After a great start to the weekend, the rest of it just stunk. Just plain old stunk. I'm not one to air my dirty laundry in the world-wide-web-information-super-highway, but here's the short version:
The nurse practitioner told us during our visit Friday morning that we should be giving Elise a 15-30g of carb snack mid-morning and mid-afternoon. When he said that, I just smiled, nodded, and filed that information in the "does not pertain to us" file.
Fast-forward to Friday afternoon, and Elise wakes up with a BG of around 150. Fred asked me how many carbs we should give her, and I threw out the number 7. He said that we should follow what the NP said, which led to a difference of opinion on a grand scale. Fred and I don't argue often, but when we do... let's just say we are both very passionate (read: stubborn), about defending our point of view.
He accused me of thinking I know better that the docs, and I was hurt that he didn't trust my judgement, and would rather listen to someone who had only spent 10 minutes with Elise and not almost every waking hour with her like I do.
And I could see the NP's point, we should not be tailoring her diet according to what her BG is, but adjust the insulin according to her diet. But I know my child. I know how much or how little she will eat. I know that a snack off between 15-30g is ridiculous unless I enjoy force-feeding her (I don't). It's especially ridiculous considering that she gets between 15-30g for her meals.
Elise has never asked for food a day in her life. She never appears to be hungry. I would never hold food back from my child just to attain good BG numbers. The child is not lacking in energy... she hardly sits still all day! I don't believe she's underweight or not growing well (she's 33 inches and weighs 26 pounds). If they were concerned about her in that area, I think they would have said something on Friday.
I told Fred that, fine... if he thinks he knows what she needs, he could handle her snack. So he ended up giving her 10g. Of which she ate 7g.
It all turned out okay; Fred and I made up. And I'm back to magically pulling carb numbers out of the air.
So tell me, how many of you disregard what the endo tells you? And when I say disregard, I mean take what they tell you, and tailor it for your child. I know I can't be the lone rebel around here.
1 week ago