{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Your Best T1D Year","title":"Is It OK to Dose Insulin After a Meal for Kids? | ISPAD Guidelines, T1D","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/2fe98517\"></iframe>","width":"100%","height":180,"duration":348,"description":"Here's the permission slip every T1D parent needs: with a young child, dosing during or after the meal is not cheating. It's not failing at pre-bolusing. It is, in plain black and white in the international pediatric diabetes guidelines, an okay thing to do. Parents, exhale.\nThe people who write the rules for kids with type 1, ISPAD, carve out a specific exception for infants and toddlers who are unreliable eaters. It's not a loophole, it's the guidance, built on the real risk of lows in tiny bodies. And the other direction is backed too, when you can dose before the meal, kids hit a lower glucose peak and a lower A1C, with no extra hypoglycemia. Before when you can, after when you can't, and both are in the book.\nIn this episode:\nWhy dosing after the meal is allowed for young kids (per ISPAD)\nThe reason the guidelines built in the toddler exception\nThe research supporting pre-meal dosing when it's safe\nLetting go of the guilt you don't need to carry\nThis Week's Challenge: For the parents, let go of one piece of guilt. If you've been forcing an early dose and stressing about lows, try dosing right after the meal this week for what they actually ate, and bring it to your care team.\nHelpful resources and newsletter: https://yourbestt1dyear.com\nConnect with Neil: TikTok: https://tiktok.com/@the.betes Instagram: https://instagram.com/thebetes Facebook: https://facebook.com/neilgreathouse LinkedIn: https://linkedin.com/in/neil-greathouse-a607b912 Website: https://yourbestt1dyear.com\nBooks on Amazon: Type 1 Diabetes – One Day at a Time: https://a.co/d/6UHooWJ Type 1 Diabetes – True Stories: https://a.co/d/dfIlyI1","thumbnail_url":"https://img.transistorcdn.com/o0hXmJTfrsbPYfZKHjLJRs1Dx7iBMJisKDJZnYXjscs/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lNzFh/MDhmY2QwMjcwZTcx/NWRkZTBjNTk5YzUz/YjY2MS5QTkc.webp","thumbnail_width":300,"thumbnail_height":300}