Sunday 4 November 2018

Deck the halls with Counting and Insulin

It is coming up to the time of year again where we all enjoy the time with family, presents and all the food and drinking. This all sounds great however for those either with T1 or supporting a child with T1 it can be more daunting than exciting.

Having parties where snacking is normal, preparing for Christmas parties and setting up for a successful New Years Eve are all possible and just need some focus and planning.

When I was on MDI I found Christmas to be restrictive because everything was set amounts and there was no such thing as snacking. Now that I am on a pump and carb counting it is a totally different game. Making smart decisions is still my priority however management can be easier. Giving small boluses through out the day if not knowing what is coming or I have used the square wave bolus in the past when you have a little control and knowledge on what is to come through the day. One thing I love about Christmas is that the traditional main course has plenty of low carb options. Whether it is Ham, Turkey or even Prawns here in Aus you can go for your life. I always am grateful to myself after Christmas when I can think back and know that I made the smart choices.

Now for those that are able to drink and head towards Christmas and New Years make sure at least one person knows what to do in the worst situation if it was to occur. Preparing is the same as any night out, never start out with an empty stomach, make smart choices and keep an eye on things. If you can't keep an eye out then trust someone who can. Having my CGM in place and being able to see what is happening on the screen at any one time is a calming presence as it allows you to quickly look down and know what is happening without stopping or interrupting your night. Also seeing as a low after drinking can come in the early hours of the morning while asleep knowing that my pump automatically shuts down in the event of a imminent Hypo.

Smart choices, good counting, insulin and a little planning is all that is needed to make sure your holiday period is only full of good times.