Dairy Queen Ice Cream Cake EEEEEK!

[mom2one]

We are going to a b-day party tonight where dinner and cake(ice cream cake) will be served. I just looked up the nutrition info on the dairy Queen ice cream cake and it said 73 CARBS for 1 slice! This is our "first" encounter with such a big carb item. My son has never even eaten that many carbs in one sitting, then to add dinner on top of it...eeek! Those who MDI - how does your child do when you dose for dinner and say 30 minutes later get another dose for something else, in our case the cake. I was told it was fine to do but I am nervous, not sure why I just am.

[Pauji5]

our daughter was d/x just before last Thanksgiving. We encountered the same issue. We gave her a shot for dinner (counted carbs) and then when dessert came around about an half hour later, we let her have a reasonable sampling, and then waited an hour, tested and corrected with Novolog.

It worked great, and we're done it a few times during the holidays and parties.

Good luck!

[mom2one]

OK, never thought of doing that! My only thing is I would be nervous about trying to figure out the correction since there would still be IOB, right now we just do corrections at meal times.

[coop]

Our DD, dx in Dec, wanted that for her b-day in March. Even though we are honeymooning we did see big spikes with it much later. I was really glad when it was all gone!

[mom2one]

Our DD, dx in Dec, wanted that for her b-day in March. Even though we are honeymooning we did see big spikes with it much later. I was really glad when it was all gone!

Oh really! We had vanilla ice cream for dessert one night and he was in range before bed but 4 hours later it kicked in, YIKES!!!

[Charmed7]

I've always gave a second shot for dessert. Everything should work out fine. Just if he's high before the cake, don't give correction then. Because the insulin in his system is still working. Have a great time (if you haven't already left.)

Charmed

[Heather(CA)]

We are going to a b-day party tonight where dinner and cake(ice cream cake) will be served. I just looked up the nutrition info on the dairy Queen ice cream cake and it said 73 CARBS for 1 slice! This is our "first" encounter with such a big carb item. My son has never even eaten that many carbs in one sitting, then to add dinner on top of it...eeek! Those who MDI - how does your child do when you dose for dinner and say 30 minutes later get another dose for something else, in our case the cake. I was told it was fine to do but I am nervous, not sure why I just am.

We don't have any problems..And we've had lots of situations like that. Just wait until 3 hours after the second dose to see if it was right. Also, I wouldn't bother testing before the cake, he will still be high from the meal and you don't want to correct that.

If he ends up being high for some reason...(I think it will be fine) Just remember he's got to live a little sometimes and move on:D

[mom2one]

I've always gave a second shot for dessert. Everything should work out fine. Just if he's high before the cake, don't give correction then. Because the insulin in his system is still working. Have a great time (if you haven't already left.)

Charmed
OK good. I am not sure why I am so nervous:o Right I definetly will not do a correction at that point.

[mom2one]

We don't have any problems..And we've had lots of situations like that. Just wait until 3 hours after the second dose to see if it was right. Also, I wouldn't bother testing before the cake, he will still be high from the meal and you don't want to correct that.

If he ends up being high for some reason...(I think it will be fine) Just remember he's got to live a little sometimes and move on:D

Yah I probably won't even do a measurement before cake. You are sooooooo right!!:D

[Heather(CA)]

OK good. I am not sure why I am so nervous:o Right I definetly will not do a correction at that point.

My best guess would be that your nervous because of HOW MUCH insulin you need to give him for that many carbs. I still get a weird twinge sometimes too...But, it's usually right on, and if not, he's usually a little high not low:cwds:

[mom2one]

My best guess would be that your nervous because of HOW MUCH insulin you need to give him for that many carbs. I still get a weird twinge sometimes too...But, it's usually right on, and if not, he's usually a little high not low:cwds:
Your right that's it! I just have to remind myself that if I wasn't giving him this amount of insulin his pancreas would(if he wasn't type 1 of course) and I would have NO clue how much insulin he was getting, lol! Thank you everyone for your posts. This board is awesome!

[twodoor2]

BTW, there's a carb factor you can use if you have a travel digital scale and you want to weigh the piece. The carb factor can be multiplied by the grams of the piece that you weighed to give you a more accurate carb count. I don't expect you to bring your travel digital scale, I'm very anal about these things, but that's just me:rolleyes:. The carb factor is 0.29. I calculated it by taking the grams of carbs and dividing it by the grams of the serving size.

This is also a very high GI food by the ingredient listing, but it's a party, so what the heck. Just be prepared for a spike, which if necessary, can be corrected later on.

When we do parties, I just dose for the food unless she's already high for the beginning of the meal (which is usually pizza 99.999% of the time). If you give a correction with the pizza, don't give a correction with the cake, just a food dose, even if your child high. You don't want to give a correction too closely to the last correction, or while another bolus is currently in the system.

We always end up with humongous fat/high GI spikes at parties from the pizza and cake. I went to a communion last weekend, and we saw 400's::eek:, and that was just for some white bread she had (she only gets whole wheat at home). She refused to eat protein (she hated all the "meat things" there), and she had a high GI spike from hell. Even if I dose for carbs that I weighed, and that I thought I calculated very closely, we always get spikes:rolleyes:. I dread parties for this reason, but the kids love them, so what can you do?? At least we could correct and she was in the 100's by the evening hours.

If we don't go to parties or restaurants, we're usually fine (we have a fun life, can't you tell???).

[Heather(CA)]

Just a few more thoughts...
I don't know when you usually give Cooper his insulin...But, since he is going to have JUST had dinner, I wouldn't give him the shot for the cake until he's done with the icecream cake. He may not eat it all, then you have an even bigger problem.

Also, I wouldn't worry about spikes at this point. Some kids have them, some don't. Seth could have pizza, a huge piece of cake and icecream and be fine. YDMV

Test at least three hours after his last shot tonight. If he's good at bedtime, but it hasn't been at least 3 hours...Test him again at the 3 hour mark. Maybe even again if for him the insulin is still working.

[Heather(CA)]

BTW, there's a carb factor you can use if you have a travel digital scale and you want to weigh the piece. The carb factor can be multiplied by the grams of the piece that you weighed to give you a more accurate carb count. I don't expect you to bring your travel digital scale, I'm very anal about these things, but that's just me:rolleyes:. The carb factor is 0.29. I calculated it by taking the grams of carbs and dividing it by the grams of the serving size.

This is also a very high GI food by the ingredient listing, but it's a party, so what the heck. Just be prepared for a spike, which if necessary, can be corrected later on.

When we do parties, I just dose for the food unless she's already high for the beginning of the meal (which is usually pizza 99.999% of the time). If you give a correction with the pizza, don't give a correction with the cake, just a food dose, even if your child high. You don't want to give a correction too closely to the last correction, or while another bolus is currently in the system.

We always end up with humongous fat/high GI spikes at parties from the pizza and cake. I went to a communion last weekend, and we saw 400's::eek:, and that was just for some white bread she had (she only gets whole wheat at home). She refused to eat protein (she hated all the "meat things" there), and she had a high GI spike from hell. Even if I dose for carbs that I weighed, and that I thought I calculated very closely, we always get spikes:rolleyes:. I dread parties for this reason, but the kids love them, so what can you do?? At least we could correct and she was in the 100's by the evening hours.

If we don't go to parties or restaurants, we're usually fine (we have a fun life, can't you tell???).

When are the spikes your talking about happening?

[twodoor2]

When are the spikes your talking about happening?

They're either toward the end of her DIA (around 3 to 4 hours after eating), or sometimes later, like 6 hours, it depends on the amount of fat. If it's high GI, low fat, low protein, then she spikes really high as well.

I usually don't have any problems if she eats at home. Restaurant food, and highly processed junk foods always do it.

I haven't figured out the correct proportions and times for the dual wave. It always ends up more disasterous then if I just give a regular bolus and and just correct later.

[Heather(CA)]

They're either toward the end of her DIA (around 3 to 4 hours after eating), or sometimes later, like 6 hours, it depends on the amount of fat. If it's high GI, low fat, low protein, then she spikes really high as well.

I usually don't have any problems if she eats at home. Restaurant food, and highly processed junk foods always do it.

I haven't figured out the correct proportions and times for the dual wave. It always ends up more disasterous then if I just give a regular bolus and and just correct later.

I sent you a pm:cwds:

[twodoor2]

I sent you a pm:cwds:

Thanks I responded. It isn't from rebounds. She gets spikes from pizza, cake and ice cream no matter what. She could be sitting still, and she'll get them. It's the fat and high GI. In fact, if I am worried about lows at night, I will give her something with fat in it because it will keep her blood sugar higher later on. I usually will give her around 18g of peanut butter and that keeps her blood sugar a bit higher later through the night. Thanks for your pm. I also know it's not from a rebound because the correction will easily get her back down again.

[mph]

Thanks I responded. It isn't from rebounds. She gets spikes from pizza, cake and ice cream no matter what. She could be sitting still, and she'll get them. It's the fat and high GI. In fact, if I am worried about lows at night, I will give her something with fat in it because it will keep her blood sugar higher later on. I usually will give her around 18g of peanut butter and that keeps her blood sugar a bit higher later through the night. Thanks for your pm. I also know it's not from a rebound because the correction will easily get her back down again.

DITTO! Pizza, ice cream, and and any fatty foods give Nick delayed spikes. They come down quickly with correction though.

Two-injection meals stink! It's hard to REMEMBER to give the later bolus for the fatty food.:(

[Heather(CA)]

DITTO! Pizza, ice cream, and and any fatty foods give Nick delayed spikes. They come down quickly with correction though.

Two-injection meals stink! It's hard to REMEMBER to give the later bolus for the fatty food.:(

Have you tried giving one injection after he eats? Maybe that's why it's not a problem for us? Seth gets his shot after he eats...He's great by three hours after the meal. He may spike a little higher, but he's normal sooner...I wonder which is best:confused: Anybody have any thoughts on this?

[twodoor2]

Some people split the dose into two shots, one taken earlier and the other later, or they take regular insulin. The longer flatter peak is ideal for high fat meals.

[mom2one]

BTW, there's a carb factor you can use if you have a travel digital scale and you want to weigh the piece. The carb factor can be multiplied by the grams of the piece that you weighed to give you a more accurate carb count. I don't expect you to bring your travel digital scale, I'm very anal about these things, but that's just me:rolleyes:. The carb factor is 0.29. I calculated it by taking the grams of carbs and dividing it by the grams of the serving size.

This is also a very high GI food by the ingredient listing, but it's a party, so what the heck. Just be prepared for a spike, which if necessary, can be corrected later on.

When we do parties, I just dose for the food unless she's already high for the beginning of the meal (which is usually pizza 99.999% of the time). If you give a correction with the pizza, don't give a correction with the cake, just a food dose, even if your child high. You don't want to give a correction too closely to the last correction, or while another bolus is currently in the system.

We always end up with humongous fat/high GI spikes at parties from the pizza and cake. I went to a communion last weekend, and we saw 400's::eek:, and that was just for some white bread she had (she only gets whole wheat at home). She refused to eat protein (she hated all the "meat things" there), and she had a high GI spike from hell. Even if I dose for carbs that I weighed, and that I thought I calculated very closely, we always get spikes:rolleyes:. I dread parties for this reason, but the kids love them, so what can you do?? At least we could correct and she was in the 100's by the evening hours.

If we don't go to parties or restaurants, we're usually fine (we have a fun life, can't you tell???).

Sounds like she had a blast!! Good thing parties aren't an every week occurance hey! Although with summer is coming.....!

I put it in my Salter Scale so I knew the carb count(brought the scale w/me, I am anal as well :D). I know, high on the GI list, but its funny because some things on the GI list that you would think would cause a spike later don't. We'll see how his numbers are in about an hour!

[mom2one]

Just a few more thoughts...
I don't know when you usually give Cooper his insulin...But, since he is going to have JUST had dinner, I wouldn't give him the shot for the cake until he's done with the icecream cake. He may not eat it all, then you have an even bigger problem.

Also, I wouldn't worry about spikes at this point. Some kids have them, some don't. Seth could have pizza, a huge piece of cake and icecream and be fine. YDMV

Test at least three hours after his last shot tonight. If he's good at bedtime, but it hasn't been at least 3 hours...Test him again at the 3 hour mark. Maybe even again if for him the insulin is still working.

We actually ended up having cake 1 1/5 hours after dinner so he definetly ate it, and i did dose after he ate it, good thing too because he only had 30 carbs worth. Yeah Cooper has never had a spike from pizza either, funny how everyone is so different isn't it. So I tested him before bed(for peace of mind) and he was 335, I will definetly be checking again at the 3 hour mark.

[mph]

Have you tried giving one injection after he eats? Maybe that's why it's not a problem for us? Seth gets his shot after he eats...He's great by three hours after the meal. He may spike a little higher, but he's normal sooner...I wonder which is best:confused: Anybody have any thoughts on this?

Yes, I ONLY pre-bolus breakfast because that is his insulin resistant time. I give his lunch and supper shots AFTER he eats because he has a mental meltdown if he has to pre-plan how much he will eat:rolleyes:. He almost always wants more.
This works great UNLESS it's fatty food. I have not pinpointed a certain amount of fat which starts this delay. :confused:

[twodoor2]

We actually ended up having cake 1 1/5 hours after dinner so he definetly ate it, and i did dose after he ate it, good thing too because he only had 30 carbs worth. Yeah Cooper has never had a spike from pizza either, funny how everyone is so different isn't it. So I tested him before bed(for peace of mind) and he was 335, I will definetly be checking again at the 3 hour mark.

We went to a birthday party once, and there was another mom there with a little girl who also had Type 1. We were both waiting in line for cake for our kids. She said, "waiting for a center piece too?" and I said, "you bet." It was funny that we both had the same objective. I always give her center pieces because the frosting is so full of saturated gooky fat, it will do her in every time.

[mom2one]

We went to a birthday party once, and there was another mom there with a little girl who also had Type 1. We were both waiting in line for cake for our kids. She said, "waiting for a center piece too?" and I said, "you bet." It was funny that we both had the same objective. I always give her center pieces because the frosting is so full of saturated gooky fat, it will do her in every time.
Oh how funny is that!! Must have been nice to meet a mom in the similar situation, I find it so rare. Even w/out diabetes I always did the center for him and I, nobody needs all that sugar, although it sure is good lol :D!

[twodoor2]

Oh how funny is that!! Must have been nice to meet a mom in the similar situation, I find it so rare. Even w/out diabetes I always did the center for him and I, nobody needs all that sugar, although it sure is good lol :D!

I figure it's better to let her have some piece than no piece. Although I wish she would say, "mom, can I have a banana instead of cake?" I know that's pretty unrealistic. However, at the last birthday party she attended, she refused pizza because she could "see the sauce" :confused: In that case, I was a bit grateful for her pickiness. She ate a large banana instead. I was so happy.

[mph]

We went to a birthday party once, and there was another mom there with a little girl who also had Type 1. We were both waiting in line for cake for our kids. She said, "waiting for a center piece too?" and I said, "you bet." It was funny that we both had the same objective. I always give her center pieces because the frosting is so full of saturated gooky fat, it will do her in every time.

LOVE IT!!!!! :D

Nick "usually" scrapes off the frosting and then wants about 3 pieces of frosting-free cake. :rolleyes:

Today he just "indulged" and ate the frosting!!!! Ugh!!!!

[mom2one]

I figure it's better to let her have some piece than no piece. Although I wish she would say, "mom, can I have a banana instead of cake?" I know that's pretty unrealistic. However, at the last birthday party she attended, she refused pizza because she could "see the sauce" :confused: In that case, I was a bit grateful for her pickiness. She ate a large banana instead. I was so happy.
That is HILARIOUS that she refused the pizza because she could see the sauce!!!

[mom2one]

LOVE IT!!!!! :D

Nick "usually" scrapes off the frosting and then wants about 3 pieces of frosting-free cake. :rolleyes:

Today he just "indulged" and ate the frosting!!!! Ugh!!!!
Ha smart kid... well I'm not having the frosting so more cake please :D