
#395: Why Adult Care is 20-30 Years Behind the Adolescent Care
It’s Halloween week, and Graham opened with a confession about a bag of fun-size candy that was supposed to be for trick-or-treaters. So I asked him to go back to 10-year-old Graham: what did Halloween look like with Type 1 diabetes in the late ’90s?
His answer opened up a much bigger conversation. Before fast-acting insulin and insulin-to-carb ratios, management meant eating the same foods, at the same times, with the same insulin doses every day. Kids were told to avoid candy, not because of shame, but because nobody knew how much insulin to take for it. “Free foods” and sugar-free candy…
The skinny
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