When it comes to holidays and GSD1b, festivities and traditions can often clash with a restrictive medical diet. Halloween is definitely no exception and the struggle over how to navigate celebrations that are full of candy, sweets and sugar can be tricky. We asked families what strategies they use to allow for fun and festive holidays while also managing diet and blood sugars. Some make their own GSD-friendly treats using dietician-approved sugar alternatives, other substitute candy with non-edible treats instead, while others trade candy for small gifts or even cash after Halloween night. One particular family took a cue from the Elf on the Shelf and started a Switch Witch tradition– based off the Switchcrafted book– for their GSD1b daughter and her sibling that is still going strong years later and has become it’s own family tradition!