[ Diabetes Solutions ]

Macronutrients and type 1 diabetes – Management

DisneyWithDiabetes is proud to have joined join AllEarsNet.com. Since Disney does not post the carb count in their food… Glycated haemoglobin (HbA1c), insulin use, and glycaemic variability – evaluated as high blood glucose index (HBGI) and low blood glucose index (LBGI) – were assessed at baseline and after 6 and 18 months. Many people with Type 1 Diabetes are quick to dismiss the Low GI Diet as a ‘Type 2’ Diet which doesn’t hold much relevance for them. the information was still mostly based on a typical Western or European diet, not on traditional foods like tabbouleh, hareeseh and chicken shawarma that are more common in a typical Middle Eastern diet. Insulin helps keep your child’s blood sugar from going too high or too low after meals. If your weight loss diet includes an increase in fiber intake, consider this fiber’s impact.

To combat this, make sure to drink plenty of water and especially between alcoholic beverages. Our educator has very kindly offered to come to you and do the training. Determine a method to have the blood glucose number reported to you. Secondly, it can put you at risk for other complications. One carb choice, or serving, is the amount of food that contains 15 grams of carbohydrate. Choose low-fat breads, such as bagels, tortillas, English muffins, and pita bread. Lower GI foods such as basmati rice, sweet potato and granary bread digest and convert to glucose more slowly resulting increased blood glucose levels later than expected.

The cohort consisted of 16 boys and 16 girls aged 12 to 20 years. May the force be with you… Those on multiple daily injections (MDI) could split their dose, taking some upfront and the remainder 1-1 ½ hours later. From my experience, Disney shows little respect for the needs of Type 1 diabetics guests to match the carbohydrate content of the food the eat with measured insulin and that is most probably because they live you co-workers uncles , don’t have a clue. Injected insulin cannot be removed in the way that endogenous insulin production is reduced in the non-diabetic population. To counteract the relative insulin excess may take hours and therefore the use of 15 – 20g rapid acting carbohydrate is essential. A good rule of thumb when following the Low GI is that the higher the fibre content of your food, the longer it takes to burn and absorb in your body, the less likely it is to cause your blood sugars to rise.

Symptoms such as hunger or fear of hypoglycaemia may lead to over consumption of appropriate and inappropriate treatment. But carbohydrates play a very important role in your child’s health. Wait 15 minutes, and recheck your blood glucose level. This is because the cold temperature will increase resistance to starch content and acid will slow stomach emptying. Not enough of the team turned up for training sessions. Plan for emergencies. To combat this, it is suggested that those who are on MDI should either give insulin after this type of meal or split their dose (50% upfront and 50% 1-1 ½ hours later).

This means that you need to take 1 unit of your fast-acting insulin to cover every 15 grams of carb you eat. [5] For the above reason, the use of high fat foods such as chocolate and milk are inappropriate treatments for hypoglycaemia. When consumed protein is broken down into amino acids. The presence of these amino acids will stimulate the release of insulin to help transport them to muscle cells. Glucagon is also released to counteract insulin and ensure blood glucose levels remain stable. In individuals with diabetes only glucagon is released. He just needs to hear from more T1 families.

This process takes longer than carbohydrate metabolism and therefore will cause a delayed rise in post prandial blood glucose. [7]This can be difficult to manage when on MDI as rapid acting meal time insulin has around four hour duration of action. It is likely the blood glucose level will rise after this. Patients using continuous subcutaneous insulin infusion (CSII) can combat this by using an extended/square wave bolus for high protein meals. If you eat more than one serving, all other numbers, like calories and carbohydrates, also increase. This is very dangerous and could have disastrous effects on your blood glucose levels and your overall health. Accurate carbohydrate counting is key, however, in reality it is more of an art than a science.

Slightly narky teacher- ‘We have been through this so many times that I could do your speech for you and I now only have 5 minutes left so can you please just put through the order for two new meters and I promise I will send back the old meters. Address concerns respectfully, and thank them often for the good things they do to help keep your child safe. The introduction of fat and protein counting must be carefully considered on an individual patient basis. In practice many people guess the carbohydrate content of their meals and snacks therefore we have to ask ourselves is counting fat and protein a help or a hindrance? Ultimately methods used to control diabetes should be selected by the individual after informed discussions.

Tags: , ,