Diabetes in Your School - Encouraging Healthy Nutrition. Donna Amundson, RN, CDE Diabetes Care Center Medcenter One. Food (mainly carbohydrate ) is one of the major influences on blood sugar levels in people with diabetes. In 1994, the Position Statement of the ADA stated:.
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Donna Amundson, RN, CDE
Diabetes Care Center
“Today, there is no one ‘diabetic’ or ‘ADA’ diet. Medical nutrition therapy for people with diabetes should be individualized, with consideration given to usual eating habits and other lifestyle changes.”
It has gone from avoidance to allowing sugar in the context of a healthy meal plan.
The purpose of with diabetes has changed over the years.all meal plans is to achieve better control of blood sugar levels. The method that works best for one person may not be the best for another.
1 hard shell taco…15 gms dietitian to develop a meal plan that meets the needs of the child.
1/8 12” thin pizza…15 gms
Small order fries…30 gms
One 3” cookie……15 gms
Frosted cupcake…30 gms
3 cups popcorn….. 15 gms
½ cup ice cream….15 gms
1 cup bean, noodle or vegetable soup…15 gms
Medium apple…15 gms
Medium banana… 30 gms
1 cup milk………15 gms
1 cup chocolate milk…30 gms
1 slice bread……15 gms
⅓ cup pasta…… 15 gms
½ cup corn………15 gms
Hamburger bun…30 gms
1 cup hotdish……30 gmsExamples of Carb Counts
Total Carbs: 75 gms
Total Carbs: 75gms
Total Carbs:75 gms
Total Carbs:75 gms
Every person is different in his or her need for rapid acting insulin, so carbohydrate ratios differ as well. The same person may even have different carb ratios for different times of the day.
The most common correction dose is one unit of rapid acting insulin per 50mg/dl of blood sugar above 100mg/dl.So, if the child’s blood sugar was 180mg/dl, and 1 unit of rapid acting insulin was given, you could expect the blood sugar to drop to 130mg/dl.
Every child is different, however, so the correction factor must be individualized by the child’s family and diabetes healthcare team working together.
Diabetes well managed not only helps young people avoid long term complications, it also allows them to feel better and to be happier and more productive at school and at play.