Monday, 14 January 2013

The devil is in the details!

We have sought out carbohydrate guides in the literature that our diabetes dietitian gave us, on food packaging and googled when in doubt; measured and tweaked to come out at the magic number for each meal and snack. It is getting easier to Rubik's Cube a solid meal together with the right balance of carbs and veg and protein that our little guy may actually eat.

We arrived home from the hospital at lunchtime on December 14th and had a very narrow window to throw together a meal on time to match his insulin injection. Owen ate a cheddar cheese and lettuce sandwich on my homemade whole wheat bread with raw green beans, red pepper and cucumber slices on the side and 125 ml of cow's milk for a total of around 40 grams of carbohydrates.

One month later, we are transitioning from gluten and dairy products to gluten free and soy or rice based foods. While Owen was adjusting to the insulin in the hospital and for the first week or two at home, he was still feeling an insatiable hunger and gobbled up any veg he could sink his Wererabbitty teeth into! (We love Wallace and Gromit.) Now - not so much. Now, we worry about fitting in all the carbs and nutrition he needs before he loses interest in his meal.

That afternoon, Owen had vegetables to get him through to snacktime and then had a cherry yogourt worth 14 grams of carbs for snack. His first dinner home was homemade tortilla pizza.

1/4 cup tomato sauce: 4 g
ham, cheese, onion, garlic and live oil toppings: 5 g
salad with ranch dressing: 5 g
whole wheat tortilla: 3 g
melon: 8 g
125 ml milk: 6

I seem to remember that he also had a small Christmas treat, e.g. Kinder advent calendar chocolate, but I did not record it in my notes. That may explain the high blood sugar reading he had at bedtime.

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