Start with a good Endocrinologist or Diabetes Educator and a Nutritionist. Proper understanding and education about diabetes and diet is key. An endo and diabetic educator will give you the tools to mange diabetes and work with her. A nutritionist will explain how foods work with her body, the difference between simple sugars, complex carbs and starches, and design a diet plan to get you started.
You can feed her, it is just going to have to be in moderation, and with proper insulin dosing. There are also lots of foods that are low or have no carbs/sugar that she can snack on in between.
An Endocrinologist can work with you on developing a good regimen for her. At first it will be a bit of a trial and error process finding the right insulin dosage. She will have a set sliding scale or insulin corretion ratio. This is what determines how much insulin she takes to correct high blood sugars. For example 1 : 50 which means take 1 unit of insulin to correct every 50 mg/dL. So in other words if her blood sugar is 200, you would give 2 units of rapid acting insulin to correct it and bring down to a normal level.
Then there is the Carb Ratio which is how much insulin she takes to cover her carbs. For example 1 : 15 which means take 1 unit of insulin for every 15g of carbs. So in other words if she was going to have a serving of animal crackers which is 24g then you would give her 1.6 units of insulin for her snack.
If her blood sugar is high before she is about to eat, then either opt for a low carb/carb free meal or just dose her insulin to BOTH correct her high blood sugar and cover her meal.
The Endo will give you a general idea of how many carbs she should have per day. Then you can break it down into meals and snacks. For example I try to stay around 120g of carbs per day.
For Hypo's you can easily counter it with a small snack like a cup of juice, crackers, granola bar, slice of bread, fruit, raisins, candy, etc.. Basically anything with about 15 - 20g of sugar/carbs. She should start feeling better in about 10 minutes. You just don't want to go over board and cause her sugars to go from low to high.
A pump would be something worth looking into and MiniMed does make juvenile models for young children. The pump is amazing and makes managing diabetes so much easier. OmniPod is another good pump.
You will soon become accustom to reading nutrition labels, counting carbs and paying attention to serving sizes. After a while it becomes second nature and mostly memorized. You can use tools like a food database such as http://www.calorieking.com/foods/
Calorie King also offers software where you can plan meals using the food database and keep records of everything. It was very helpful for me and I loved that it included restaurants so it took guess away from ordering off a menu or from the drive through.
As a Type 1 diabetic I have snacks like sugar free jell-o and I add a bit of fruit inside. Sugar free pudding is good too. I love peanut butter and crackers or cheese and crackers, cottage cheese, nuts, and fruits that are relatively low in sugar like strawberries, tuna, ham & cheese....
Cheerio's (regular or multi grain) is a good low carb/sugar cereal with fiber.
As a parent the emotional and financial aspect can be difficult. There are many forums and support groups out there. I like http://tudiabetes.com/ and relating to other diabetics and diabetic family members is so insightful. There are also Diabetic Camps that include education, activities and networking for when she is older.
Financially you can help save on your expenses by doing things like choosing brands your insurance offers discounts on such as OneTouch test strips. Order from an online pharmacy which your insurance company recommends, where you can get 3 month supplies for the cost of 2. They are delivered to you saving trips to the pharmacy.
· 1 decade ago