{Diabetes Awareness Month} Thoughts 5-11

by Leighann on November 11, 2012

I decided that every single day during the month of November, which is Diabetes Awareness Month, that I would share a fact, tip, or thought across my social media channels: Twitter and Facebook.

These snippets will be in 140 characters or less, the allowable length of a tweet.

If you see one of them on Twitter or Facebook, please retweet or share to help raise awareness to your friends and family who may not know much about diabetes.

Read thoughts 1-4.

5. The cupcake is the unofficial symbol of the diabetes community. Why? Because people with type 1 diabetes CAN eat them as long as they have insulin.

6. When at a birthday party and guessing carb counts, an average homemade cupcake or 3″ piece of cake has approximately 30 grams of carbs.

7. Children with type 1 diabetes often have a bedtime snack that includes protein. Protein and fat help carbs last a little longer rather than spiking quickly.

8. Chocolate is not recommended for treating low blood sugars because the fat slows it down. Sugary candy such as Skittles and Smarties are faster acting.

9. The sugar alcohols in sugar-free candy can cause gastrointestinal problems such as diarrhea, especially in younger kids. Regular candy may be a better option with insulin to cover it. It’s a myth that sugar-free is always better for people with diabetes.

10. Keep a running list of the serving sizes and carb counts of foods you eat/serve often so that you don’t have to look them up over and over again.

11. Pre-bolusing, or giving insulin for at least part of the meal up front can help reduce post prandial blood sugar spikes. The goal is to match the peaks of the insulin and the carbs.

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{ 2 comments… read them below or add one }

1 Aimee Croatti November 11, 2012 at 9:28 pm

When you pre-bolus, how do you catch up after the meal? e.g., if you bolus for 20 carbs at the beginning of the meal using the pre-meal blood sugar value, then you need to bolus for another 20 carbs after the meal, do you enter the pre-meal blood sugar value again so it is part of the bolus equation, or do you bypass it and bolus only for the 20 carbs, since any correction would have been figured into the first bolus?

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2 Leighann November 11, 2012 at 9:37 pm

Ask your endo or CDE for specific advice for yourself or your child (had to throw in that disclaimer that this isn’t medical advice)…

When we pre-bolus, it’s for the blood sugar plus part of the carbs, usually 30. Then when she’s done eating, we give insulin for the remaining carbs, but NOT the blood sugar since that was already dealt with.

Each pump model might calculate insulin on board a little differently, so it always a good idea to consult the manual or the pump trainer for recommendations on how to do this.

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