ISPAD Guidelines 2018 - Chapter 10: Nutritional management in children and adolescents with diabetes

Chapter 10: Nutritional managementin children and adolescents with diabetes
Carmel E. Smart, Francesca Annan, Laurie A. Higgins, Elisabeth Jelleryd, Mercedes Lopez, Carlo L. Acerini

What is new in the ISPAD Nutritional Management Chapter?
The ISPAD Nutritional Management chapter has been updated by authors from Australia, Europe, South America, UK and USA.
What is different in the 2018 chapter?
-  The impact of dietary fat and protein -not just carbohydrate- is considered in the calculation of the meal-time insulin dose and how it is delivered.  

- The role of continuous glucose monitoring as  a useful tool for educating both the clinician and young person with diabetes on food related behaviors is discussed.

- Strategies to minimize the postprandial excursions caused by carbohydrate, protein and fat are included
The importance of family based meal-time routines with limitations on snacking is emphasized to improve dietary quality.

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