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From Connecticut, USA:

My 9 year old daughter who has Type 1 diabetes. She was diagnosed 18 months ago. This year in school, she eats her lunch at 1:00 P.M., comes home and has her snack at 3:45 P.M. When we do her supper blood test at 5:30 P.M., she is often high (over 200-300). Any ideas how to bring her blood sugars down?


You do not mention how much of an afternoon snack you child has. There a several things you might try. You could use more "free foods" at snack time such as cheese sticks with veggies and dip or peanut butter in celery or on a few apple slices. Popcorn (less than a whole carb) might work to fill her up a little. You could have her do some activity after her snack- an exercise video or jump rope or biking; or you could move dinner back a little to say, 6:00 or 6:30. You do not mention if the blood sugars go down by bedtime. If this is the case, the high blood sugars are for a short period of time and may resolve themselves when the schedule changes a bit. Adding more insulin will likely make your child hungrier and the peak time of the long acting insulin -- if she is on NPH insulin.


Original posting 21 Nov 1998
Posted to Hyperglycemia and DKA


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