Sigh, dietitian

[Owen]

I might try a week of same meals, shes not old enough to care yet haha.

I'm trying just to encourage him to get involved but as it's frustrating I usually just give up, his own management isn't great. I want to help him too without nagging but I feel like because he's got away with it for so long now he's kind of 'it won't happen to me' which translates to 'oh well never did me any harm' when it comes to LO. He feels like I'm shutting him out because I'm doing all this but if I don't do it who will? He disagrees that 11mmol isn't too high a blood sugar for LO, I think he thinks I'm neurotic 🙄

Passion can sometimes be misunderstood a as obsession. Try not to use your LO to prove it influence your OH, he will see things in the long run through results.
Perhaps reduce the pasta portion by a tiny amount, say 3g. This is easier to tweak than the insulin due to the small amounts.

What is being eaten with the pasta, is the pasta ready cooked, if not cooking the pasta aldente will change the properties

11mmol is a little high, but not worth upsetting yourself. Tiny changes will bring it down.

 

[SB2015]

Your husband may have got away with it so far, but the long term effects of higher BG are proven.
The technologies available are so much better now and it is unusual for people to be on two injections a day, which about 10 years ago was all that was available. The basal/ bolus regime which you are working on gives much better control. You are definitely in huge right track for LO. It may be that your attention to detail will prompt your husband to reconsider his own care.

 

[Shivles]

Your husband may have got away with it so far, but the long term effects of higher BG are proven.
The technologies available are so much better now and it is unusual for people to be on two injections a day, which about 10 years ago was all that was available. The basal/ bolus regime which you are working on gives much better control. You are definitely in huge right track for LO. It may be that your attention to detail will prompt your husband to reconsider his own care.

He has said he can see how he'd benefit from the more modern approach but hes extremely nervous to change it as from what I gather he's been on novomix for a long time, he'd have to check his blood which I've seen him do once in 3 years. .. he's in a bit of denial

 

[Owen]

He has said he can see how he'd benefit from the more modern approach but hes extremely nervous to change it as from what I gather he's been on novomix for a long time, he'd have to check his blood which I've seen him do once in 3 years. .. he's in a bit of denial

Softly softly catchy monkey

 

[Redkite]

@Shivles I haven't read all the replies on this thread, but I'm a bit worried about some of the advice you've been getting on here. I did post quite a long reply on your other thread about why low carbing in children is NOT a good idea. She is only 16 months old and her brain is developing at its fastest rate, she's growing and changing rapidly, please don't disregard medical advice on diet in favour of all these evangelical advocates of low carb - it could be harmful to her development if you exclude a major food group.

There are various techniques for handling spikes in BG after eating particular foods, for example giving the insulin a few minutes ahead of eating something mid/high GI like breads and cereals. Insulin given subcutaneously takes longer to be absorbed and "get working" than insulin produced by a healthy pancreas straight into the bloodstream, so when you eat high GI carbs, the glucose from digesting them can reach the bloodstream before the insulin does. It can be as simple as a timing issue.

Unless your daughter is coeliac, please don't exclude whole grains - your dietician is absolutely right that these are a valuable source of B vitamins. As for the old "what did hunter gatherers eat" argument, they stripped the seeds and grains out of wild grasses, which their descendants later cultivated. You only have to look at our teeth to see that humans evolved as omnivores.

 

[Shivles]

@Shivles I haven't read all the replies on this thread, but I'm a bit worried about some of the advice you've been getting on here. I did post quite a long reply on your other thread about why low carbing in children is NOT a good idea. She is only 16 months old and her brain is developing at its fastest rate, she's growing and changing rapidly, please don't disregard medical advice on diet in favour of all these evangelical advocates of low carb - it could be harmful to her development if you exclude a major food group.

There are various techniques for handling spikes in BG after eating particular foods, for example giving the insulin a few minutes ahead of eating something mid/high GI like breads and cereals. Insulin given subcutaneously takes longer to be absorbed and "get working" than insulin produced by a healthy pancreas straight into the bloodstream, so when you eat high GI carbs, the glucose from digesting them can reach the bloodstream before the insulin does. It can be as simple as a timing issue.

Unless your daughter is coeliac, please don't exclude whole grains - your dietician is absolutely right that these are a valuable source of B vitamins. As for the old "what did hunter gatherers eat" argument, they stripped the seeds and grains out of wild grasses, which their descendants later cultivated. You only have to look at our teeth to see that humans evolved as omnivores.

There's lots of evidence to suggest the opposite however I don't want to have an argument about it. Either way I wouldn't make a decision just based on strangers from the Internet, I research everything to death, thank you for the concern 🙂

 

[Matt Cycle]

He has said he can see how he'd benefit from the more modern approach but hes extremely nervous to change it as from what I gather he's been on novomix for a long time, he'd have to check his blood which I've seen him do once in 3 years. .. he's in a bit of denial

Hi there. I can understand not wanting to change insulin. You get into a routine which you can manage and are reluctant to change - I'm the same. But to clarify I wouldn't call basal/bolus modern as it has been around a long time now. I've been on it for the last 29 years of my 30 years of T1 diabetes. In that time my fast acting has changed once and my long acting twice.

 

[Shivles]

Hi there. I can understand not wanting to change insulin. You get into a routine which you can manage and are reluctant to change - I'm the same. But to clarify I wouldn't call basal/bolus modern as it has been around a long time now. I've been on it for the last 29 years of my 30 years of T1 diabetes. In that time my fast acting has changed once and my long acting twice.

That's odd, he's been diagnosed 26 years and was offered it only about 7 years ago he said! Wonder why his team give him novomix then

 

[Matt Cycle]

That's odd, he's been diagnosed 26 years and was offered it only about 7 years ago he said! Wonder why his team give him novomix then

Basal/bolus was introduced in the mid 80's and looking back I was lucky in that the clinic I was at was fairly progressive and they offered it to me in 1987 which I took. I would guess though it's a reluctance on the patients part to change and on the medical side if the patient isn't complaining/is doing 'alright' then things just carry on. In my experience it's only when you have an issue or get a new consultant / doctor they start to discuss these things.

Plenty of people on here who have had diabetes a long time didn't change until the 90's/2000's but some like your partner are still on mixed. If it works for the person then great there is no need to change but in my experience it is uncommon.

 

[Shivles]

Basal/bolus was introduced in the mid 80's and looking back I was lucky in that the clinic I was at was fairly progressive and they offered it to me in 1987 which I took. I would guess though it's a reluctance on the patients part to change and on the medical side if the patient isn't complaining/is doing 'alright' then things just carry on. In my experience it's only when you have an issue or get a new consultant / doctor they start to discuss these things.

Plenty of people on here who have had diabetes a long time didn't change until the 90's/2000's but some like your partner are still on mixed. If it works for the person then great there is no need to change but in my experience it is uncommon.

He's finding it's not working so well recently and some days has 3 injections instead of the 2 he's supposed to, he's interested in swapping to basal/bolus but obviously it's a daunting prospect, he said he feels he'd have to take a week off work so he could properly get to grips with it which I appreciate, I didn't want to leave the house with LO in the early days when I didn't know how different things would affect her

 

[Owen]

He's finding it's not working so well recently and some days has 3 injections instead of the 2 he's supposed to, he's interested in swapping to basal/bolus but obviously it's a daunting prospect, he said he feels he'd have to take a week off work so he could properly get to grips with it which I appreciate, I didn't want to leave the house with LO in the early days when I didn't know how different things would affect her

I thought the same about having to take time off to adjust. It turned out to be a bit of a non event. I run my basal so that my readings hit the high fives to mid sixes. I worked my bolus up slowly to allow me to drive without the fear of hypos. The freedom I have now is life changing.

 

[Shivles]

I thought the same about having to take time off to adjust. It turned out to be a bit of a non event. I run my basal so that my readings hit the high fives to mid sixes. I worked my bolus up slowly to allow me to drive without the fear of hypos. The freedom I have now is life changing.

Good to hear the transition can be smooth! How did you work out what doses you needed?

 

[Owen]

I started off with a low dose of basal, whilst carefully restricting carbohydrates, once this was level, I then started adding carbohydrate and bolus in small levels until I found my sensitivity. This is how it worked for me and not necessarily the recommended way of doing it. The highest reading since doing this was 8.4 and the lowest 4.7. I drive a lot and work nights so if I go below 5 I will eat a Satsuma. I am now much braver and even had my first bit of cheesecake in over 3 years, covered with bolus, lovely. I never feel annoyed with injections, as for a 10 second inconvenience, I have my life back. I bought a molle pouch to keep my insulin, blood testing kit and my hypo kit, so that I always have everything to hand.