5 yr. old diabetic/correcting for a "high" at school?!
Question: 5 yr!. old diabetic/correcting for a "high" at school!?
Nurse just called me!. My son's b/s was 411 before lunch!. WAY HI, but we realized he ate school breakfast AND breakfast at home! His lunch contains 62g of carbs and he would get 2 units of insulin if he eats ALL his lunch!. He is a "brittle" diabetic as his insulin makes him drop quick and his carb intake raises him quick!. I was afraid to tell the nurse to correct for the HI reading before he ate and told her to correct after!. What would you have said!? I'm just still nervous about him going too low in school!.Www@Answer-Health@Com
Answers:
You need to get your comunications in line with the school!. Either tell them that you son eats at home and not school or the other way around!. Stick to it!. And 62 grams of carbs is way too high for one meal!. His meals should be around 45 grams of carbs and then he could have a snack of 15 grams!. Make sure your son is eating the right kind of carbs and having some kind of fiber in his meals too!. This helps insure that the carbs he eats will be digested more slowly and he will maintain a steady good blood sugar reading for a longer period of time!. I had 2 kids with diabetes in school, and it can be frustrating, but communications is extremely important!. You need to make an appointment with a nutritionist and also take some diabetic educational classes!.!.!.this helped me more than you will ever know when it came to dealing with my kids diabetes in school!. I still go to educational classes every month!.!.!.!.you never learn it all!.Www@Answer-Health@Com
Hmm!! breakfast at home was how many grams of carb!? and I know the breakfast at school is very very high carb!! If he didn't bolus for each of those, yes, he would be in the 400 neighborhood!. If I eat at school on the rare days when I do special programs, I could not maintain my low insulin injection levels!! I have to take my own snacks and lunch sack to be able to eat with the kids on these days!.
YES!! By all means eat lunch then inject the amount of insulin for the meal, then have the nurse check after 90 minutes and see where it is!.
She really needed to check him about 90 minutes after the school breakfast and maybe also just before it as well!.
A good diary between both you and the nurse will help with this problem!! You will both have to be diligent in checking glucose numbers, amounts of carb, amounts of insulin and hours of all!. Your son will have to carry the diary back and forth between you or you will have to deliver it to the nurse and pick it up after school session every day!. But it will help to know where your son is with his control all the time!
I check my glucose numbers just before eating, 90 minutes after eating, 90 minutes after injecting rapid acting insulin, lots of finger pricking, but it pays off in knowing exactly where I am all the time!.Www@Answer-Health@Com
YES!! By all means eat lunch then inject the amount of insulin for the meal, then have the nurse check after 90 minutes and see where it is!.
She really needed to check him about 90 minutes after the school breakfast and maybe also just before it as well!.
A good diary between both you and the nurse will help with this problem!! You will both have to be diligent in checking glucose numbers, amounts of carb, amounts of insulin and hours of all!. Your son will have to carry the diary back and forth between you or you will have to deliver it to the nurse and pick it up after school session every day!. But it will help to know where your son is with his control all the time!
I check my glucose numbers just before eating, 90 minutes after eating, 90 minutes after injecting rapid acting insulin, lots of finger pricking, but it pays off in knowing exactly where I am all the time!.Www@Answer-Health@Com