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  Back to Chat Transcripts Food Matters: The False Promise of Fat

The False Promise of Fat-Free Foods
With Betty Brackenridge from October 9, 2000

Chat Room Administrator chat@childrenwithdiabetes.com (206.112.197.133) Mon Oct 9 2000 20:34:07 Eastern US
The 'Food Matters' chat will begin at 9:00 pm Eastern.

Mon Oct 9 2000 20:57:58 Eastern US
BettyB (Chat Host) from 152.163.205.39
Hi and Welcome to tonight's FOOD MATTERS chat. I'm Betty Brackenridge, your host. I'm a diabetes educator and dietitian from Phoenix, AZ. Tonight's topic is "The False Promise of Fat-Free Foods." I'm interested in your questions and comments about fat-free foods:
How you use them...
Any effect on BG control you've noticed...
Any effect on appetite that you've noticed...
Pretty much anything you want to talk about is fair game! So welcome!!

Mon Oct 9 2000 20:59:25 Eastern US
Jeff Hitchcock (Marissa, 13, pump) from 206.112.197.133
Good evening Betty. I'll let everyone know we're ready to start.

Mon Oct 9 2000 21:00:29 Eastern US
BettyB (Chat Host) from 152.163.205.39
Hi, Jeff -- I'm ready when they are.

Mon Oct 9 2000 21:01:27 Eastern US
Judith from 63.162.254.82
Hi, Betty et al. I'll comment that my experience with the fat substitute olean/olestra was NOT pleasant! LOL

Mon Oct 9 2000 21:02:23 Eastern US
Judith from 63.162.254.82
Have also noticed that many/most "low fat" foods are higher in carbs than normal foods. Have to do something to improve the taste, I guess.

Mon Oct 9 2000 21:02:40 Eastern US
BettyB (Chat Host) from 152.163.205.39
Hi, Judith - great to see you again! Are you really going to tell us the gory details??!! LOL

Mon Oct 9 2000 21:03:20 Eastern US
BettyB (Chat Host) from 152.163.205.39
You are so smart -- something takes the place of the missing fat either for flavor or for bulk -- and that is often carbohydrate.

Mon Oct 9 2000 21:03:25 Eastern US
OldHam (Diet Help) from 12.76.82.107
I am here now.

Mon Oct 9 2000 21:03:48 Eastern US
BettyB (Chat Host) from 152.163.205.39
How much Olean did it take to give you nasty symptoms?

Mon Oct 9 2000 21:04:16 Eastern US
Judith from 63.162.254.82
Nope! A local bakery donated a bunch of fat substitute poppy seed muffins and other delicacies to camp one year. Since they were pretty sugary, could not give them to the kids. Staff had to take care of the stuff. Several of us were QUITE sorry we did!

Mon Oct 9 2000 21:04:21 Eastern US
BettyB (Chat Host) from 152.163.205.39
Hi OldHam - welcome

Mon Oct 9 2000 21:04:40 Eastern US
Ellars, CA from 63.23.171.174
Hi

Mon Oct 9 2000 21:04:53 Eastern US
BettyB (Chat Host) from 152.163.205.39
OOH - Judith - no good deed goes unpunished!

Mon Oct 9 2000 21:05:04 Eastern US
Judith from 63.162.254.82
One large muffin did the trick.

Mon Oct 9 2000 21:05:12 Eastern US
Judith from 63.162.254.82
Hey Ellars

Mon Oct 9 2000 21:05:38 Eastern US
BettyB (Chat Host) from 152.163.205.39
Hi Ellars -- have you noticed differnces in blood sugars when giving lower fat versions of foods?

Mon Oct 9 2000 21:06:16 Eastern US
OldHam (Diet Help Me!) from 12.76.82.107
I am not a diabetic. We are on a low carb diet. Do't blow a gasket. Read some good things about it.

Mon Oct 9 2000 21:06:21 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Hi all

Mon Oct 9 2000 21:06:23 Eastern US
BettyB (Chat Host) from 152.163.205.39
Yikes!! Only one big ol' muffin! Yes, I was never too interested in buying chips that said "may cause rectal leakage!!!! LOLOL

Mon Oct 9 2000 21:06:56 Eastern US
Judith from 63.162.254.82
LOL Betty! "Truth in advertising"!

Mon Oct 9 2000 21:06:58 Eastern US
BettyB (Chat Host) from 152.163.205.39
Sue - welcome -- how's the kids this week? Everybody in bed yet?

Mon Oct 9 2000 21:07:10 Eastern US
Judith from 63.162.254.82
Hi Sue

Mon Oct 9 2000 21:07:26 Eastern US
OldHam (Diet Help Me!) from 12.76.82.107
RRRRR So I need help.

Mon Oct 9 2000 21:07:36 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
Betty, I'm very new at this. I'm learning that just because Sam thinks it's free it's not true.

Mon Oct 9 2000 21:07:41 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Betty, we don't use too many Fat Free items, but the girls, Marissa, 13 and Kathryn, 10, like the Fat Free pre-made puddings that I buy. Sometimes I get Fat Free Oreo's or Reduced Fat Chex Mix.

Mon Oct 9 2000 21:08:01 Eastern US
BettyB (Chat Host) from 152.163.205.39
OLDHAM, I don't blow a gasket about just about anything. I'm just not in favor of ANY kind of diets -- mostly because they're always temporary

Mon Oct 9 2000 21:08:10 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Hi. Kids are in bed. Little one - passed out, older one, reading. (after his ALL IMPORTANT snack - sarcasm intended :-))

Mon Oct 9 2000 21:08:48 Eastern US
OldHam (Diet Help Me!) from 12.76.82.107
Ya cravings get the best of most every one.

Mon Oct 9 2000 21:08:50 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
I prefer that Marissa have the pudding (Yikes, just back from the grocery store and I forgot Cool Whip, which she mixes with the pudding)when she doesn't get a lot of exercise.

Mon Oct 9 2000 21:09:23 Eastern US
Judith from 63.162.254.82
I prefer to use 1% or 2% milk to treat lows at night. Need that fat to slow digestion and help keep the bg up longer.

Mon Oct 9 2000 21:09:30 Eastern US
BettyB (Chat Host) from 152.163.205.39
Benda -- those pouddings are a great snack -- have you noticed any blood sugar spikes after the fat-free ones as compared to the regular ones?

Mon Oct 9 2000 21:10:09 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Betty, I rarely have reg. pudding so I can't compare. BRB

Mon Oct 9 2000 21:10:16 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
regarding olean, I stick to the potato chips. We seldom have these, but they've caused no problems with us.

Mon Oct 9 2000 21:10:41 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
Judith, I have noticed that since I changed from non-fat milk to 2% Sam's numbers in the morning are much better.

Mon Oct 9 2000 21:10:53 Eastern US
BettyB (Chat Host) from 152.163.205.39
Yep - JUdith, you've got that one right. Fat is not necessarily the enemy -- helps slow down the absorption of carb, putting a bit of a floor under blood sugars and helping to minimize spikes from all carb meals and snacks

Mon Oct 9 2000 21:10:59 Eastern US
OldHam (Diet Help Me!) from 12.76.82.107
Guess I am on the wrong type of Webb site. Any Ideas where I can look for a support group?

Mon Oct 9 2000 21:11:05 Eastern US
Judith from 63.162.254.82
My husband tends to buy lots of low or no fat food (for himself). It's a problem for the boys because of the increased carb.

Mon Oct 9 2000 21:12:12 Eastern US
BettyB (Chat Host) from 152.163.205.39
Sue, glad you can use the fat-free chips without side effects -- there's a lot of individual variation in peoples' sensitivity to olean

Mon Oct 9 2000 21:12:21 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Question about "reduced fat". While I know that with fatfree there is a trade off with increased carbs (usually sugar, right?) can you tell me a little about these "reduced" foods?

Mon Oct 9 2000 21:12:31 Eastern US
OldHam (Diet Help Me!) from 12.76.82.107
Low fat foods did not improve my colesterol levels.

Mon Oct 9 2000 21:12:51 Eastern US
BettyB (Chat Host) from 152.163.205.39
Sorry OldHam but this is focused on diabetes - I'm sorry I don't know of any sites for low carb eating.. anybody else?

Mon Oct 9 2000 21:13:08 Eastern US
Judith from 63.162.254.82

http://www.locarbliving.com/

Mon Oct 9 2000 21:13:28 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
Are Fat Free Foods better?

Mon Oct 9 2000 21:13:36 Eastern US
BettyB (Chat Host) from 152.163.205.39
Well, Judith, you can blow hias mind and tell him that using fat-free foods does NOT decrease calorie intake -- good research to document that!

Mon Oct 9 2000 21:13:48 Eastern US
Judith from 63.162.254.82
OldHam, that's the site Judy/NY suggested for you.
OldHam -this site has a message board
http://www.locarbliving.com/

Mon Oct 9 2000 21:14:03 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Judith, you said "boys", do both your boys have diabetes? what ages are they?

Mon Oct 9 2000 21:14:40 Eastern US
BettyB (Chat Host) from 152.163.205.39
Ellars, the way I look at foods is that there are no "goods" or "bads" - you just need to understand what you're getting so you can stay in control

Mon Oct 9 2000 21:14:43 Eastern US
Judith from 63.162.254.82
Too late, Betty, his mind is already blown, I'm afraid! LOL

Mon Oct 9 2000 21:15:21 Eastern US
Judith from 63.162.254.82
Sue, my son David is nearly 15, dx'd at age 2 months. Vanya, 16, dx'd at 6, is a Russian boy living with us.

Mon Oct 9 2000 21:15:27 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Betty, do you recommend the Fat Free foods to all people with D or just those who need to lose some weight/reduce their cholesterol?

Mon Oct 9 2000 21:15:49 Eastern US
BettyB (Chat Host) from 152.163.205.39
Fat-free foods usually BUT NOT ALWAYS have fewer calories than their regular versions. They often BUT NOT ALWAYS have more carb than their regular versions. It's important to read the nutrition labels and see what yu're REALLY getting.

Mon Oct 9 2000 21:15:57 Eastern US
OldHam (Diet Help Me!) from 12.76.82.107
Will try it thaks for your help. I work at a hospital and talked to people in the diabetes depatment. So thanks. I donot want to mess up your discussion.

Mon Oct 9 2000 21:16:15 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
I guess I should have added: or, do you just recommend we all, esp. those with D. eat lower fat foods in general?

Mon Oct 9 2000 21:16:36 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
Betty, Sam will eat anything I give him. He is a growing boy and is always hungry. I try to help but there are times he just eats and eats and eats.

Mon Oct 9 2000 21:17:02 Eastern US
BettyB (Chat Host) from 152.163.205.39
Brenda, I don't actually recommend fat-free foods. They're a something of achallenge to BG control AND avoiding fat makes it very hard to control appetite - making them problematic for people trying to manage eating and weight.

Mon Oct 9 2000 21:17:13 Eastern US
Judith from 63.162.254.82
And poor Ellars has TWO boys at that same stage!

Mon Oct 9 2000 21:17:29 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
One thing that I find amazing is the number of carbs in a "sugar free" pie or cake at the local bakery.

Mon Oct 9 2000 21:17:42 Eastern US
BettyB (Chat Host) from 152.163.205.39
Less fat - especially saturated fat -- is a great idea for most people. BUT low-fat or fat-free generally backfires.

Mon Oct 9 2000 21:18:57 Eastern US
Judith from 63.162.254.82
Betty, how do you feel about butter vs. margarine? A couple years ago, I switched to butter. I'm enjoying it!

Mon Oct 9 2000 21:18:59 Eastern US
BettyB (Chat Host) from 152.163.205.39
Ellars - that's normal for a 13 year old -- the trick is learning the skills to keep his insulin matched with that voracious appetite - he needs that same food he'd need if he were 13 and DIDN'T have D

Mon Oct 9 2000 21:19:02 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Betty, what do you think about skim milk for toddlers/young children? I think we stuck with 2% until Marissa was about 5 and she hates anything but skim now.

Mon Oct 9 2000 21:19:05 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
Judith you have TWO teenagers too.

Mon Oct 9 2000 21:19:35 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
And so are your hips, Judith LOL LOL

I've met Judith and she is far from overweight!

Mon Oct 9 2000 21:19:46 Eastern US
Judith from 63.162.254.82
Ellars has a "control". Sam has a twin brother.

Mon Oct 9 2000 21:20:06 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
LOL Judith

Mon Oct 9 2000 21:20:20 Eastern US
Judith from 63.162.254.82
Actually, I have 3 teens at the moment....but the 19y/o girl moved out a couple months ago.

Mon Oct 9 2000 21:20:46 Eastern US
BettyB (Chat Host) from 152.163.205.39
Judith, a woman of taste!! I love it! When it comes to margarine vs butter, the only time that amrgarine comes out as a better nutritional choice than butter, is if the margarine has a liquid oil - especially canola - as the FIRST ingredient... otherwise I don't think there's all that much health difference between hardened margarines and real butter.

Mon Oct 9 2000 21:20:55 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Back in a min-going to help Marissa with her new pump site.

Mon Oct 9 2000 21:21:03 Eastern US
Judith from 63.162.254.82
Brenda, it's been a few years - and a few lbs! - since you've seen me.

Mon Oct 9 2000 21:21:46 Eastern US
Judith from 63.162.254.82
Thanks, Betty. I'll indulge with a clear conscience! LOL

Mon Oct 9 2000 21:21:58 Eastern US
BettyB (Chat Host) from 152.163.205.39
Brenda, you did just the right thing with Marissa. Skim milk is NOT recommended for very little ones. They need the fat for neurological development.

Mon Oct 9 2000 21:23:12 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Talk about appetite. I cannot fill my Evan. He'd eat 24/7 if allowed. I worry about his weight, he's now ~5'2" and 120lbs. If I try to limit (or omit) a snack cue to current BG he throws a fit - then it feels like I have a 3 year old.
Betty, I've ordered Sweet Kids.

Mon Oct 9 2000 21:24:28 Eastern US
Judith from 63.162.254.82
Say, I've recommended "Sweet Kids" at least 3 times in the past week here at the chat.

Mon Oct 9 2000 21:25:03 Eastern US
Judith from 63.162.254.82
You should be noticing an increase in your royalty checks! LOL

Mon Oct 9 2000 21:25:04 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Sue, Marissa is the same way sometimes. When her BG is high, I have to beg her to wait 30 min. before eating something, but she rarely listens!

Mon Oct 9 2000 21:25:24 Eastern US
BettyB (Chat Host) from 152.163.205.39
Sue, you knew what was coming!! LOLOL The hard thing for parents is to be able to get comfortable and feel safe letting kids with diabetes just be kids. Their nutritional needs are not changed by the diabetes. If growing pre-teens eat like steam shovels, they will need to do the same if they have diabetes -- and will scream aloud!! if you try to work against their natural appetite.

Mon Oct 9 2000 21:25:47 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Betty recommended it to me last Monday. If it can give me pointers on "food police" etc. I look very forward to reading it.
Anyone know how long ADA usually takes to get an ordered book to your door?

Mon Oct 9 2000 21:25:48 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
Judith How much do you get for recommending "Sweet Kids"?

Mon Oct 9 2000 21:26:13 Eastern US
BettyB (Chat Host) from 152.163.205.39
It's the "playing pancreas" that gets to be a challenge when kids are going through appetite variations, growth spurts, etc... matching the insulin to the food

Mon Oct 9 2000 21:26:40 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Brenda, why don't we all just reallize that our kids know WAY more than any of us?!?

Mon Oct 9 2000 21:26:52 Eastern US
Judith from 63.162.254.82
"To be negotiated", Ellars! LOL

Mon Oct 9 2000 21:27:01 Eastern US
BettyB (Chat Host) from 152.163.205.39
Ellars, she gets my thanks!! ADA doesn't pay a big enough royalty for me to split it!!

Mon Oct 9 2000 21:27:36 Eastern US
Judith from 63.162.254.82
I'll just get Betty to autograph my copy when we meet someday. Next year at AADE in Louisville?

Mon Oct 9 2000 21:27:45 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
I had to laugh at Marissa last night. I was making chicken nuggets for the kids (don't do it very often, but I hadn't been to the store) and Marissa said she didn't want any, but could I make her lima beans instead? Well, no one else eats limas, but I made about a cup of them, as she suggested. She ate about 1/4 of them and decided she didn't like them THAT much. It was an odd food to request, but it was better than most other things...

Mon Oct 9 2000 21:27:51 Eastern US
BettyB (Chat Host) from 152.163.205.39
Based on your questions last week, I've added a food police chat to the next open slot ---

Mon Oct 9 2000 21:28:15 Eastern US
BettyB (Chat Host) from 152.163.205.39
I'll be there Judith-- and it would be a rel pleasure!

Mon Oct 9 2000 21:28:33 Eastern US
Susie (type 2) from 167.89.255.33
Good evening.

Mon Oct 9 2000 21:28:39 Eastern US
Judith from 63.162.254.82
Limas are one of the few "beans" that Vanya will willingly eat.

Mon Oct 9 2000 21:29:01 Eastern US
BettyB (Chat Host) from 152.163.205.39
Brenda, that's got to be a first!! a 13 year old asking for lima beans!! you and Jeff have done something right!! LOLOL

Mon Oct 9 2000 21:29:11 Eastern US
Kathy/Ohio (Tom) from 64.24.229.80
Hi everybody. Betty, does the appetite decrease as teens get older....my 16 year old still seems to have a pretty good appetite...does it decrease when they've finished growing?

Mon Oct 9 2000 21:29:20 Eastern US
BettyB (Chat Host) from 152.163.205.39
Hi Susie, welcome to the chat.

Mon Oct 9 2000 21:29:23 Eastern US
Judith from 63.162.254.82
I look forward to it, Betty.

Mon Oct 9 2000 21:29:34 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
What is AADE?

Mon Oct 9 2000 21:29:47 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
I asked Jeff if he wanted some and he said "not a chance!" I think Kathryn did eat one.

Mon Oct 9 2000 21:29:52 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Betty, but what if I think he's gaining too much weight too quickly??? Our next clinic is next week and I'm hoping to see the RD during that visit.

Mon Oct 9 2000 21:29:52 Eastern US
Judith from 63.162.254.82
Hi Susie and Kathy

Mon Oct 9 2000 21:30:19 Eastern US
Judith from 63.162.254.82
American Association of Diabetes Educators.

Mon Oct 9 2000 21:30:30 Eastern US
BettyB (Chat Host) from 152.163.205.39
Kathy -- guys eat a LOT until well into their twenties, although it starts tapering off a bit when growth stops at somewhere around 18-20 years of age

Mon Oct 9 2000 21:31:15 Eastern US
BettyB (Chat Host) from 152.163.205.39
Sue, did we talk about growth charts the last time??

Mon Oct 9 2000 21:31:36 Eastern US
Judith from 63.162.254.82
Some guys don't taper off....and keep on growing - sideways! LOL

Mon Oct 9 2000 21:31:51 Eastern US
Kathy/Ohio (Tom) from 64.24.229.80
Wow, that's ALOT of eating!!

Mon Oct 9 2000 21:32:00 Eastern US
Susie (type 2) from 167.89.255.33
I've been watching my carbs for the D, watching my fats for my cholesterol, and now my asthmas dr. wants me to give up dairy products. Lowfat/fat free dairy products are one of the few things that I can eat. Any suggestions?

Mon Oct 9 2000 21:32:20 Eastern US
BettyB (Chat Host) from 152.163.205.39
Susie, don't be daunted by all the kids and parents talk -- did you have any questions in particular that brought you to the chat tonight?

Mon Oct 9 2000 21:32:25 Eastern US
Kathy/Ohio (Tom) from 64.24.229.80
LOL @ Judith!!!

Mon Oct 9 2000 21:32:36 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
I don't remember talking about them, Betty. I recently went to the cdc web site and calculate the BMI for our kids. Girls are 18-19 and Timothy is about 15. I will find the url and post it in a min.

Mon Oct 9 2000 21:32:55 Eastern US
Susie (type 2) from 167.89.255.33
Perhaps a diet of baked wood chips with artificial sweetner? Lots of fiber there, eh?

Mon Oct 9 2000 21:33:04 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
Betty I was hoping it would be before 20. I already can't keep up. Sam is doing good at just eating 5 times a day unless he is low. I

Mon Oct 9 2000 21:33:36 Eastern US
BettyB (Chat Host) from 152.163.205.39
Susie, have you tried any of the soy milk products? they're very tasty these days and extremely healthy as well -- the spoy has a role in heart health and in cancer prevention

Mon Oct 9 2000 21:33:46 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
No, Susie, I think that's what killed old what'shis name? Darn, I can't think of that nature dude!

Mon Oct 9 2000 21:33:55 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
No we didn't talk about growth charts. Evan has been off the charts (95th %ile or greater) for both wt and ht. but always proportional. In the last 3-4 mos or so, his weight has begun to outdo his ht.

Mon Oct 9 2000 21:34:06 Eastern US
BettyB (Chat Host) from 152.163.205.39
Susie, you must be on that OLD diabteic diet "If it tastes good, SPIT IT OUT!!"" LOL

Mon Oct 9 2000 21:35:06 Eastern US
BettyB (Chat Host) from 152.163.205.39
EULL GIBBONS - wild hickory nut guy!! LOLO

Mon Oct 9 2000 21:35:13 Eastern US
Susie (type 2) from 167.89.255.33
How are they fat wise? The dietician that set me up with the regiment that I am now on did not advise that, but that was before the asthma dr's recommendation. I feel so deprived.

Mon Oct 9 2000 21:36:08 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Thank you, Betty. I knew I'd never remember his name LOL

URL for cdc to calc. BMI is
http://www.cdc.gov/nccdphp/dnpa/bmi/bmi-for-age.htm

Mon Oct 9 2000 21:36:14 Eastern US
Susie (type 2) from 167.89.255.33
I have actually had what might be considered anxiety attacks in the supermarket trying to figure out what to eat.....

Mon Oct 9 2000 21:36:25 Eastern US
Judith from 63.162.254.82
Sue, it's quite normal for kids to get a bit chubby just before puberty sets in. They grow out a bit before shooting up in height.

Mon Oct 9 2000 21:36:53 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Why eliminate the dairy? Just curious since our other daughter, Kathryn, 10 has asthma.

Mon Oct 9 2000 21:37:13 Eastern US
BettyB (Chat Host) from 152.163.205.39
Well, as usual, Sue, you've got great information. As long as his weight and height were tracking at around the same per centile, he was doing great. I wouldn't panic about this as long as the doctor sees no medical reason -- there's a reason for that old term"baby fat" - kids bulk up in preparation for a growth spurt -- sounds like he's going to be a BIG man -- talll as well as large

Mon Oct 9 2000 21:37:42 Eastern US
Judith from 63.162.254.82
Susie, have you had allergy testing that determined you are allergic to dairy?

Mon Oct 9 2000 21:37:56 Eastern US
Susie (type 2) from 167.89.255.33
dairy, it seems, can assist with the production of phlegma. I have trouble with sinus pain.

Mon Oct 9 2000 21:38:46 Eastern US
Judith from 63.162.254.82
That's true, Susie.

Mon Oct 9 2000 21:39:01 Eastern US
Susie (type 2) from 167.89.255.33
No, I'm not allergic, just trying to alleviate my continuous post nasal drip with has caused infections which play havoc with my sugar.

Mon Oct 9 2000 21:39:01 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
That's interesting, Susie. Sorry to hear about the sinus pain, too.

Mon Oct 9 2000 21:39:12 Eastern US
BettyB (Chat Host) from 152.163.205.39
Brenda, milk protein is just one of the "usual suspects" when it comes to allergies and respiratory difficulties -- a trial of no dairy makes a cerrtain amount of sense but shouldn't be continued indefinitely if it doesn't reduce symptoms/attacks

Mon Oct 9 2000 21:41:07 Eastern US
Susie (type 2) from 167.89.255.33
BettyB, any suggestions of foods or products to make my diet more "interesting" and satisfying?

Mon Oct 9 2000 21:41:17 Eastern US
Judith from 63.162.254.82
Dave had nearly continuous middle ear infections as an infant. When he was about 18 months old, tubes were recommended. I asked for an allergy consult first. He was + for cow's milk. Put him on goat milk (ok since he was getting other foods by then of course) and he has had only one other ear infection since! He was able to go back to cow's milk at about age 3, when his eustachian tubes, etc were larger.

Mon Oct 9 2000 21:41:19 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
I can guarantee that he'll be a big man I've tried to breed in some "gentle giant" because when he reaches full size, he will be an imposing figure. I just worry that food is such an issue that it will consume him. I know that food has a very complex psychology.

Mon Oct 9 2000 21:41:21 Eastern US
BettyB (Chat Host) from 152.163.205.39
Finally found that date for the "food police" chat that I'll be doing -- November 6

Mon Oct 9 2000 21:41:54 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
When Sam was tested for allergies, I was supprised that he was not allergic to milk. He seem to be allergic to all plants and animals. His numbers have been alittle higher since he was but on a new inhaler.

Mon Oct 9 2000 21:42:33 Eastern US
Judith from 63.162.254.82
Asthma meds - esp the steroids like prednisone - really send the bgs soaring.

Mon Oct 9 2000 21:42:52 Eastern US
Judith from 63.162.254.82
Food police will be a good subject.

Mon Oct 9 2000 21:43:35 Eastern US
BettyB (Chat Host) from 152.163.205.39
Susie, to make your eating more interesting I'd say two things - enjoyment and variety. By eating foods that you actually enjoy -- even if it needs to be insmaller amounts to keep BG etc under control - you make life with diabetes much more supportable. And variety means eating as many KINDS of foods -- variety in tastes and textures makes eating more enjoyable too -- and variety is the cornerstone of good nutrition

Mon Oct 9 2000 21:43:45 Eastern US
Susie (type 2) from 167.89.255.33
I found that my #s were higher with Flovent. I was put on Asmacort and it doesn't seem to effect the D as much.

Mon Oct 9 2000 21:43:49 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Susie, my son is in a class with a boy with numerous SEVERE food alergies. Rice is one of the few foods he can have. Judging from what Ev says this boy eats at lunch, maybe some of these rice products, ie. 'Rice Dream' (milk) would interest you and taste good.

Mon Oct 9 2000 21:44:38 Eastern US
lynn (hannah 8, dx'd 3) from 152.163.205.52
hello everyone, i will be here for the food police because i feel i have to be one all the time and i haaaaate it!

Mon Oct 9 2000 21:44:50 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Just ran to my calendar to mark down the Food Police chat on Nov 6.

Mon Oct 9 2000 21:45:18 Eastern US
BettyB (Chat Host) from 152.163.205.39
Susie -- that's the power of testing -- can really give you a solid basis for making decisions

Mon Oct 9 2000 21:45:21 Eastern US
Judith from 63.162.254.82
Rice Dream is high in sugar, isn't it? I remember using the frozen variety when we were avoiding cow's milk for Dave.

Mon Oct 9 2000 21:45:33 Eastern US
Judith from 63.162.254.82
Hi Lynn

Mon Oct 9 2000 21:45:49 Eastern US
BettyB (Chat Host) from 152.163.205.39
Sue, I can hear the patter of those feet from way out here!! LOLOL

Mon Oct 9 2000 21:46:19 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
maybe I oops'd. I know that rice products exist, but have NO idea what their values are.

Mon Oct 9 2000 21:46:23 Eastern US
BettyB (Chat Host) from 152.163.205.39
Lynn, if you hAAATE it, it shows you're smart woman and a good mom!!

Mon Oct 9 2000 21:46:27 Eastern US
Susie (type 2) from 167.89.255.33
Sue I don't have food allergies, all environmental, i.e. plants, molds, etc. It was just suggested that I try eliminating dairy because of the phelgma.

Mon Oct 9 2000 21:48:17 Eastern US
Susie (type 2) from 167.89.255.33
Cascadia Farms makes a frozen yogurt bar that is only 15 gr of carbs and low fat and calories. Of course it is dairy, but I find it very satisfying. I have looked at the ride dream products, they are too high for my diet.

Mon Oct 9 2000 21:48:51 Eastern US
BettyB (Chat Host) from 152.163.205.39
Sorry, I can't find a count on the Rice Dream here in my home office pitiful library! But it'll have a label -- and reading that will show you how to use it -- same goes for soy milks - there are BIG differences in the carb counts on those

Mon Oct 9 2000 21:49:03 Eastern US
Ellars, CA (Sam, 13, dx'd June 2000) from 63.23.171.174
I have to run and pick up DJ from football practice. Wish I could stay and learn more. Maybe I can be here on Nov. 6th. Thanks BettyB, C-E

Mon Oct 9 2000 21:49:21 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
I mentioned the rice products as an alternative to dairy products, while still getting "cheese" "milk" etc. I'm glad to hear you don't have food alergies, this boy has to be constantly vigilant no to come in contact with offending foods.

Mon Oct 9 2000 21:49:45 Eastern US
Judith from 63.162.254.82
Bye Ellars

Mon Oct 9 2000 21:49:45 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Bye Ellars.

Mon Oct 9 2000 21:50:11 Eastern US
BettyB (Chat Host) from 152.163.205.39
Thanks Ellars -- ya'll come back any ol' time!

Mon Oct 9 2000 21:50:15 Eastern US
Susie (type 2) from 167.89.255.33
I have taken to calling the 800 #s to ask about carbs, fat, etc. on various item. How are the soy products as far as carbs?

Mon Oct 9 2000 21:51:09 Eastern US
lynn (hannah 8, dx'd 3) from 152.163.205.52
betty, with hannah having celiac disease it seems all we have are carb meals how do i find a balance?

Mon Oct 9 2000 21:51:12 Eastern US
BettyB (Chat Host) from 152.163.205.39
Lynn, did you have any particular questions/reasons for coming to the chat tonight??

Mon Oct 9 2000 21:52:07 Eastern US
BettyB (Chat Host) from 152.163.205.39
Lynn, you have definitely goot your hands full. So she is not tolerating fats?

Mon Oct 9 2000 21:52:38 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Susie--one mom from Hawaii once talked about cooking soy beans and sprinkling them with something or other (it was 2 yrs ago in the Parents chat room) and said they were delicious.

Mon Oct 9 2000 21:53:05 Eastern US
BettyB (Chat Host) from 152.163.205.39
That's using your resources, Susie. There are some pretty good references out there too. You might want to go on the ADA site or Amazon and check them out.

Mon Oct 9 2000 21:54:31 Eastern US
lynn (hannah 8, dx'd 3) from 152.163.205.52
our diet consists mostly of rice, beans, corn, all high carb foods and i don't know how much is too much

Mon Oct 9 2000 21:55:02 Eastern US
BettyB (Chat Host) from 152.163.205.39
Soy products vary quite a lot in their carb value -- by that I mean looking at the counts on several different soy milks or soy-based frozen deserts, you will find a wide range of carb values. My approach is to find the one that's the best balance between what you like and a carb value you can manage within your particular diabetes plan.

Mon Oct 9 2000 21:56:17 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Lynn, will she eat other veggies/meats?

Mon Oct 9 2000 21:56:34 Eastern US
BettyB (Chat Host) from 152.163.205.39
Carbs make up over half of the food intake of most people -- so the carbs themselves are not necessarily a problem as long as the insulin is there to handle them. But what about her overall nutirition? Is she able to eat meats too? vetgetables? fruits?

Mon Oct 9 2000 21:57:13 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Lynn, I buy a corn cracker in the grocery store, Harvest Bakery, I think. They're great. Maybe a good suggestion for a snack for Hanna.

Mon Oct 9 2000 21:57:31 Eastern US
BettyB (Chat Host) from 152.163.205.39
I haven't seen a youngster with celiac for anumber of years, but we were often recommending vitamins/supplements because of the limited diet choicecs.

Mon Oct 9 2000 21:58:07 Eastern US
lynn (hannah 8, dx'd 3) from 152.163.205.52
very few veggies,but she will eat meat,i just need to find out how many carbs for her each day so we don't over do it

Mon Oct 9 2000 21:58:58 Eastern US
Judith from 63.162.254.82
Betty, is it my imagination, or is there a higher incidence of celiac with d in Canada vs the US? Perhaps the Canadian docs are just more aware of it?

Mon Oct 9 2000 21:59:38 Eastern US
BettyB (Chat Host) from 152.163.205.39
Lynn, your biggest concern should be getting the right total amount of calories into her for her needs. she needs the calories to grow normally and to control hunger -- then the insulin should be fitted to that level of calorie intake -- doing it the other way around, she may not get enough to eat..- especially when her choices are so limited anyway

Mon Oct 9 2000 22:00:52 Eastern US
BettyB (Chat Host) from 152.163.205.39
Judith, I';m not sure, but we have a LOT of Canadian health preofessional come through the Center for training and I get the impression that they see a lot more celiac than we do..

Mon Oct 9 2000 22:01:27 Eastern US
BettyB (Chat Host) from 152.163.205.39
Maybe it's one of those things like diabetic gastropathy -- terribly underdiagnosed by US docs!!

Mon Oct 9 2000 22:01:55 Eastern US
lynn (hannah 8, dx'd 3) from 152.163.205.52
that's the reason I need to be here for the food police, hannah would eat all the time if I let her, it is a constant battle,and I don't want it to be

Mon Oct 9 2000 22:03:37 Eastern US
Susie (type 2) from 167.89.255.33
what is diabetic gastopathy?

Mon Oct 9 2000 22:03:53 Eastern US
BettyB (Chat Host) from 152.163.205.39
Lynn, the catch-22 in the whole food police thing is that the more you try to deny food to people (children included) the tendency they have to become panicky about food and feel the need to eat whnever they can get hands on anything -- breaking that cycle is not always easy

Mon Oct 9 2000 22:05:55 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
That catch-22 applies to all kids, not just those with diabetes.
-Sue (remembering her childhood and that of her sister's)

Mon Oct 9 2000 22:07:02 Eastern US
lynn (hannah 8, dx'd 3) from 152.163.205.52
i tried to let her eat anything she wanted one day but she really went overboard, hannah is 8, 70lbs. and 50"

Mon Oct 9 2000 22:09:13 Eastern US
BettyB from 152.163.205.81
Sorry, guys, I got thrown off line by wonderful AOL>!!

Mon Oct 9 2000 22:09:17 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Lynn, last week you told me that celiac is an intolerance (alergy?) to gluten, wheat products, etc. What happens to Hannah when she eats those things?

Mon Oct 9 2000 22:09:52 Eastern US
BettyB from 152.163.205.81
My brilliant gastropathy response got lost in the shuffle -- so let me repeat.

Mon Oct 9 2000 22:11:01 Eastern US
lynn (hannah 8, dx'd 3) from 152.163.205.52
severe diahrrea, vomiting

Mon Oct 9 2000 22:11:05 Eastern US
BettyB from 152.163.205.81
Gastropathy is changes in stomach emtpying caused by nerve damage. It is common but not well recognized by a lot of doctors. A real clue - especially in type 1 diabetes - is taking the meal insulin, eating to food, and then having hypoglycemia right after the meal because the food is still sitting in the stomach undigested.

Mon Oct 9 2000 22:11:37 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Sue, I have heard that some people with celiac don't always have an immediate problem when they eat foods with wheat gluten, but it can cause digestive probs down the road.

Mon Oct 9 2000 22:12:24 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Betty, a trick I learned. Hit Ctrl C (copy) after you've written a response you may not be able to repeat as well a second time, then if your post is lost, Ctrl V (paste) will retrieve it.

Mon Oct 9 2000 22:13:09 Eastern US
BettyB from 152.163.205.81
Well, folks, the chat time is up -- thanks so much for coming. Next week Lea Ann Holzmeister will do a chat on fat and carb countis -- and the following week, the 23rd, she and I will do a joint one on Halloween - Dealing with the treats. Thanks for coming!!

Mon Oct 9 2000 22:13:35 Eastern US
BettyB from 152.163.205.81
Thanks, Sue, I'll try that next time -- bound to work better than bad language!! LOL

Mon Oct 9 2000 22:13:37 Eastern US
Judith from 63.162.254.82
Brenda, I think celiac has degrees of expression: some people exhibit the full blown thing, others have mild or almost no symptoms, at least for many years.

Mon Oct 9 2000 22:14:12 Eastern US
Judith from 63.162.254.82
Thanks, Betty. See you next time.

Mon Oct 9 2000 22:14:12 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Betty, thanks again for taking the time to advise us on food matters. See you next time....

Mon Oct 9 2000 22:14:21 Eastern US
BettyB from 152.163.205.81
This chat room will be open for a while for those that want to contue talking -- hope to see you next week.

Mon Oct 9 2000 22:14:31 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Heard that too, Judith.

Mon Oct 9 2000 22:14:48 Eastern US
lynn (hannah 8, dx'd 3) from 152.163.205.52
that's right judith, thanks betty

Mon Oct 9 2000 22:14:51 Eastern US
BettyB from 152.163.205.81
You're welcome, Brenda. Always my pleasure!

Mon Oct 9 2000 22:14:56 Eastern US
Brenda H. (Marissa,13--dx'd 9/89) from 10.0.1.3
Actually, this room should automatically close in 10 min., but feel free to use the Parents room. BYE

Mon Oct 9 2000 22:15:05 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
The marketing videos for the pump refer to gasteoparesis and how it can administer the insulin bolus to allow for the slower digestion and not cause the post meal low BG

Mon Oct 9 2000 22:15:25 Eastern US
Susie (type 2) from 167.89.255.33
Thank you Betty. I'll look into soy.

Mon Oct 9 2000 22:15:34 Eastern US
Judith from 63.162.254.82
Delayed growth may be the only sign of celiac in some kids.

Mon Oct 9 2000 22:15:47 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Thank you Betty. I look fwd to Nov 6, and the food police chat.

Mon Oct 9 2000 22:16:13 Eastern US
Judith from 63.162.254.82
That must be the Minimed video, Sue! LOL

Mon Oct 9 2000 22:17:04 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
Judith, that's the one. I LOVE LOVE LOVE my daughter's pump.

Chat Room Administrator chat@childrenwithdiabetes.com (206.112.197.133) Mon Oct 9 2000 22:17:22 Eastern US
The "Food Matters" chat room will close in five minutes. To continue chatting, please move on to another room

Mon Oct 9 2000 22:17:39 Eastern US
Judith from 63.162.254.82
Sue, perhaps MM would want you for an ad?!

Mon Oct 9 2000 22:18:04 Eastern US
Judith from 63.162.254.82
Uh, oh! Brenda's about to turn out the lights here! Bye, all.

Mon Oct 9 2000 22:18:18 Eastern US
Sue, CT (Evan,10,dx@7,inhaling;Casey,5,dx@2,pumping) from 205.188.197.34
I'm going to the parent's chat after I tend to laundry.
You guys are great. It's nice to be able to talk to "those of my kind" (as I like to phrase it)



                 
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