Carbohydrate Management for Children and Youth New to Diabetes

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1 Carbohydrate Management for Children and Youth New to Diabetes Good nutrition is a very important part of managing diabetes and staying healthy. Meal planning and proper food measurements will be necessary to control blood sugars. These guidelines will help to get you started. You will need to meet with a registered dietitian for more specific meal planning guidelines. Actual carbohydrate amounts will be calculated based on individualized caloric needs, preferences, and activity level. Several guidelines 1) Eat 3 meals and 3 snacks daily. 2) Eat a variety of foods that are generally high in fiber and low in fat. 3) Measure foods so you know exactly how much you are eating. 4) Write down everything eaten at meals and snacks each day. Be sure to list the food item and measured portion. This will be needed at the appointment with the dietitian. It is necessary for people with diabetes to keep track of the number of carbohydrate choices or servings they have at each meal and snack. Carbohydrate choices or servings are counted by accurately measuring foods and reading food labels. One carbohydrate choice or serving provides 15 grams of carbohydrate.

2 Girls Boys Average Carbohydrate Recommendations per Meal <5 years 5-12 years Teens 2-3 carb (30-45 grams) 2-3 carb (30-45 grams) 3-4 carb (45-60 grams) 3-4 carb (45-60 grams) 3-5 carb (45-75 grams) 4-6 carb (60-90 grams) Calculating Carbohydrate Choices from Food Labels One carbohydrate choice = 15 grams of carbohydrate To figure out how many carbs are in a particular food, try this: 1. Check serving size 2. Find total carbohydrate 3. Divide the total carbohydrate by Or refer to the table below

3 If the total carbohydrate from the food label is: 0-5 grams = 0 carb choices 6-10 grams = 0.5 carb choices grams = 1 carb choice grams = 1.5 carb choices grams = 2 carb choices grams = 2.5 carb choices grams = 3 carb choices grams = 3.5 carb choices grams = 4 carb choices grams = 4.5 carb choices grams = 5 carb choices Sample Meal Plans Sample Breakfasts - consisting of 2-3 carbohydrate choices (30-45 grams) 3/4 cup Cheerios (1 carbohydrate choice or 15 grams) 4 oz. milk (1/2 carbohydrate choice or 6 grams) ½ small banana (1 carbohydrate choice or 15 grams) Total = 2.5 carbohydrate choices or 36 grams ½ whole bagel (1 carbohydrate choice or 15 grams) (Lender s brand size) Cream cheese or margarine 4 oz. juice (1 carbohydrate choice or 15 grams) Total = 2 carbohydrate choices or 30 grams 1 waffle (1 carbohydrate choice or 15 grams) (Eggo brand size) 2 Tbsp. Light Syrup (1 carbohydrate choice or 15 grams) 8 oz. milk (1 carbohydrate choice or 12 grams) Total = 3 carbohydrate choices or 42 grams

4 Sample Lunches -consisting of 3-4 carbohydrate choices (45-60 grams) 1 cup chicken noodle soup (1 carbohydrate choice or 15 grams) 6 saltine crackers (1 carbohydrate choice or 15 grams) Baby carrots 1Tbsp. low-fat ranch dressing ½ cup sugar free pudding (1 carbohydrate choice or 15 grams) Total = 3 carbohydrate choices or 45 grams 1 whole sandwich with 2 slices bread (2 carbohydrate choices or 30 grams) Luncheon meat, cheese, or peanut butter 8 oz. milk (1 carbohydrate choice or 15 grams) 1 small apple (1 carbohydrate choice or 15 grams) Total = 60 grams or 4 carbohydrate choices ½ cup macaroni and cheese (1 carbohydrate choices or 15 grams) ½ cup fruit cocktail (1 carbohydrate choice or 15 grams) Green beans Sugar-Free Jell-O 4 oz. juice (1 carbohydrate choice or 15 grams) Total= 3 carbohydrate choices or 45 grams Sample Dinners - consisting of 3-4 carbohydrate choices (45-60 grams) 1 cup cooked spaghetti (3 carbohydrate choices or 45 grams) 2 cups salad 1 Tbsp. salad dressing ½ cup broccoli ½ cup fruit cup (1 carbohydrate choice or 15 grams) Crystal Light or water

5 3 ounces of grilled chicken ½ cup mashed potatoes (1 carbohydrate choice or 15 grams) ½ cup cooked carrots 1 dinner roll (1 carbohydrate choice or 15 grams) 8 oz. of low fat milk (1 carbohydrate choice or 12 grams) Total = 3 carbohydrate choices or 45 grams 1 slice pizza (any toppings) (2 carbohydrate choices or 30 grams) 8 oz. milk (1 carbohydrate choice or 12 grams) ½ cup pineapples (1 carbohydrate choice or 15grams) A Sample Daily Meal Plan Breakfast ½ small banana (1 carbohydrate choice or 15 grams) 1 ½ cups cornflakes (2 carbohydrate choices or 30 grams) 1 tsp. Margarine 8 oz. low-fat milk (1 carbohydrate choice or 12 grams) AM Snack 1 cup low-fat yogurt (1 carbohydrate choice or 15 grams) Total = 1 carbohydrate choice or 15 grams Lunch Sandwich: 1-2 oz. lean meat, 1 slice reduced-fat cheese, 2 slices bread, 1 tsp. mayonnaise, lettuce and tomato (2 carbohydrate choices or 30 grams) Baby carrots Small apple (1 carbohydrate choice or 15 grams) 15 low-fat chips (1 carbohydrate choice or 15 grams)

6 PM Snack 8 animal crackers (1 carbohydrate choice or 15 grams) Total = 1 carbohydrate choice or 15 grams Dinner 3 oz baked chicken breast ½ cup mashed potato (1 carbohydrate choice or 15 grams) ½ cup broccoli 1 slice bread (1 carbohydrate choice or 15 grams) 1 tsp margarine ½ cup canned pears (1 carbohydrate choice or 15 grams) 1 cup salad 2 Tbsp. low-fat salad dressing Total = 3 carbohydrate choices or 45 grams Bedtime Snack 1 small peach (1 carbohydrate choice or 15 grams) 8 oz. low-fat milk (1 carbohydrate choice or 12 grams) Total = 2 carbohydrate choices or ~30 grams Additional Information: If you have questions, please call: Registered Dietitian Phone: (717) 531- or (717)

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