The 9th in a family of 13 I was diagnosed at age 9, in 1969. My mother quickly helped me understand that I would live with (formerly juvenile, now type one) diabetes (T1D) ALL of my life. She agreed to help for a brief period as I got used to frequent doctor visits, thankfully we did have insurance.
Then it was all on me. Mom would buy groceries for the family and a few low sugar items were specifically for me.
I learned how various foods caused my blood sugar level to go real high; making me sluggish, tired and irritable. And extra exercise cause me to crash, as in fall into the ground semi conscious on school baseball diamonds. In the late 1990s, the inability to do basic math was tied to blood sugar levels around 55 mg/dL. A childish focus on single things came around 35 to 40, and sleepy unconsciousness generally appeared a bit below 20 mg/dL.
My late husband used to be able to hear a difference in my voice when my sugar was falling.
Balancing my insulin injections with eating the same food items over and over helped. Then the desire to eat something different interrupted the calm that had been created. As time passed my T1D education was based on experience and “trial and error.”
Carbohydrate counting was not learned until 1995. This talent has made a huge difference in my life. Yes, carbohydrates from vegetables metabolize slower than those from plain toast, but 12 grams of carbohydrates needs about the same amount of insulin to digest. The source just helps indicate the proper time to take each food bolus. If fatty butter is put on the toast, its movement into my blood stream would be drastically slowed. My understanding is that plain carbs move into the system in 2 to 4 hours, proteins 5-7 and fats take around 9-13 hours to break down. Decades ago I studied to become a Dietitian from the state college here. This broadened my diabetes education, but never became a career. Knowledge is power.
A kid also has growth hormone activity affect food utilization, mine peaked around 14 to 18 years of age. Growth hormone makes childhood food errors “forgivable.” It has the ability to turn excess food into a larger body. Working on the family farm this allowed me to throw watermelon and bales of hay or straw just as my brothers did. Once into my 20s it became far more important for me to control my food intake to not need extra insulin, and get especially fat. Today about 20 total units of daily insulin keep me going. I am far from an ideal diabetic. Still alive, I believe I am winning.
Trust your daughter will learn. It is her body, she will find out more than her siblings, yet each will also learn a bit, about diabetes management. Recognizing when she is acting differently to indicate a hypo- or hyper- glycemic episode is at hand is primary knowledge. Also knowing how to tend to each situation as it arises is very important. And never assisting her in cheating on her diabetic diet may become new chapters in the siblings lives.
●An earlier suggestion
“…yes, she can eat things simply because she enjoys then (them) as long as she covers then (them) with insulin…”
goes against all I know about living with diabetes. Yes, insulin can permit occasional overly sweet foods into a Diabetics diet. I understand that EVERY time such a goodie is consumed EVERY organ has to deal with it. I.e. More saliva production. The circulation system gets an influx of overly sweet blood, the blood vessel walls need to move all that sugar into fat & muscle cells. The vitreous humor in the eyes has an increase in their pressure with the higher glucose level, even if it is “temporary.” The lymph drainage has more waste products to carry away from your muscles as it gets metabolized there. The kidneys get to push through more high sugar urine, jamming up it filtration system, with ever high sugar episode that makes one thirsty so water can dilute it down…
I had a heart attack at 33. To me it was caused by poor food choices in my teenage years. Far better choices through my 20s did not erase the side effects of junk eaten in high school.
I suggest a goal of getting FOND OF PLAIN VEGETABLES. No salt, no sauces or gravies, no cheese, no nuts or seeds… Just eat crunchy fresh vegetables. The diet changes with the season. A root cellar helps provide good eats during the cold months.
●Rotate the sites of fingertip tests. Test on the SIDES of fingers. The fingertips have LOTS more nerve endings.
My index and little finger were avoided for a couple reasons. The middle & ring finger sides were used for tests. I made a grid and marked it each time a test was done to easily see where, in my totation, the next test should go with the least pain and most healing time between stabs.
My rotation, up until a Continuous Glucose Monitor (CGM) came into my life was this…
Left hand:
Thumb side middle finger under tip area
Thumbside ring finger under tip area
Right hand:
Thumb side middle finger under tip area
Thumb side ring finger under tip area
Left side:
Little finger side middle finger under tip area
Little finger area ring finger under tip area
Right hand:
Little finger side middle finger under tip area
Little finger side ring finger under tip area
Then I moved down the sides of my central fingers. Halfway to the first knuckle region and then just above that knuckle area… always on the thumb or little finger sides of my central digits. Always don’t the thumb side before the little finger side.
My grid, kept in my blood test kit container along with a short pencil, was 4 columns. This slash \ meant thumbside, / one indicated little finger side. The first two slashes were for my left hands 2 digits, leaving the right two slashes to represent my right hand fingers used in testing. There were 3 rows between darker bars. The top of my fingers were the topmost row…the bottom of my fingers were represented by the lowest of the three rows. Truly you can just devise a scheme that works for you.
Yes, it seems a bother, but my fingers never hurt from 7-8 daily tests. Rotation is a key to insulin injections too.
Too much rambling, I will leave you be now.