Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
November 3, 2004
Insulin, Meal Planning, Food and Diet
Question from Manila, Philippines:
For a 13 month old boy, just diagnosed, with poorly controlled type 1 diabetes, what should his ideal dietary prescription be? He drinks milk formula from a bottle. He also currently has pneumonia. His blood sugars fluctuate from 225 mg/dl [12.5 mmol/L] to 573 mg/dl [31.8 mmol/L]. He is now getting an insulin drip of 0.1 units/kilogram/hour.
Assuming his DKA is now resolved, which it may not be if he’s still on a drip of 0.1 units per hour, I would recommend looking at the total daily dose of insulin he requires and then calculating a carbohydrate/insulin ratio of 1 unit per — grams (number of grams determined by taking 500 divided by the total daily dose of insulin) and giving him an extra bolus of insulin each time he takes a bottle or other food.