From Ontario, Canada:
Our 8 year old daughter was diagnosed this year with Type 1 Diabetes; therefore we have not been through a major holiday yet. She is taking R and N insulin at breakfast and at supper. How do we accommodate staying up later during the holidays, and some (limited) holiday snacking during the evening? It seems unfair to put her to bed after her 8:30, 15 grams of carbohydrate snack, when the other children will have more flexibility. I would appreciate some guidelines. Thank you.
With the help of your Health Care Provider, you may consider moving the dinner and shot to a later time during the holiday season. This would allow for a later bedtime snack (and perhaps even a later arising time as well). Another option is to flip flop dinner and bedtime snack, with the larger meal later the bedtime may be postponed for awhile. Sometimes breaking the feeding into three smaller meals (which allows for the snacking) with similar amounts of carbohydrate fed during the same time frame can work. For more information on how this can be done refer to the book Sweet Kids, How to Balance Diabetes Control and Good Nutrition with Family Peace by Betty P. Brackenridge, published by the American Diabetes Association.
Original posting 10 Mar 97
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