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Snack

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Conrad howell

Member
Relationship to Diabetes
Type 1
My 15 yr old has just been diagnosed as type 1 he's a vegetarian
He was quite a snacker before, so I was wondering can you snack without another injection? ie low carb /no carb, what sort of foods nuts, cheese?
Thanks
Conrad
 
I snack on nuts and love cheese. Mini baby bels are my friend.
Cant advise on the insulin side of things though i'm afraid.
 
I snack on nuts and love cheese. Mini baby bels are my friend.
Cant advise on the insulin side of things though i'm afraid.
Just had a babybel and some walnuts this morning. Also like Pumpkin seeds and Dried Unsalted Edamame Beans
 
And I assume you wouldn't need a top up of insulin for that?
No Conrad - no extra insulin required for nuts or cheese. Some nuts have more carbs than others, though, so better to go for the lower carb ones (I think peanuts are relatively high, almonds and walnuts relatively low 🙂). I usually go for cheese myself - a couple of slices of Double Gloucester with chives and onions, yum! 🙂 Some people can get away with small amounts of carbs without needing extra insulin, so things like Wotsits, Quavers, small apple etc. are OK - usually around 10g carbs is given as a limit, but it's worthwhile testing blood sugar before and an hour after to see how they affect him as an individual - people's tolerances can vary widely, so important he learns his own as this will make life easier in the longer term 🙂 High cocoa-content dark chocolate is also low in carbs, so a couple of squares of that can satisfy a craving 🙂

Something else to watch out for is a possible 'honeymoon' period - sometimes a recently-diagnosed person's pancreas recovers a little after they start receiving insulin treatment, and novorapid doses may need reducing. Doesn't happen to everyone, but it can make things a little unpredictable, and it's very important that he always has some fast-acting sugar to hand in case of a hypo (low blood sugar, below 4.0 mmol/l). I use jelly babies - between one and three is usually sufficient to raise levels again - but many people also use full-sugar Coke etc. The recommended treatment is around 15g sugar to raise levels without sending them sky high! 🙂 One of the problems with a low blood sugar is that the brain thinks you need lots and lots, so sometimes you need a bit of discipline and know when to stop - preferably before you've emptied the fridge! 😱 😉

Really, the key with snacks is to do lots of testing and try and build up experience of how they affect you - doesn't take that long to get used to what works well for you (him!) 🙂
 
Thanks again, I have mentioned to him about trying stuff and testing bloods so we get some idea how things affect him, he will be back at school Friday so we are worried about that, but the specialist has been in touch with the school, so they should be aware.
he's been given some gels in case of hypo, his bloods before dinner were 8.5 which is the lowest reading yet, so fingers crossed its going the right way
 
My 15 yr old has just been diagnosed as type 1 he's a vegetarian
He was quite a snacker before, so I was wondering can you snack without another injection? ie low carb /no carb, what sort of foods nuts, cheese?
Thanks
Conrad
Hi Conrad how long has he been diagnosed, if you have an asda near by they sell 55g grazing pots of walnuts that are only like 3-4g carbs per pot if he likes dark chocolate green and blacks 85% dark only contains 4.5g per 6 squares, he could have a biscuit, carrot sticks and cucumber are good too some people even have some celery with peanut butter (not tried myself and never will haha)
 
He was diagnosed Sunday night (11th December)
So it's very early days, he's currently having 7 units of novorapid with meals and 14 units of lantus before bed.
we are spending the next few days filling in the food diary for the dietitian, and we'll be have a meeting with the dietitian next week, so I believe he'll be adjusting novorapid levels and it'll be more in line with carb levels, so we can start testing what snacks work best for him
 
Thanks again, I have mentioned to him about trying stuff and testing bloods so we get some idea how things affect him, he will be back at school Friday so we are worried about that, but the specialist has been in touch with the school, so they should be aware.
he's been given some gels in case of hypo, his bloods before dinner were 8.5 which is the lowest reading yet, so fingers crossed its going the right way

Hi Conrad, it may be useful to meet with your son's tutor and the school nurse, to discuss where injection pens are to be stored, check whether the school is familiar with helping students to manage T1, particularly being able to treat a hypo immediately in any lesson (he should never be sent off somewhere to sort out a hypo, and should be able to eat something in huge lessons that he is in). In PE he will need to check before and after, and have hypo stuff with him out on the field.

In secondary schools most students will just get on with it themselves, but the staff need to be aware and let them do what he needs to do. If there are any problems there is a children in chocoholic support line on the DUK website who can help.

I am a voluntary speaker who is an ex teacher, and I go into local schools to work with students and or staff to raise awareness about T1. It could be worth asking your local office to see if there is any similar help available.

I hope all goes well with his return to school. It can be wobbly at the start but it gets a lot easier.
 
Thanks for the advice SB2015 The diabetes specialist at the hospital has been in contact with the school, she deals with quite a few students with type 1, it just so happens she is having a meeting with us tonight, and my son is going back to school tomorrow, so we can discuss any concerns with her, I believe they go to medical room to do their meds before dinner etc and they can store supplies at school
 
Something to bear in mind - when first diagnosed people are often given over to insatiable hunger, it certainly happened to me! 😱 This is because he has probably lost weight and not been able to use the energy from his food properly until he was given insulin, and it should become easier after a few weeks 🙂 Mind you, when I was 15 I was always hungry anyway and I didn't have diabetes! Best to try and keep the carbs in moderation though, and fill up with fats and proteins. Although you can adjust insulin doses to 'cover' extra carbs, larger doses tend to be less effective or predictable - there is also the danger of 'stacking' the insulin doses i.e. injecting again whilst there is still some active insulin 'on board' from a previous injection. Although novorapid is described as 'fast-acting', it's not actually that fast: depending on the individual it can take 15-30 mins before it starts working, peaking after an hour or two then tailing off - it can last from between 3 and 5 hours from injection. Because of this problem with stacking, many people decide that the extra injections required for some snacks are not worth it (myself included) and forego the snack or make sure it's something that doesn't need an extra injection. Some blood sugar monitors have 'wizards' which can calculate active insulin on board and suggest a dose based on this and the desired carbs in the snack (Accuchek Expert is one example). Pumps also have this facility, as well as other facilities which makes them a lot more flexible than injections 🙂
 
There's a lot to learn very quickly, but just keep asking and there will be someone on here with an answer.
Hope all goes well with the meeting.
 
Yes - but it's amazing how quickly you get to know stuff - I still well recall that 'one egg-sized potato = 10g of carbs' from about Day 3 of the marathon. And thought at the time 'Oh yes, fine - so - is it a quail's egg, a pullet's, a hen's, a ducks, a goose's or a ruddy great ostrich's?' LOL (It's a 'medium' hen's egg LOL) (good it ain't a sturgeon's one, isn't it!)

And you've already learned (but hopefully knew anyway LOL) that peanuts aren't nuts at all and never have been - which is why they bear no resemblance to anything about a nut - they don't even grow on flippin trees either!
 
Thanks for the info, his first day back at school went well,left a spare insulin pen at school, just in case he forgets, we have a meeting with the dietician next week, so we'll discuss some snack tactics and any that maybe involve no injection, I've bought him some dark chocolate so he can have a couple of pieces instead of the advent calendar chocolate, really feel for him especially this time of year, couple of selection boxes hidden away for Christmas, as most kids do, but we'll see if we can work through this without depriving him too much
 
He can still have the advent calendar chocolate 🙂 x
 
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