January 22, 2009


We had a dietitian visit at our quarterly check up last week. We hadn’t been seen by a dietitian in 5 years, since Connors diagnosis.

It was kind of funny.

Connor had a rocking A1C, 6.4 nice work on his part. ‘Laney was up a little but with adolescence coming on, up a little wasn’t bad.

Anyway the dietitian was a nice young woman who had no clue what she was in for.

“So Connor you had a really good A1C how do you count carbs?” - Dietitian

“I don’t.” - Connor

“What?!” - Dietitian

“We aren’t one of those scale families. We have one someplace but we never use it.” - Mom

“Well after 5 years you just kinda know how much stuff is.” - Connor

“You really shouldn’t guess.” - Dietitian

“6.4” Connor

We then digress into a large conversation about the relative number of carbs in different types of cereal, totally ignoring the poor earnest young dietitian. Connor is basing his numbers on his serving size that is significantly larger than Delaney’s. Then we launch into a rant about frosted Mini Wheat being way harder to bolus for than say Lucky Charms.

“Do you have a Calorie King?” – The dietitian is trying to get back in the game.

“Yeah” - “Some place.” - “It was good for going out to eat.” – “Haven’t seen it in ages” – All of us all at once.

“I have a new one I can give you.” – The dietitian is going for bribery, Nice move.


It’s a week later. I have no clue where it is.


  1. Wow, I thought I was the only non-scale type person.

  2. Most clinicians, including dietitians, have no clue what they are asking patients to live with for perpetuity. Those who actually do (my own dietitian, whom I haven't seen in years, had type 1 herself, and was far more cued into what the medical literature meant in a real-life situation) tend to focus on different issues than those who don't. Personally, I cannot stand newbies in the field; my feeling is that they should train on someone else's dime.

  3. That "6.4" response by Connor was freaking awesome.

    He's like "6.4 beotch - say something! What! What! ... I didn't think so.".

    I'm sorry, just made me chuckle. :-)

  4. Too funny! My last a1c was 6.0 and the doctor asked me pretty much the same thing, which carb book I prefer! Ummmmm....why would I actually carry around another Diabetes annoyance?

  5. Rofl. You are one cool dad. Are you looking to adopt a daughter?

  6. LOL! I just stumbled on your blog and am really enjoying it.

    On this topic - I always get stuck in the quarterly doctor visits when asked how many carbs my son (10) eats in a typical day. I know what he ate for breakfast, snack, and lunch the previous days, and I know how insulin affected his sugar levels (we keep good notes of that), so we adjust the insulin on a relative basis. For dinner, which is more varied, I look at the plate. I look real hard and concentrate. This amount of pasta is about 3 units ... 5 chicken nuggets are 1 unit ... a slice of that cake will be 2 more. Does 6 sound like a good total? We'll go with that.
    This gets even more of an art than a science when eating outside. Chinese? 12 units. It works out whatever he eats. And we check later to see if we need to adjust. I dare Calorie King to try to predict how many carbs a kid will eat in a restaurant ...

    And, just so I'm not accused of negligence in managing my son's diabetes, he has excellent A1C's ... But that's mostly due to his work and cooperation!

    Thanks again for a great blog.

  7. Welome Micah.

    We SWAG dinner too. It ain't neglagance to parent the whole child and not just the diabetes.