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Doctor vs. nurse
We are trying to get my daughter's diabetes under control.  She is running high, in the 300s most of the time.  The pediatric Endo doc told us to take her level after school, at 3:30, and give her a correction of insulin if needed.  We also take her level at dinner, 5:00 pm to 5:30, and give her insulin to cover the dinner carbs.  Today a visiting nurse came to the house after school and when told us if we give our daughter a correction at 3:30 we cannot give her dinner at 5:00 pm but must wait  three hours after we give the insulin.  This is not what the doctor said.  What should we do?
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757137 tn?1347200053
Ask the doctor what to do.
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231441 tn?1333896366
Hello,

It is  not correct that she cannot eat after the correction (the correction should have corrected for the high sugar),  however, you will need to dose her insulin based on the carbs she eats for dinner.

Please follow the Drs advice.

Are you following a lower carb diet with your daughter?  A high carb diet can make blood sugars very hard to control (and need lots of insulin).  Low carb is safe for children and doesn't affect growth (it is the very  high blood sugars that are not safe, and which restrict physical and mental development of children).

If you are interested to know more about low carb and diabetes management, I can refer you to read Dr. Richard Bernstein "Diabetes Solutions". Available on Amazon, if it's not in your local bookstore/library.  He is an Engineer who then studied medicine when he was in his early 40s, and specialises in diabetes care. He nearly 80 (still working) and has diabetes for about 68 years.  His book is very information and he uses low carb dietary approach as part of his management approach, including for children.
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