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Many of my patients use the sealed packets of cake frosting as emergency glucose - much more palatable for the kids, but every so often they get eaten in non emergencies so you have to keep an eye on the supplies.
And for those fearing amputations as an inevitable outcome, that is not the case. if you keep overall sugar levels w/i range, you avid most of the damage that will cost you legs, eyes, etc. (HgA1c levels track this best). Some can't avid this even with the most diligent self-care, but most can. Most amputations come from a poorly healing wound that you let get too big b/c you did not feel it (that diabetic neuropathy numbs out the feet), so if you don't have good sensation, start a routine of checking them visually, and being real real careful with blisters and small scrapes/cuts. On the plus side, prosthetics are now so good that many do better after the amputation in terms of mobility/functioning (vs. a junk foot that is in constant pain and constantly risking full sepsis).
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