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The Question

10/23/09 12:57 PM

"Does the approach to diet differ depending on whether you are insulin dependent or not?"
Asked By: quinlin  

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My 4-yr old was just diagnosed with Type I diabetes. We have been advised that he can eat whatever a non-diabetic person can eat, but his blood glucose is closely monitored to insure he receives the correct amount of insulin. I am pre-diabetic. Should I be limiting my carbs since I do not control my condition with insulin injections.

Expert Answers (1)

10/24/09 12:14 PM

Hi! Let me start by ackowledging the challenges you are facing in having a toddler with Type 1 Diabetes. Being a parent is tough enough without having extra challenges thrown at us. However, now there are so many tools and resources available to help you and your child manage this disease with less frustration. Overall, the approach to nutrition therapy in diabetes is a well balanced diet. Anyone with pre-diabetes or diabetes should learn carbohydrate counting to help them control the amount of carbohdyrate they eat at a sitting. This can be further tweaked with the assistance of a registered dietitian or a certified diabetes educator to obtain good blood glucose results after the meal. However, it's very easy to develop tunnel vision and focus only on the total amount of carbohydrate at the meal or snack and forget all about good healthy eating. So even though the general guidelines for diet are the same, it's still important to obtain a complete individualized assessment by a registered dietitian and then establish an action plan that includes individualized recommendations. Remember that you and your son are at different stages of growth and development so you have different needs regarding nutrition. The dLife website has a lot of great information on basic healthy eating. Again, however, your best bet will be to consult with a registered dietitian for individualized help.
Answered By: Jodi Limacher
Accreditations: MS, RD, CDE
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