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DIABETES AND GROWING UP: FOOD, EVENING OUT
Food
Breakfast will usually be at home and should give you a good start to the day. One way of ensuring that you get the right type of lunch is to take a packed meal with you. There are several books that give a dietary breakdown of take-away foods. If this is the kind of meal you and your friends have, learn which of the items on the menu fit into your diet. A little dietary homework can reduce anxiety. Many sandwich shops now serve whole-wheat bread and a wide variety of fillings and you can often buy baked potatoes with fillings. It will help if you carry an apple and some high fibre bars with you to fill in gaps and to use as snacks.
An evening out
If you go out with your friends after school or work, eat a snack and find a quiet moment to check your blood glucose level. You can keep yourself going on snacks until everyone decides to have a meal. It is not a disaster if your evening meal is one or two hours late provided you stoke up with snacks and keep an eye on your blood glucose level. When the time comes for the main evening meal, take your insulin, remembering to adjust the dose according to your blood glucose level and what you plan to do afterwards. If you are going to a disco or ice skating rink or any other activity which will be energetic, take less short-acting insulin than you would usually have.
It is better to take your insulin somewhere clean than in a dirty lavatory. If you have told your friends that you have diabetes, there is no harm in taking it in front of them. They may be startled at first, but will almost certainly be interested in the insulin and diabetes. After a while, it will simply be a usual part of an outing and no one will bother if you just take out your insulin and syringe and give yourself the injection. If you treat the practical aspects of diabetes as ordinary and matter-of-fact, so will your friends. The abdomen is a useful place if you are taking your insulin in public because you can just undo your blouse or shirt and give yourself the injection. If you are sitting at a table very few people will notice what you are doing.
As the evening runs on you may need extra snacks to keep going, and you will certainly need something extra to eat if you are out at a time when you would usually be in bed.
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