Question

Worksheet 13-1: Living with Type 1 Diabetes Pietro, 11 years old, was diagnosed with type 1 diabetes nine months ago. He is learning how to count carbohydrates for his lunches during the day at school and his mother helps him with the other meals and snacks he consumes. During the past nine months Pietro has been restricted from eating out with friends because his mother is concerned he won't be able to count his food intake appropriately, but she recognizes the need to give Pietro more independence. He will be attending a birthday party next week and is looking forward to eating birthday cake, although this makes his mother nervous. Pietro and his mother have scheduled a visit with a registered dietitian to discuss a plan for the birthday party. He is currently 70 pounds and 57 inches; at the time of his diagnosis he was 65 pounds and 55 inches. Pietro's usual meal pattern (grams of carbohydrate): Breakfast = 60 grams, lunch = 75 grams, after-school snacks = 60 grams, dinner = 75 grams, bed-time snack = 45 grams. His insulin regimen includes 1unit Humalog: 15 grams carbohydrate and 20 units of Lantus® at bedtime. Questions: 1. Evaluate Pietro's current growth and BMI compared to those at the time of his diagnosis. 2. How can Pietro and his mother best plan for the food that will be served at the birthday party? 3. The party will be at 1 p.m. and the food will be served at 3 p.m.—this is the time Pietro usually has his afternoon snack. How much cake with frosting can he consume and stay with his regular dose of insulin? 4. What if Pietro wants to have other carbohydrate-containing snack foods at the party in addition to the cake?

Worksheet 13-1: Living with Type 1 Diabetes

Pietro, 11 years old, was diagnosed with type 1 diabetes nine months ago. He is learning how to count carbohydrates for his lunches during the day at school and his mother helps him with the other meals and snacks he consumes. During the past nine months Pietro has been restricted from eating out with friends because his mother is concerned he won't be able to count his food intake appropriately, but she recognizes the need to give Pietro more independence. He will be attending a birthday party next week and is looking forward to eating birthday cake, although this makes his mother nervous. Pietro and his mother have scheduled a visit with a registered dietitian to discuss a plan for the birthday party. He is currently 70 pounds and 57 inches; at the time of his diagnosis he was 65 pounds and 55 inches.

Pietro's usual meal pattern (grams of carbohydrate): Breakfast = 60 grams, lunch = 75 grams, after-school snacks = 60 grams, dinner = 75 grams, bed-time snack = 45 grams. His insulin regimen includes 1unit Humalog: 15 grams carbohydrate and 20 units of Lantus® at bedtime.

Questions:
1. Evaluate Pietro's current growth and BMI compared to those at the time of his diagnosis.
2. How can Pietro and his mother best plan for the food that will be served at the birthday party?
3. The party will be at 1 p.m. and the food will be served at 3 p.m.—this is the time Pietro usually has his afternoon snack. How much cake with frosting can he consume and stay with his regular dose of insulin?
4. What if Pietro wants to have other carbohydrate-containing snack foods at the party in addition to the cake?

Worksheet 13-1: Living with Type 1 Diabetes

Pietro, 11 years old, was diagnosed with type 1 diabetes nine months ago. He is learning how to count carbohydrates for his lunches during the day at school and his mother helps him with the other meals and snacks he consumes. During the past nine months Pietro has been restricted from eating out with friends because his mother is concerned he won't be able to count his food intake appropriately, but she recognizes the need to give Pietro more independence. He will be attending a birthday party next week and is looking forward to eating birthday cake, although this makes his mother nervous. Pietro and his mother have scheduled a visit with a registered dietitian to discuss a plan for the birthday party. He is currently 70 pounds and 57 inches; at the time of his diagnosis he was 65 pounds and 55 inches.

Pietro's usual meal pattern (grams of carbohydrate): Breakfast = 60 grams, lunch = 75 grams, after-school snacks = 60 grams, dinner = 75 grams, bed-time snack = 45 grams. His insulin regimen includes 1unit Humalog: 15 grams carbohydrate and 20 units of Lantus® at bedtime.

Questions:
1. Evaluate Pietro's current growth and BMI compared to those at the time of his diagnosis.
2. How can Pietro and his mother best plan for the food that will be served at the birthday party?
3. The party will be at 1 p.m. and the food will be served at 3 p.m.—this is the time Pietro usually has his afternoon snack. How much cake with frosting can he consume and stay with his regular dose of insulin?
4. What if Pietro wants to have other carbohydrate-containing snack foods at the party in addition to the cake?

Added by Brian H.

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