polarsnow

Q:

My 15-year-old daughter was diagnosed with type 1 recently. Her reading are really good lately. I am assuming this is her honeymoon stage. What should I look for when it is not the honeymoon anymore? Will her BG be more erratic? She is on Novolog and Lantus. I was told she could eat anything (as long as she covers it). But I do not believe this to be true. What foods should she try to stay away from mostly?

Amy Campbell

A:

The honeymoon stage can occur shortly after type 1 diabetes is diagnosed, and is characterized by improved blood glucose levels. This happens because the beta cells in the pancreas are still producing some insulin. You and your daughter will know when the honeymoon is over, so to speak, because her blood glucose levels will become more erratic, fluctuating from high to low. Self-monitoring of blood glucose is the best way to know how her blood glucose levels are doing. As far as food intake goes, it’s mostly true that your daughter can eat anything. Many people with type 1 diabetes are taught how to “cover” their carbohydrate intake with insulin, often using what is called an insulin-to-carbohydrate ratio. However, it’s important that you and your daughter learn the fundamentals of healthy eating with diabetes. Eating nutritious foods is important for her to stay healthy with diabetes, and also for overall good health. I’d encourage you to make an appointment with a dietitian who is knowledgeable about diabetes. Her doctor may be able to refer you to a dietitian in your community. Or, visit the American Association of Diabetes Educators’ website at http://www.diabeteseducator.org/DiabetesEducation/Find.html to find a diabetes dietitian in your area.