By bwolfe Latest Reply 2010-08-04 10:13:37 -0500
Started 2010-07-31 10:23:26 -0500

Do all type 1 diabetics need to count carbs.Cousin was recently diagnosed with type1. He and His mother was sent home with meds, a few books and another mother's number to call to anser questions.His blood sugar was 400 at the time .He is on a sliding scale and was told not to eat sweets.They can't get an appointment with a pediatric endocrinologist or dietitian until aug. 20.Mother is so confused and scared.I want to help but not sure about what way to approach it.

10 replies

bwolfe 2010-08-04 10:01:14 -0500 Report

I talked to the mom on the phone ( she lives in TX we live in WV) she took her son to a different hospital and they admitted him right away.He had to stay there for 2 days and the family received the answers they were hoping for.I know being a parent of a newly diagonised daughter ,This had to be a very scary thing.I didn't want to give her the wrong info.So glad she took him somewhere else.

bwolfe 2010-08-04 10:13:37 -0500 Report

his mom say his blood sugar was down 172 lowest it's been in a week now so hopefully things are getting on track. He is 7 years old and was having a hard time with the shots but now after being in the hospital he is taking them better. Thanks everyone for the advice..

Armourer 2010-08-04 00:56:27 -0500 Report

I'm a T2 and two months ago was switched by Diet Educator to carb counting. Mine is 1 unit of insulin for every 5 grams of carb, plus a sliding scale and baseline of 20 units. My numbers are now getting in control with this approach. I was being under medicated for years. Advice has been given to get a diabetes educator, excellent advice! Also if you have to inject insulin vary the shot place around and not just in one area. Nobody told me this until I noticed that one side was getting a layer of fat and changing color (white) then the other. Also follow the advice of the diet and doc on portion control, exercise, and eating more protein and less carbs. Carbs are the enemy, I look at it as poison. Good luck and please keep us posted. Learn all you can and remember that each diabetic is different, what works for me, may not work for you.

Richard157 2010-08-03 10:13:36 -0500 Report

Counting carbs and using the number of carbs in a meal to determine the insulin dosage is the best way to have stable control. I need a bolus of 1 unit for every 6 carbs I eat for every meal and snack. Other type 1 diabetics need 1 unit for every 15, or 20, or 30 carbs. It varies from one person to another. The correct number can be determined by trial and error. A sliding scale is not as good as carb counting.

PetiePal 2010-08-03 08:57:26 -0500 Report

Unless the cousin has been in this level for about 10 years complications usually shouldn't start this early. While it's not good to have BG in the 400s (mine were topping out in the 300s before I was diagnosed) it is unlikely there is permanent or irreversible damage.

Try to cut out potatoes (this is worse than table sugar), white breads etc. Portion control is key so see what the portions of foods are on the food labels. Follow those. Call a nutritionist. Even if you can't get an appt one will definitely speak with them and at least give your cousin guidelines so that they can put themselves on a good track until the meeting.

LKeplinger 2010-08-01 21:09:40 -0500 Report

Much will depend upon your cousin's age and how much info has been absorbed thus far. Two scenarios typically happen: 1) staff at the hospital are not adequately prepared to educate a newly diagnosed patient and parent with the basic survival skills or 2) staff does not want to overwhelm the newly diagnosed with to much info.

A sliding scale is a good place to start…it is usually not an aggressive sliding scale and will help determine how sensitive he is to insulin. Typically they (Dr's)would rather the newly diagnosed run a little high with the sugar level as it is more difficult too pull a diabetic up (treat a low) rather than pull them down (address an elevated blood sugar)— especially if this is all new. It is a less dangerous and more conservative approach.

I can appreciate her (mom's) fear. Been there, done that. Deep breath…they will both get through this. When my son was diagnosed, we had to wait 3 months for an appt. He was discharged and I was basically instructed to take him home and learn how to manage him. That was years ago—- but not much has changed. Tell her to keep in touch with his pediatrician— check in with his numbers at regular intervals until he is seen by the endo. She also needs to get on board with a diabetes educator and a dietician. Hopefully those connections will be made when he is seen by the endo. Keep us posted as to how they are doing!!!

kdroberts 2010-07-31 21:53:06 -0500 Report

Tell them to call every day and ask if there are cancellations or schedule changes, around 11am is a good time They should be able to get in within a couple of days.

Crashnot 2010-07-31 21:25:46 -0500 Report

Someone (a doctor, a dietician, a nurse) needs to sit down with the family, find out what the youngster eats each day and what his blood sugar range is before and after each meal. From there they can determine how many units of insulin he needs to take for a set number of carbs. For instance, for each 15 carbs I eat, I need one unit of insulin to counteract it and keep my sugar in line (usually). In the meantime, I'm guessing they have him on a maintanence dose in hopes it will keep him from slipping into acidosis from high sugars. He's going to be feeling a lot better once they sit down with him and work things out, but that should have been done in a hospital setting before he was released. How old is he?

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