Going out to eat with the family can be fun for everyone, but especially for kids. Talk with your child's healthcare team, but most children with type 1 diabetes
don't need to have any major restrictions on their diets. They just need to be aware of what they eat and have enough insulin on hand to cover that amount of carbohydrates (carbs).
You don't have to worry too much about the kind of restaurant you pick. There are, however, some things you can consider ahead of time and while you're out
to eat that can help you and your child continue to manage their type 1 diabetes.
Humalog is a rapid-acting insulin. Take Humalog within fifteen minutes before eating or right after eating a meal.
Tips for eating out
- Many restaurants post their menus online, so you can get an idea of what they serve and whether they have good options for your child. It might be fun to
sit together and plan what you're going to order ahead of time so you can count out the carbs
- Some restaurants give you servings that are larger than your child needs to eat at one sitting. Order a single, small, or child's size if you have the
choice. If not, ask for a box at the beginning of the meal so you can set aside some of your child's meal from the start and save it for later. You can
also encourage splitting different dishes with friends, siblings, yourself, or everyone. That way, your child can enjoy a few different things without overdoing it
- If you end up eating later than usual, make sure you make appropriate adjustments to your child's insulin schedule
When your child goes out to eat, they'll have to choose from a wider variety of foods and preparation styles. Continue reading for some tips on how to plan
healthy meals even when eating different styles of food. These suggestions are helpful for everyone, not just children with type 1 diabetes.
Fast food can be tricky because most of the foods are high in fat and carbohydrates. If you are looking for good options, many national chains now offer
healthier choices like grilled chicken sandwiches, soups, salads,
low-fat milk, carrot sticks, fresh fruit, and yogurt. But a small hamburger or taco could
easily fit into your child's plan. Be sure to check the ingredients of everything your child eats, including condiments.
Many Mexican dishes feature foods high in carbohydrates like beans, rice, tortillas, and chips. Sometimes these are even all in one dish. As long as you
pay attention to what's on your child's plate, you'll be able to adjust their insulin accordingly. Be aware of the carb content in items of different sizes.
One large flour tortilla can have 20 grams of carbohydrates, while the smaller corn tortillas often have 10 grams of carbs.
Here's a list of options that have a modest amount of carbs:
- Chicken and rice plates
- Most soups
- Chicken or fish soft tacos
- A chicken burrito without rice and beans
Since fats can have an effect on blood sugar levels a few hours after the meal, it's a good idea to go easy on the high-fat foods like cheese and sour
cream (or "crema") and ask for them to be served on the side. You can also consider having smaller portions of fried dishes, like chimichangas, flautas, or taquitos.
Here are some suggestions for how to make healthy choices at Italian restaurants. If you are carefully watching your child's carbohydrates, you'll need
to watch how much pasta they consume. Instead of filling up on spaghetti or bread, plan to start with a bowl of soup or a salad with low-fat vinaigrette.
If it works with their plan, order a small serving of pasta with the entree. Look for pastas that have tomato-based sauces and avoid ones made with cream.
When choosing a main course, options like chicken marsala, piccata, or cacciatore can be smarter choices than heavier, fried options, like chicken or veal parmesan.
And remember, it never hurts to ask if they can have their favorite proteins grilled or broiled. It's also a good idea to include non-starchy vegetables, such as broccoli or carrots.
If you are having pizza, ask for a thin crust and choose toppings like mushrooms, peppers, and other veggies instead of pepperoni or sausage.
When ordering Chinese food, keep in mind that in addition to the rice and breaded or fried dishes, the sauce can be high in carbohydrates.
Here are some places to start on the menu when looking for lower carbohydrate foods:
- Hot and sour soup
- Wonton soup
- Chicken and broccoli
- Seafood dishes
Consider swapping out white rice for brown, which has the same number of carbs but more fiber. (The value of fiber is that although it is a carb, it does not increase blood sugar levels.) Ask for steamed instead of stir-fried veggies with the sauce on the side.
Remember, each restaurant has a unique way to make their dishes, so even if your child has ordered something before, it might be a good idea to ask how items are made.
The same rules apply when your family goes out to an American restaurant. Avoid getting full on bread with butter or olive oil and foods high in fat,
like fried dishes. Here are some healthier options that are available at most restaurants:
- Salads with low-fat dressings, such as vinaigrettes
- Grilled chicken
- Soups made without cream
- Roasted turkey
- Grilled fish
You can always ask to have foods prepared differently. Substitute veggies for French fries, lettuce for hamburger buns, and feel free to ask for
half portions or choose an appetizer instead of an entree.
One last thing to remember: sodas and other sweetened drinks have lots of carbs, but not much nutritional value. Opt for healthier choices like
low-fat milk and unsweetened drinks.
Important Safety Information for Humalog
What is the most important information I should know about Humalog?
- Do not change the insulin you use without talking to your healthcare provider. Doses of oral antidiabetic medicines may also need to change if your insulin is changed.
- Test your blood sugar levels as your healthcare provider instructs.
- When used in a pump, do not mix Humalog with any other insulin or liquid.
Who should not take Humalog?
- Do not take Humalog if your blood sugar is too low (hypoglycemia) or if you are allergic to insulin lispro or any of the ingredients in Humalog.
Before using Humalog, what should I tell my healthcare providers?
Tell your healthcare providers:
- About all of your medical conditions, including liver, kidney, or heart problems.
- If you are pregnant or breastfeeding.
- About all the medicines you take, including prescription (especially ones commonly called TZDs [thiazolidinediones]) and non-prescription medicines, vitamins, and herbal supplements.
How should I use Humalog?
- Humalog is a rapid-acting insulin. Take Humalog within fifteen minutes before eating or right after eating a meal.
- Always make sure you receive the correct type of Humalog from the pharmacy.
- Do not use Humalog if it is cloudy, colored, or has solid particles or clumps in it.
- Do not mix Humalog with insulin other than NPH when using a syringe. Do not mix or dilute Humalog when used in a pump.
- Inject Humalog under your skin (subcutaneously). Never inject into a vein or muscle. Change (rotate) your injection site with each dose. Make sure you inject the correct insulin and dose.
- Depending on the type of diabetes you have, you may need to take Humalog with a longer-acting insulin or with oral antidiabetic medicines.
- If you forget to take your dose of Humalog, your blood sugar may go too high (hyperglycemia), which can lead to serious problems like loss of consciousness (passing out), coma, or even death.
- Your insulin dose may need to change because of illness, stress, other medicines you take, change in diet, or change in physical activity or exercise.
What are the possible side effects of Humalog?
- Low blood sugar is the most common side effect. There are many causes of low blood sugar, including taking too much Humalog. It is important to treat it quickly. You can treat mild to moderate low blood sugar by drinking or eating a quick source of sugar right away. If severe, low blood sugar can cause unconsciousness (passing out), seizures, and death. Symptoms may be different for each person. Be sure to talk to your healthcare provider about low blood sugar symptoms and treatment.
- Severe life-threatening allergic reactions (whole-body reactions) can happen. Get medical help right away if you develop a rash over your whole body, have trouble breathing, have a fast heartbeat, or are sweating.
- Reactions at the injection site (local allergic reaction) such as redness, swelling, and itching can happen. If you keep having skin reactions or they are serious, talk to your healthcare provider. Do not inject insulin into a skin area that is red, swollen, or itchy.
- Skin may thicken or pit at the injection site (lipodystrophy). Do not inject insulin into skin with these types of changes.
- Other side effects include low potassium in your blood (hypokalemia), and weight gain.
- Serious side effects can include:
- - swelling of your hands and feet
- - heart failure when taking certain pills called thiazolidinediones or “TZDs” with Humalog. This may occur in some people even if they have not had heart problems before. Tell your healthcare provider if you have shortness of breath, swelling of your ankles or feet, or sudden weight gain, which may be symptoms of heart failure. Your healthcare provider may need to adjust or stop your treatment with TZDs or Humalog.
- These are not all of the possible side effects. Ask your healthcare providers for more information or for medical advice about side effects.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
How should I store Humalog?
- Unopened Humalog should be stored in a refrigerator and can be used until the expiration date on the carton or label.
- Humalog should be stored away from light and heat. Do not use insulin if it has been frozen.
- Opened vials should be kept at room temperature or in a refrigerator. Opened cartridges or prefilled pens should be kept at room temperature.
- Once opened, Humalog vials, prefilled pens, and cartridges should be thrown away after 28 days.
Humalog is available by prescription only.
For additional information, talk to your healthcare providers and please click to access Full Prescribing Information and Patient Prescribing Information.
Please see Instructions for Use that accompany your pen.
HI CON ISI 29MAR2013
Humalog® and Humalog® KwikPen™ are registered trademarks of Eli Lilly and Company and are available by prescription only.
Humalog® KwikPen™ is a registered trademark of Eli Lilly and Company and is available by prescription only.
HumaPen® LUXURA™ is a registered trademark of Eli Lilly and Company. HumaPen® LUXURA™ HD is available by prescription only.
D-Tron® and D-Tronplus® are registered trademarks of Roche Diagnostics GmbH.
Other product names mentioned herein are the trademarks of their respective owners.
Important Safety Information for Glucagon
What is the most important information I should know about glucagon?
- Glucagon should not be used if you have pheochromocytoma or if you are allergic to glucagon.
- Make sure you tell your healthcare provider if you have been diagnosed with or have been suspected of having an insulinoma as glucagon should be used cautiously in this situation.
- You and anyone who may need to help you during an emergency should become familiar with how to use glucagon before an emergency arises. Read the Information for the User provided in the kit.
- Make sure that your relatives or close friends know that if you become unconscious, medical assistance must always be sought. If you are unconscious, glucagon can be given while awaiting medical assistance.
- Do not use the kit after the date stamped on the bottle label.
- If you have questions concerning the use of this product, consult a doctor, nurse or pharmacist.
WARNING: YOU MAY BE IN A COMA FROM SEVERE HYPERGLYCEMIA (HIGH BLOOD GLUCOSE) RATHER THAN HYPOGLYCEMIA. IN SUCH A CASE, YOU WILL NOT RESPOND TO GLUCAGON AND REQUIRE IMMEDIATE MEDICAL ATTENTION.
Who should not use glucagon?
Glucagon should not be used if you have pheochromocytoma or if you are allergic to glucagon.
What should I tell my doctor before taking glucagon?
Tell your doctor about all of your medical conditions and prescription and over-the-counter drugs. Tell your doctor if you have been diagnosed with or have been suspected of having pheochromocytoma or an insulinoma.
How should I use glucagon?
- Act quickly. Prolonged unconsciousness may be harmful.
- Make sure your family and friends know to turn you on your side to prevent choking if you are unconscious.
- The contents of the syringe are inactive and must be mixed with the glucagon in the accompanying bottle immediately before giving injection. Do not prepare Glucagon for Injection until you are ready to use it.
- Glucagon should not be used unless the solution is clear and of a water-like consistency.
- The usual adult dose is 1 mg (1 unit). For children weighing less than 44 lb (20 kg), give 1/2 adult dose (0.5 mg). For children, withdraw 1/2 of the solution from the bottle (0.5 mg mark on syringe). Discard unused portion.
- You should eat as soon as you awaken and are able to swallow. Inform a doctor or emergency services immediately.
What is some important Information I should know about Low Blood Sugar (Hypoglycemia)?
- Early symptoms of low blood sugar include: sweating, drowsiness, dizziness, sleep disturbances, palpitation, anxiety, tremor, blurred vision, hunger, slurred speech, restlessness, depressed mood, tingling in the hands, feet, lips, or tongue, irritability, lightheadedness, abnormal behavior, inability to concentrate, unsteady movement, headache, and personality changes. These symptoms may be different for each person and can happen suddenly.
- If your low blood sugar is not treated, you may progress to severe low blood sugar that can include: disorientation, seizures, unconsciousness, and death
- Low blood sugar symptoms should be treated with a quick source of sugar which should always be carried with you. If you do not improve or you are unable to take a quick source of sugar, you should be treated with glucagon or with intravenous glucose at a medical facility.
What are the possible side effects of glucagon?
- Severe side effects are very rare, although nausea and vomiting may occur occasionally.
- A few people may be allergic to glucagon or to one of the inactive ingredients in glucagon, or may experience rapid heart beat for a short while.
- If you experience any other reactions which are likely to have been caused by glucagon, please contact your doctor.
You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
How should I store glucagon?
- Before dissolving glucagon with diluting solution, store the kit at controlled room temperature between 20° to 25°C (68° to 77°F).
- After dissolving glucagon with diluting solution, use immediately. Discard any unused portion. Glucagon should be clear and of a water-like consistency at time of use.
For more safety information, please click to access Information for the User and Information for the Physician.
HI GLUC CON ISI 21APR2011
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