Thursday, December 27, 2012

a meal in pictures


 A typical morning at our house:
our supply cabinet.... never mind the fridge full of insulin, and drawers and drawers of supplies in my dresser...


our favorite glucometer... b/c it's pink of course.  we take her blood sugar all night long too, not just before and a little after meals... this thing gets used!! test strips are in the canister, the lancet is in the back.  the yellow capped bottle is to test that a new batch of strips are working correctly
joey's 2 insulin pens.... just add insulin and a needle.  the one on the left is her long acting insulin- 1x day in the morning, the one on the right is her short acting insulin which she gets every meal, plus anytime she's high, plus anytime she snacks if it's more than 7 g carbs.  but you aren't supposed to give it within 3 hrs of the last time you gave it... this gets confusing.

our set up:  notebook, scale, calculator, and various foods. 
we've made it this far into the notebook in the past month.


whole foods peanut butter, labeled with carbs per gram so we don't forget
nutrition labels are our best friends. we either look at the serving size and pour into measuring cups (like for milk), or calculate out the carbs per gram of food (like for peanuts)
what a typical breakfast or lunch might look like.   all organic of course:  cheese, ham, strawberry, blueberries, avocado, apple and peanut butter and an almond flou/pumpkin "cookie".  every thing is precisely weighed out and calculated.  yes, i can estimate when we don't have the scale, and i do... but you can always estimate  wrong, and it's not that hard to get a wrong number, therefor potentially dosing with the wrong amount of insulin!
joey's plain organic greek yogurt... doctored up with a drop of vanilla and berries
how i add up everything.... then i have to subtract out what she doesn't eat to get a new total.  then i calculate how much insulin she gets when she eats this many carbs combined with her needs for insulin based on what her glucose level is before her meal.  she has a carb to insulin ratio that differs for each meal, and has a correction factor for what her blood sugar is before the meal... then i add the two together and get the amount of insulin i give...
and the grand total:  17.48 grams of carbs.  that's not even looking at the fat and protein, which i estimate too, since they effect the absorption of the carbs, so therefor effect what her body does and how the insulin works

joey and her new fairy princess bear "rufina", waiting for me to finish making her meal... 


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