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Type 1 Diabetes
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<blockquote data-quote="jopar" data-source="post: 108156" data-attributes="member: 11712"><p>I would look at the snack first..</p><p></p><p>Ask yourself some questions</p><p></p><p>How many carbs does the snack contain?</p><p>What is the purpose of the snack (avoiding hypo's, because the other kids are having a snack)</p><p>Could the snack be brought forward if she needs one, say by an hour as a starting point?</p><p>If she having a snack because the other children are, is there any alternitive she could have that doesn't contain carbs or a lesser amount of carbs to lessen the impact on her blood glucose levels..</p><p></p><p>He lunch time ratio's I would leave at the moment, if she is 10 before lunch and similar BG after then it's likely that these ratio are correct... In general if there is only +/- of BG of 2-3mml/l then you petty well spot on...</p><p></p><p>Does your wife allow extra insulin to cover the snack she eaten when she injects for lunch?</p><p></p><p>In a rule of from from DAFNE, is that if you eat a carbs snack of over 10g carbs, if eaten around an hour before a meal, no need to inject insulin but if the next meal is longer then inject a dose to cover </p><p></p><p>As for Tea time, As littlesue already said might need adjusting the ratio's due to after she eaten she is more than likely less active and winding down for bed time, so not exercising off any of her blood glucose</p><p></p><p>But do sort one thing at a time, then give a couple of days to see how it effects her results... My self I would start with looking at the snack side of it all, and see how by changing or alter here effects the rest of the day..</p></blockquote><p></p>
[QUOTE="jopar, post: 108156, member: 11712"] I would look at the snack first.. Ask yourself some questions How many carbs does the snack contain? What is the purpose of the snack (avoiding hypo's, because the other kids are having a snack) Could the snack be brought forward if she needs one, say by an hour as a starting point? If she having a snack because the other children are, is there any alternitive she could have that doesn't contain carbs or a lesser amount of carbs to lessen the impact on her blood glucose levels.. He lunch time ratio's I would leave at the moment, if she is 10 before lunch and similar BG after then it's likely that these ratio are correct... In general if there is only +/- of BG of 2-3mml/l then you petty well spot on... Does your wife allow extra insulin to cover the snack she eaten when she injects for lunch? In a rule of from from DAFNE, is that if you eat a carbs snack of over 10g carbs, if eaten around an hour before a meal, no need to inject insulin but if the next meal is longer then inject a dose to cover As for Tea time, As littlesue already said might need adjusting the ratio's due to after she eaten she is more than likely less active and winding down for bed time, so not exercising off any of her blood glucose But do sort one thing at a time, then give a couple of days to see how it effects her results... My self I would start with looking at the snack side of it all, and see how by changing or alter here effects the rest of the day.. [/QUOTE]
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