Chapter 10: Nutritional management
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2/23/2018 at 9:49:44 PM GMT
Posts: 5
Dear Beth,
Thanks again for your comments! To further address the issues you have raised we have strengthened the statement (and made it more positive!) that if a child or family choose to routinely consume a diet <40% carbohydrate it is recommended that they are reviewed by a dietitian to ensure the diet is nutritionally sound and meeting the child's energy needs. Often though it is the parent, not the child that chooses to follow a low carbohydrate diet.
We have also stated more clearly that if the adolescent is post pubertal and growth is complete lower carbohydrate lifestyle choices may be safely incorporated. A statement has also been added on the use of very low carbohydrate diets (ketogenic) in the short term treatment of obesity in adolescents with type 1.
We do have more to learn from families that successfully manage this style of eating, however evidence to date indicates it can be potentially unsafe and restrictive and not necessary for optimal glycaemic outcomes. Other non- dietary behaviours may also be contributing to the successful implementation of these diets.
Thanks again Beth! Great topic and we feel the chapter is much better because of your valuable input in raising this. Kind regards, Carmel

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