From Barbados, West Indies:
My 13-year-old with type 1 has been having milk and cookies as his last snack since diagnosis last year and usually has good morning blood sugars on that. Recently, he had a stomach bug and did not feel up to the milk, so I let him have a banana and the cookies instead. His morning blood sugars have been lower than with the milk and cookies. In fact, some mornings he has been below 4.0 mmol/L [72 mg/dl]!
I should also mention that he uses goat's milk as he tends to get tummy aches from cow's milk. Could there be some vitamin or mineral in the banana that is helping him to process the carbohydrates better?
First of all, please talk to your child's health care provider or follow the guidelines to prevent a low glucose overnight by adjusting down the insulin or changing the food.
In answer to your question, sometimes after a gastrointestinal illness, the absorption of nutrients from the digestive tract can be temporarily different. It is important to monitor the glucose and adjust the insulin and food accordingly. It is possible that the change in bedtime snack is affecting the glucose, as different foods and amounts may affect the glucose differently. Also, think about any increased or change in exercise patterns as well.
If you are able to meet with a dietitian, you can review your child's overall food intake and learn about the content of different foods.
[Editor's comment: Furthermore, the consumption of protein as part of the bedtime snack will often help prevent nighttime lows and help prevent lower morning blood sugars. According to The Diabetes Carbohydrate & Fat Gram Guide, a banana has less than 1 gram of protein, while a cup of whole goat's milk has 9 grams of protein. Please discuss this with your diabetes team/dietitian. BH]
Last Updated: Tuesday April 06, 2010 15:10:14
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.