From Columbus, Ohio, USA:
It is very difficult to control my daughter's blood sugar levels as she is a toddler. She is now aware that there are some foods that she cannot have and those we give her in limited amounts. All she seems to focus on is food. She is always hungry and is always asking for food and more food. Sometimes, I have to give her extra insulin to adjust to the amount of food that was eaten. Often, when I check her blood sugar, she is over 300 mg/dl [16.7 mmol/L]. Is it okay to give extra insulin so often? Should her meals be tightly controlled even if she is screaming for more? How much weight should she gain?
My typical advice is to concentrate on a healthy diet in all patients. Avoid simple sugars when possible and replace them with good tasting sugar substitutes. If your child is hungry, my advice would be to feed her and cover any carbohydrates with insulin based on the insulin to carbohydrate ratio that your diabetes team has suggested (i.e., one unit for each 15 grams of carbohydrates).
Dietary advice that strictly regulates the amount of food offered to a child and giving no flexibility for a hungry child, is not likely to be the best advice or most current advice in treating kids and teens with diabetes. A knowledgeable diabetes educator or dietitian that is familiar with current therapies in type 1 diabetes may be your best resource for additional information.
Last Updated: Tuesday April 06, 2010 15:10:06
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2016. Comments and Feedback.