21:57:27 Eastern US
Hope, aka chief chatter from 152.163.194.199
Beth - any questions?

Mon May 21 2001 21:57:28 Eastern US
Sherry (MIndy, 12, dx'd at 10) from 216.198.62.44
She is a ped endo. What would you look into?

Mon May 21 2001 21:57:30 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Have we missed any burning questions that you need answered before we're out of time?

Mon May 21 2001 21:58:04 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
don't think so at this time Hope, but did Betty say you also had a book about eating at restaurants.

Mon May 21 2001 21:58:26 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Shee\rry, if she's a ped endo, I think I'd have another run at her and share your concerns, including the fact that it effecting Mindy emotionally to be a little peanut next to her friends.

Mon May 21 2001 21:58:31 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
Where's your T2 book, Betty ?

Mon May 21 2001 21:58:45 Eastern US
Hope, aka chief chatter from 152.163.194.199
Here's another commercial announcement for my forthcoming book - Complete Guide to Carb Counting, published and available from American Diabetes Association.

Mon May 21 2001 21:59:01 Eastern US
Sherry (MIndy, 12, dx'd at 10) from 216.198.62.44
Thank you for your thoughts. I need to get kids to bed. GOOD NIGHT!!!!

Mon May 21 2001 21:59:04 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Beth I have the phone # but not the title of the book, missed that

Mon May 21 2001 21:59:20 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Beth, the book I was referring to was The Restaurant Companion, which Hope wrote several years ago. You'll find it on Amazon.com -- and I'm sure Hope has some other recommendations.

Mon May 21 2001 21:59:28 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
got it now

Mon May 21 2001 22:00:00 Eastern US
Hope, aka chief chatter from 152.163.194.199
Restaurant books - two. The Restaurant Companion focuses on eating healthy at ethnic type restaurants and ADA's Guide to Healthy Restaurant Eating focuses more on chain restaurants.

Mon May 21 2001 22:00:34 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
KAthryn - you're killin' me! I spend too much time in chat rooms to get it written!! Seriously, right now working on "Diabetes Myth" publication that is really a hoot -- I'll tell you all about it when it;'s about to come out.

Mon May 21 2001 22:00:48 Eastern US
Hope, aka chief chatter from 152.163.194.199
You can order The Rest. Companion from Surrey Books at 800=326-4430 or get it on line.

Mon May 21 2001 22:01:12 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
get writing !!

Mon May 21 2001 22:01:42 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
sounds interesting Betty--a customer told me when Rea was dx'd to enjoy these last few years with her

Mon May 21 2001 22:02:11 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Sweet Kids is a great book too, have leant it to my D nurse

Mon May 21 2001 22:02:26 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
OK, I'll keep plugging away! Well, folks, we're over time. I want to thank Hope so very much for joining us tonight. Can't wait to see that book - there's a huge need! Thanks to all for joining in. See you next month.

Mon May 21 2001 22:03:05 Eastern US
Beth (IA) (Rea 16, dx'd 7/98, pumping) from 206.72.22.158
thanks Hope and Betty

Mon May 21 2001 22:03:11 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Oh, Beth. I wish I was a rich woman -- I'd take out contracts on people like that! The ill-informed wirtch!!! Let's storm her clinic!

Mon May 21 2001 22:03:21 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Night Hope and Betty, great chat as usual

Mon May 21 2001 22:03:23 Eastern US
Hope, aka chief chatter from 152.163.194.199
Thanks for inviting me. It was fun. Now to the hot tub!!

Mon May 21 2001 22:03:47 Eastern US
Connie(BC) (Type 1) from 207.194.24.24
Beth remember that dietician and Jan this summer????

Mon May 21 2001 22:03:50 Eastern US
BettyB (Chat Moderator) from 64.12.103.171
Night all - and thanks again, Hope.

Mon May 21 2001 22:03:54 Eastern US
Kathryn (T2, plus husband T2) from 203.98.21.44
Bye

Mon May 21 2001 23:14:03 Eastern US
(Animal Lover) from 216.77.77.111
hey, is this the carb-counter chat?

Chat Room Administrator Mon May 21 2001 23:25:00 Eastern US
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