17 Responses

  1. Mary Dexter
    Mary Dexter August 27, 2011 at 8:16 am | | Reply

    In addition to using the Splenda, try a recipe using ground almonds for some of the flour (a gateau) and make mini cupcakes. Also, experiment with other icings besides the buttercream.

    Thank you for the info on glucagon. I usually give my expired cases back to the pharmacy, but will now keep them for my hubby to rehearse with.

  2. Jamie
    Jamie August 27, 2011 at 9:48 am | | Reply

    For d-friendly baking, you can also use different flours to change up how fast the blood sugar will go up. I bake with half barley flour, and that makes the baked goods taste more nutty (YUM), AND adds more protein & fiber to the baked good so the effect on my blood sugar is a little slower. Good luck! :)

    As for the glucagon – good idea using the expired to have t3′s practice! I’ll be having my hubs do that asap.

  3. tmana
    tmana August 27, 2011 at 10:15 am | | Reply

    FWIW, the paramedics in this area (the only first-responders who are licensed to break the skin barrier) only carry intravenous dextrose (aka glucose) in their kits, and their trained response is that if a PWD is not able to test or to intake the usual oral low treatments (i.e., gel), to use the dextrose IV. (BTW, most do not carry glucometers in their kits and have not been trained to test for blood glucose level. OTOH, they expect most T3s who call in will already know their PWD is low, not high.)

  4. Penny
    Penny August 27, 2011 at 11:34 am | | Reply

    WIL, I truly love you and your advice, you tell it like it is – thank you for that. As for the niece who is T1, damn right go to the birthday party! My 9 year old T1 knows the carb counts of ALL the party foods, as she should cause she is 9 and birthday parties rule. Kid first, diabetes second. The woman’s niece will learn to carb count, have fun at parties and have diabetes along for the ride if someone shows her how.
    Can I also invite the woman to the wild and wonderful DOC? There are so many of us Moms and Dads out here, raising kiddos with T1 and we have been there, done that. I invite her to join the community. Lots of support.
    Thank you for the wise words of glucagon. Great info to know!

  5. Roselady
    Roselady August 27, 2011 at 4:11 pm | | Reply

    Loved learning more about glucagon. Always fun to know more!

  6. Anne
    Anne August 27, 2011 at 4:30 pm | | Reply

    Go to birthday parties and host birthday parties! Brownies, because they have less flour, might be a better choice than a conventional birthday cake. Also, brownies usually do not have frosting, and for many people the frosting is a major part of the cake experience.
    For an alternative to frosting if you can’t do without conventional cake, try dusting the cake with confectioner’s sugar, or, better yet, a squirt of whipped cream–the real stuff, not that vegetable oil stuff that comes in a tub.
    Also, one can give small portions of cake, and larger portions of ice cream– the “double-churned” or “light” variety with added air instead of fat that messes with blood glucose for hours.

  7. Richard
    Richard August 28, 2011 at 3:45 am | | Reply

    Haven’t had glucagon in the house since the dose I got at diagnosis expired….yeah, I know. No, still not getting any.

    Also the fear of someone being out on a high instead of a low seems odd to me, you’d have to not check your bloodsugar for a very long time to get that high without knowing.
    Or you’d have to eat an awful lot of stuff in a very short time and quite frankly, I’d think you know it when you do that as well and handle it different from passing out.

  8. Wendy
    Wendy August 28, 2011 at 9:01 am | | Reply

    Laura…I live in AZ and have an 8 year old daughter with T1. If your family is looking for a local connection, PLEASE reach out!

  9. Joanne
    Joanne August 28, 2011 at 9:50 am | | Reply

    I love Wil’s columns… informative, touching and funny all at the same time. I echo what he said about the birthday party… go, eat, be merry and have fun. Fix the high later. That’s what we do with our daughter, let her be a kid first.

  10. Scott K. Johnson
    Scott K. Johnson August 28, 2011 at 6:48 pm | | Reply

    Great column again Wil. So scary to hear about the family who injected only saline. What a terrifying thing.

  11. Leighann of D-Mom Blog
    Leighann of D-Mom Blog August 28, 2011 at 7:11 pm | | Reply

    Laura- We often serve cupcakes at birthday parties because it’s easiest to count the carbs. A cupcake (and also a piece of cake that’s about 3 inches square) have 30 carbs. A serving of ice cream which is 1/2 a cup or one decent size scoop is about 15 grams of carbs.

    My daughter had 3 birthday parties to attend within the next 2 weeks after diagnosis (included her brother’s much anticipated 1st birthday) and the nurse said I should “let her be a kid.” I think that’s the BEST advice ever given.

    We use Calorie King a lot. We also have a cheat sheet with common foods, serving sizes, and carb counts. Though we have many of these down to memory now.

    I do disagree about using Splenda. Just make the cake. Don’t worry about alternative flours made from nuts, etc., etc. And sometimes brownies have a ton of sugar in them and aren’t any lower in carbs. And totally avoid the sugar-free ice cream–it has the same or MORE carbs as that made with sugar. She has a birthday once a year and it should be an EXCELLENT cake, not some crappy substitute. Not on her OWN birthday.

    Your niece needs to be a kid and this means going to parties, eating what the other kids eat (I agree with Wil, try to forgo the sugary drinks though), guessing as best you can on the bolus, and checking her 90 minutes or 2 hours after eating and giving a correction if needed. I have it almost down to a science now and in fact totally rocked my daughter’s BG’s on the day of her recent birthday party (see my post here:

    Life it not all about diabetes and she needs normal life experiences such as going to parties and, yes, eating cake!

  12. Leighann of D-Mom Blog
    Leighann of D-Mom Blog August 28, 2011 at 7:21 pm | | Reply

    I save all of our expired glucagon kits and use them to train teachers at school each year, injecting it into an orange…or whatever produce I have available that day.

    I didn’t think to do this until about 2 years after our daughter’s diagnosis. They strike such fear into you and the multiple steps always made me question whether or not I could do it in an emergency.

    I think my hands were shaking the first time I demonstrated it!

    But it’s amazingly easier to mix up then I thought. (The powder tablet dissolves almost instantly.)

    I think the hardest thing for caregivers of a younger T1 is that you are only supposed to inject half. I write in large printing “mix all, inject half” on all of our kits. Though I think I read that if you give too much it will just make them throw up, not actually harm them.

    I’m glad that I now have the experience of injecting produce a few times…which reminds me, I don’t think my husband or mom has ever tried doing it. Guess I need to do an in-home demo soon!

  13. Bennet
    Bennet August 28, 2011 at 7:41 pm | | Reply

    I am with Leighann. Make the cake and eat it too. Regular cake.

    I make cake for the joy of cake. It is part of life and we eat it and a lot of other stuff too.

    I am a big fan of Crystal Light. Why waste carbs that could be cake?

    As for the glucagon. The stuff should have a puke waring on the box. Also there are those who advocate small doses based on weight. There was a CDE at FFL a year ago who did a paper on it. Interesting read and if I can find it send Wil a copy.

    All the best

  14. Denise
    Denise August 29, 2011 at 11:40 am | | Reply

    Eat the cake! Cake is one of life’s great pleasures!! That’s why we celebrate great moments with cake. Just dose for it. Same for Thanksgiving/Christmas, other food holidays. Heavy on the insulin and enjoy.

  15. Sandi
    Sandi August 31, 2011 at 10:26 pm | | Reply

    Here here for the cake eating! Dose for it 1/2 hr before it is served if possible, but it’s not a big deal if you can’t manage it.

  16. Diabetes Art Day ’11
    Diabetes Art Day ’11 September 1, 2011 at 5:00 am |

    [...] I was still drooling at the thought of cupcakes. I was reminded of the looong comment I left on Diabetes Mine over the weekend urging a caretaker to bake her niece a REAL cake for her birthday…and let [...]

  17. Rosie
    Rosie January 22, 2012 at 10:02 pm | | Reply

    I work with PWDs and this made my understanding go up by 834795793485784573498573458734975%. Thanks.

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