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Birthday Parties

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SusieT

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Hi, I wonder if I can ask some advice please.

My daughter normally has her evening insulin jab 20 minutes before our evening meal at 6pm. She is going to a birthday party tomorrow and will be eating a meal at 4pm so I'm unsure whether I should give her her jab then, or wait until nearer the normal time and give her a sandwich or something afterwards. I'm worried that if I don't give her it before her party food she will go too high and I don't really know what to do. Sorry if it's a silly question I'm still trying to find my feet with all of this. Thanks
 
Hi, she's on a 70/30 mix (Humulin M3). She has one jab in the morning before breakfast and then one before her evening meal. She's only been on it a few weeks and I'm unsure what to do.
 
Personally if it was me, I'd not give her the insulin until the normal time and I'd follow her insulin with a lighter than usual evening meal. At parties children tend to be quite active and don't always eat as much as you might think (too much running about having fun) so her blood sugars may not go too high anyway. If you inject before the party then you may run the risk of a hypo if she doesn't eat too much and does lots of active playing.

During the party ask an adult to make sure she doesn't eat too much sugary food and definitely avoid sugar drinks. Ask the party organiser to provide a sugar free squash or something similar for her to drink, or provide your own to be used at the party.

Ask for any sweets and cake to be put in her party bag to bring home. Then you can control when and how much she eats of this. She could have the piece of party cake with her evening meal as a pudding after she's had her injection. Sweets can be kept for hypo treatments or eaten in moderation as part of a main meal so as to avoid those blood glucose spikes.

Parties don't tend to happen too often so the occasional blip in diabetes control isn't going to be the end of the world. If you feel she has a busy social life with parties and this will happen often then speak to your diabetes consultant about prescribing a fast acting insulin to cover these occasions. When my daughter was on the Novomix 30 insulin we also had Novorapid to use to correct high blood sugars or to cover occasional treats that we knew would spike her blood sugars outside of meal times.
 
i too would leave it till the normal time to give her insulin parties are easier to control when on the basal bolus regime but like sophia says the odd blip wont hurt hope she enjoys the party

anna marie
 
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