Tuesday, August 30, 2011
We're in the process of testing out a quite rigid routine of eating with Reubs (and the other kids) in hopes of lowering his hba1c. I guess what it boils down to is if the tools we have arent working out, and weve done our best, then its off to the pump. Its hard because the child has so many hypos, you'd think his overall measures would be lower. This truly is the best course of action, for Reuben, my fears and reservations aside, he learns better and behaviourly a treasure - when hes in range.
Hubby discussed with the endo actually getting fast tracked through another hospital, and being slightly out of pocket, we could be pumping within 4 weeks if we say the word. SO- Im working on a plan of 12 weeks of this strict living (probably easy and normal for alot of you, but a learning curve for me and my crew!).
Thanks for your comments on my last post, its the push I needed to get moving. So tell me what you think of this idea. Reubs is 15kg (33lbs for you in pound-land), so he needs roughly 500cals a day(?) well, thats what Im working with anyway.
That equates to (another rough) estimate of 60grams of carbohydrates spread out over a day. Im thinking to make it easy to start just give the main meals 15g each, 1 serve, and see how he goes actually digesting this food. I think this part will be challenging. He loves to play with food stuffs so it could be disastrous. But hey, I gotta try.
Then Ive (on paper) allocated 7gram snacks to morning tea, arvo tea, and supper I imagine these ones to be easily done as its part of his grazing habit now. So thats a grand total of 45 grams at mains and 21 grams at snacks equalling 66grams for the day.
Im testing out an I:C ratio of 1u NR: 2serves of carbs. Our correction factor seems right on for now, so im leaving that as 1/2 u NR reduces blood glucose by 4mmol/l. Sick of the sliding scale system!