Lock up your bread!

[Kaileen]

My angelic newly-diagnosed diabetic 8 year old daughter is a bread addict. We have problems with her sneaking bread when we're not looking - usually after school - which results in a pre-dinner glucose check of 180-250. Does anyone have a suggestion as to a bread we can use that won't affect her blood sugar as much?

If all else fails, we have a cabinet and a padlock handy. :D

[Thoover]

How much bread will she eat?? She will eat the bread plain??

I believe my DD would go for the chocolate instead of the bread..lol

I don't know what to tell you, I was laughing at the thread title..:D

[Nancy in VA]

Well, its gonna be tough but it looks like that she's old enough to start learning to understand the impact of her choices. It sucks to have diabetes and make sure she knows that you feel her pain too. Teach her that she can have anything she wants, she just needs to bolus for it. Rather than starting to restrict food, I would start teaching her about making the responsible choices (have the food, take the bolus vs sneak the food).

[Kaileen]

Oh, she knows the impact of her choices. She's seen often enough how her blood sugar spikes: and she has the appropriate look of shame when she's caught. She's SO cute. :)

I have got to ask her endo about bolusing. I don't know how much to give her at any given time, except what he has prescribed. We're all new at this around here. Thanks for the response, Nancy!

And, Tracy: Yeah. I was thinking of the classic cry, "Bring out your dead!" She will indeed eat the bread plain: sometimes she will toast it and put a little Promise spread on it. She's admitted to three slices at one time.

[Thoover]

I remember in the beginning I would catch Britt eating something. I have always been upfront and honest that "IF YOU EAT it and DON'T tell me, the numbers don't lie..lol.. They do give us this look like Uhhh ohhhh.. Britt was 8 when she was diagnosed. We just cover anything she eats now

Do you have the I:C (Insulin to Carb Ratio) I know regular white bread which that is all my daughter will eat is 15 carbs for 1 slice. her I:C is 1:15 so she would have gotten 3 units for that bread. Even now on the pump she would still get the 3 units since her I:C ratio hasn't changed.

Also if you don't catch it until it spikes did your Endo give you a sliding chart of what to correct if over her target number?

[Kaileen]

No: we don't have any information like that. But, thanks to you, I will ask at her next appointment, which is the 23rd. This will definitely help a lot. We've been so confused as to what to do!

[Thoover]

No: we don't have any information like that. But, thanks to you, I will ask at her next appointment, which is the 23rd. This will definitely help a lot. We've been so confused as to what to do!

I don't know much about NPH since before the pump we were on Lantus and novolog only.. Good luck at your appt...

[StillMamamia]

Ask also about sourdough bread...apparently it has a lower GI than other breads.

[Kaileen]

Oooo. Sourdough. That will make this child incredibly happy. :D

[Karenwith4]

If she likes whole grain breads you might look for sprouted bread.
The brand we get here is 17 net carbs (after fibre) for 2 slices. Granted the slices are smaller but the bread is a whole lot more satisfying and has a much lower glycemic index so it likely won't cause her to spike as much. Plus it is just generally far healthier.

hth
Karen

[Kaileen]

Karen: WOW. 17 net carbs for 2 slices? My child would be in heaven! I'm thinking a trip to the whole foods co-op is in order.

What exactly is sprouted bread? I've not heard of that before.

[Karenwith4]

Sprouted grain breads are made from grains or nuts which have been allowed to sprout prior to being milled. Here's a quick summary about them (http://www.sproutedgrainbread.com/q&a.html)- it's from a commercial site but it gives you a quick Q and A.

Emily likes the Walnut and Raisin and Sunflower ones best. :)

The loaves are a bit more expensive ($3.59 vst $2.79 for the bread we regularly buy). It needs to be kept in the fridge and it is good for about a week. You can toast it or eat it plain.

It also has a lower GI level.

hth
Karen

[Kaileen]

Gotcha. Thanks for the explanation. We're heading to the local food co-op this weekend to see what we can find. We have one chain that may carry this kind of bread: but honestly, I'm not holding my breath, ifyouknowwhatimean.

I've also bookmarked the website to read later when things SLOW DOWN! :D

[Kaileen]

We found a great selection at Rainbow! Picked up two loaves. Thanks again!

[Karenwith4]

Great!

does she like them?

Karen

[Kaileen]

We picked up whole wheat and sourdough. She loves the wheat. I didn't realize until after we purchased it that she isn't a big fan of sourdough. I thought she liked it. Turns out, Rick does. :)

We're going to end up joining the coop. They make fresh bread daily, and we were told we could call the baker and she would give us some great recipes for bread to make at home. They have a lot of good, healthy snacks and foods that she can have: and a lot of them have the GI listed on the package.