[quote user="Batts"]I think it's more for new diabetics and kids? [/quote]
Hiya! My daughter was dx'd Nov. 2010. She has really gone away from mid morning snacks and only bedtime snacks if she's hungry or on the low side, then she will do a carb/protein snack like carrots and PB. She has been having consistent morning lows (40/50's) and we are adjusting her Lantus. One nutritionist said she HAS to hit all her meal and snack times and two others said don't eat if you're not hungry........but do not skip breakfast, lunch or dinner. She tests at school mid morning, but generally doesn't feel like a snack, so she doesn't have one.
Thanks for the updated information Ann4. Both nutritionists are kind of right in your daughter's case. Since she's taking Lantus she has a steady, base rate of insulin and needs to eat periodically to cover that. But if you're adjusting your daughter's short acting insulin (Novolog or Humalog) based on her blood sugar and the number of carbs she's eating, then she doesn't have to eat if blood sugar is okay. Insulin pumps are cool because you never have to eat to cover insulin. I've been able to fast for a whole day with good blood sugars.
And Batts, what you said about snacks being a kid thing makes sense. My non-diabetic son snacks often because he burns so much energy. It makes sense that a diabetic kid would need snacks to keep glucose levels up if they're using long acting insulin.