- advertisement -

Cover all carbs?

Discussion in 'Parents of Children with Type 1' started by Seansmommy, Jul 2, 2009.

  1. Seansmommy

    Seansmommy Approved members

    Joined:
    Jun 16, 2009
    Messages:
    231
    If your child is on the pump do you cover all carbs? For example a snack of 7 carbs for a yogurt tube, or 4 carb freezie?
     
  2. Sorcha

    Sorcha Approved members

    Joined:
    Jun 30, 2009
    Messages:
    14
    Generally, I do - it depends, though, on what my son's BS is, and whether there is still IOB (and how much!). If he's below target, and it's a small amount of carbs, we can usually get away with either no bolus or a reduced one. If he's right at/around target and still has a fair amount of insulin working, we can again give a small snack (around 5-7 grams or so) with no additional insulin.

    Typically, though, if it's a regular snack we will cover it.
     
  3. lynn

    lynn Approved members

    Joined:
    Sep 2, 2006
    Messages:
    3,112
    Yup, I cover them all. That is what drew me to the pump the most. Nathan has never been able to have any amount of free carbs.

    Now, of course if he is outside playing or any other time you would want to give carbs to bring up or keep up blood sugar then I would not give insulin.
     
  4. DListMom

    DListMom Approved members

    Joined:
    Apr 7, 2009
    Messages:
    32
    It really depends. Each person is different. My DD is pretty insulin resistant. We have to pretty much cover everything she eats, lucky she's on the pump now which makes it a whole lot easier.
     
  5. Seansmommy

    Seansmommy Approved members

    Joined:
    Jun 16, 2009
    Messages:
    231
    Thanks for replying. I was told he could have 10 free. His numbers have been really good except late afternoon. Not too high but above target. I think that is what is pushing him up above target. I think if he is lazing around in the afternoon I'll start covering those. It is so hot in the afternoon here he will play a video game. Thanks for the info. I am always hesitant to change anything the CDE has said but it really seems to make sense. I think what I have learnt most from this board is that d really doesn't have any rules. Guidlines but so much does vary. In the beginning I think following the CDE advice is good but I have to learn to go more by what I think is right for my child. Does that make sense? Do you follow the advice to the letter?
     
  6. Ali

    Ali Approved members

    Joined:
    Aug 1, 2006
    Messages:
    2,221
    If basals are correct you would always need to cover carbs. What impacts this is exercise which reduces the basal needs and other "life stuff" which can impact your basal. Also if you have misjudged the carbs at a prior meal or snack you may need to eat something to keep from dropping too low or give some insulin to keep from being too high. Hormones, growth etc. also impact insulin needs. Looking at the IOB and the current BG along with when you last ate gives you a good idea if you can eat, or really need to eat to keep from going too low, some uncovered carbs.:cwds:ali
     
  7. layla42

    layla42 Approved members

    Joined:
    Sep 3, 2008
    Messages:
    241
    Hi. I cover all carbs as otherwise Grace will go high - even for 4g. I think you're right to start off with the rules you're given but then adapt them to what you think works - it is useful to have rules but if it doesn't quite work for your child then do it a bit differently.

    Layla x
     
  8. miss_behave

    miss_behave Approved members

    Joined:
    Aug 28, 2006
    Messages:
    2,217
    I cover all carbs. Thats the beauty of the pump!
     
  9. Logansmom

    Logansmom Approved members

    Joined:
    Aug 3, 2008
    Messages:
    642
    Ditto. Unless he's been playing hard, then I may reduce the bolus a bit.
     
  10. hawkeyegirl

    hawkeyegirl Approved members

    Joined:
    Nov 15, 2007
    Messages:
    13,157
    We cover all carbs unless we are treating a low, or trying to head off an impending low. 10 uncovered carbs would raise Jack in the neighborhood of 80-100 points.
     
  11. Darryl

    Darryl Approved members

    Joined:
    May 8, 2008
    Messages:
    4,313
    She might eat 1 carb without covering it, but 2 carbs or more would cause a signficant rise, so she will always cover anything more than 1 grape, etc. unless she is eating it to treat a low BG.

    With the omnipod, it just takes a few seconds so there's no reason not to!
     
  12. Seansmommy

    Seansmommy Approved members

    Joined:
    Jun 16, 2009
    Messages:
    231
    So yesterday we covered all carbs and he was in range all day except late afternoon he was still a little over. We are needing to adjust his basal for that. But he was definitely closer. Pre supper he was 9.8 instead of 14 or 15. Ah progress! Thank you all so much for the advice.
     

Share This Page

- advertisement -

  1. This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
    By continuing to use this site, you are consenting to our use of cookies.
    Dismiss Notice