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Chapter 10: Nutritional management in children and adolescents with diabetes
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Dear Members,
Dear Friends,

Nutritional management is one of the cornerstones of diabetes care and education. Different countries and regions have widely varying cultures and socio-economic status that influence and dominate dietary habits. Although there is strong evidence for nutritional requirements in young people, the scientific evidence base for many aspects of diabetes dietary management is still emerging and it is important to individualize nutrition interventions and meal plans. ISPAD consensus guidelines (see here) reflect national and international pediatric position/consensus statements and evidence derived from recommendations for adults with diabetes. Dietary recommendations for children with diabetes are based on healthy eating recommendations suitable for all children and adults and therefore, the whole family. Nutritional advice must be adapted to cultural, ethnic and family traditions and the psychosocial needs of the individual child. Likewise, the choice of insulin regimen should take into account the dietary habits and lifestyle of the child. This chapter describes the strategies to minimize the postprandial excursions caused by carbohydrate, protein and fat, and recommends considering all the ingredients in the calculation of the meal-time insulin dose.

Learn more about carb-counting from Asma Deeb: Nutrition - debate PRO and CON carb counting Carbohydrate counting; just a part of a bigger picture

Learn more about the impact of fats and proteins on post-prandial glycaemia from Carmel Smart: Challenges to the second “Peanuts only peanuts”. On the effect of fat and protein on insulin therapy

This chapter is a must read for all pediatricians, diabetes educators and all dietitians!

The Conference Resource Platform has been made possible thanks to an independent educational sponsorship from

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If you have any questions, please contact:

ISPAD Conference Secretariat
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Fax: +49 30 24 60 3-200
 
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