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how low is low carb?
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<blockquote data-quote="jopar" data-source="post: 207066" data-attributes="member: 11712"><p>Matt</p><p></p><p>Things to look for in what could be wrong with insulin and why it could be blamed..</p><p></p><p>Basal insulin</p><p></p><p>Now it could be that your daughters basal insulin is incorrect, either in dose or not able to provide the correct level of coverage..</p><p></p><p>It could be that at breakfast and the hour or so after, it's isn't enough to cover what's coming of the liver probably.. </p><p></p><p>The return to normal levels 3 hours or so later, could be that in reality there is too much insulin in the system, so it starts combing with the quick acting insulin dropping the bg's lower.</p><p></p><p>Quick Acting Insulin</p><p></p><p>Could be that the raito's are out..</p><p></p><p>The spike etc could be based on incorrect insulin, not hitting quick enough, and taking too long to burn out.. This would cause a spike then still be impacting on the blood glucose later on..</p><p></p><p>Now any one or more of the above problems could be invovled hence the need to seek/work with the diabetic team/consultant to see if, what and how could be resovled!</p><p></p><p>Children live a very much more dymaci lifestyles than adults do, their daily activity levels change a lot faster and are a lot more unpredictables than an adult, their emotions also will change in a flash all impacting on control, along side the ever changing and shoveling around of hormone levels, as their bodies grow and mature... The more extreme retrictions there are in the carbohydrate side of the diet, does make control even harder..</p><p></p><p>But the very biggy and most important one, it the psychological impact6 on the child...</p><p></p><p>Children have enough of a hard time coping/dealing just with being diabetic amongst their peers, and add into this equation a exteme low carb restrictions further impacts psychological on the child as they can't join in with their mates outings to such places as MccyD's Pizza hut, the invites to paties stop, can't even have an humble ice-cream with their mates... </p><p></p><p>Children generally go through a phase of rebelling against the disease at the best of times, due to the restrictions they face with standard diabetic diet, increase the restrictions the more likely, the quicker and with more impact they are likely to rebel..</p><p></p><p>Yes a parent of a diabetic child will go through many dilema's with there child trying to maintain a level of control that prevents complications further down the line is extremely difficult.</p><p></p><p>But to do it in such a manner that prevents the child from normal interaction or set the further apart from their peers than needs be is in my opinion abbrusive...</p><p></p><p>Control wise, for any T1 to follow an extreme low carb diet sucessfully actaully requires 3 types of insulin, the background, and indemediate one to inject 30 mintues at least before an high fat/protien meal, to match the profile of protien etc. Then a fast acting insulin for corrections..</p></blockquote><p></p>
[QUOTE="jopar, post: 207066, member: 11712"] Matt Things to look for in what could be wrong with insulin and why it could be blamed.. Basal insulin Now it could be that your daughters basal insulin is incorrect, either in dose or not able to provide the correct level of coverage.. It could be that at breakfast and the hour or so after, it's isn't enough to cover what's coming of the liver probably.. The return to normal levels 3 hours or so later, could be that in reality there is too much insulin in the system, so it starts combing with the quick acting insulin dropping the bg's lower. Quick Acting Insulin Could be that the raito's are out.. The spike etc could be based on incorrect insulin, not hitting quick enough, and taking too long to burn out.. This would cause a spike then still be impacting on the blood glucose later on.. Now any one or more of the above problems could be invovled hence the need to seek/work with the diabetic team/consultant to see if, what and how could be resovled! Children live a very much more dymaci lifestyles than adults do, their daily activity levels change a lot faster and are a lot more unpredictables than an adult, their emotions also will change in a flash all impacting on control, along side the ever changing and shoveling around of hormone levels, as their bodies grow and mature... The more extreme retrictions there are in the carbohydrate side of the diet, does make control even harder.. But the very biggy and most important one, it the psychological impact6 on the child... Children have enough of a hard time coping/dealing just with being diabetic amongst their peers, and add into this equation a exteme low carb restrictions further impacts psychological on the child as they can't join in with their mates outings to such places as MccyD's Pizza hut, the invites to paties stop, can't even have an humble ice-cream with their mates... Children generally go through a phase of rebelling against the disease at the best of times, due to the restrictions they face with standard diabetic diet, increase the restrictions the more likely, the quicker and with more impact they are likely to rebel.. Yes a parent of a diabetic child will go through many dilema's with there child trying to maintain a level of control that prevents complications further down the line is extremely difficult. But to do it in such a manner that prevents the child from normal interaction or set the further apart from their peers than needs be is in my opinion abbrusive... Control wise, for any T1 to follow an extreme low carb diet sucessfully actaully requires 3 types of insulin, the background, and indemediate one to inject 30 mintues at least before an high fat/protien meal, to match the profile of protien etc. Then a fast acting insulin for corrections.. [/QUOTE]
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