One Thing to Improve – Diabetes Blog Week Day 3

Diabetes Blog Week Day 3

Our instructions:  Yesterday we gave ourselves and our loved ones a big pat on the back for one thing we are great at.  Today let’s look at the flip-side.  We probably all have one thing we could try to do better.  Why not make today the day we start working on it.  No judgments, no scolding, just sharing one small thing we can improve so the DOC can cheer us on!

This one was easy for me to pick.  One thing I would like to do better is help my guys dose their insulin BEFORE eating.  We do try to do this, but it is REALLY REALLY hard.  Partly because it requires planning.  Mostly because it is almost impossible to convince a hungry  person he should wait 10-15 minutes after calculating carbs and dosing insulin to eat.

When the little guy was diagnosed, we were given these instructions:

1.  Check blood sugar

2.  Dose insulin for food based on carb count, including any correction dose for high sugar

3.  Take the first two numbers of the blood sugar reading.  This is how many minutes after taking insulin you should wait to eat your food.  (for example, if blood sugar is 130, you would take insulin and then wait 13 minutes to eat)

The reason for doing this is that insulin takes 30-90 minutes to get working and even reach its peak in your system.  Taking the insulin before eating avoids blood sugar spikes after your meal or snack.  Ultimately, doing just this one thing can  help lower the A1C result, a definite goal for us.

Sounds great.  Simple to calculate.  Easy to recognize the benefit.  Difficult to implement in real life.  Especially with a kiddo who’s convinced he is “starving” and is watching his brother and sister scarf down their food while he waits.

So, this is what I’d like to improve for us.   I know with a little work we can get much better at this.

I’d really love to hear how this goes for others.  I’m sure we aren’t the only families struggling with this issue.

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6 thoughts on “One Thing to Improve – Diabetes Blog Week Day 3

  1. so true and so many times we let Cara eat first. We just never know how meal time will go for Cara. I always fear that she will not eat all her meal time carbs and then your covering with sugar and junk food just to make sure she does not go low. It is all so complicated!

  2. I take for granted that my son is a great eater. There is almost never a time that I put food in front of him and he doesn’t eat it all. That means I have no excuse though for slacking in this area! haha! I agree..so complicated!

  3. woah, i’ve never heard that guideline before. so like, if my kid was 240 at dinner time, i should make her wait 24 mins after bolusing before she eats? wow. interesting.

    • That’s the guideline we were taught, so your example would hold true. I guess the idea is the higher your blood sugar, the longer you have to wait for the correction to work before eating food and making it even higher. Admittedly, it is hard to follow!!

  4. We do try really hard to bolus at least 10, maybe 15 minutes before eating. My problem is that I don’t usually have the carb count until the food is on the plate…and who wants to eat cold food! We keep trying:)

    • I agree..the cold food part stinks. I try to calculate what I’m going to give him while I’m making it, but usually get too caught up in cooking and don’t have time.

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