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|Carbs, Spikes and Snack Ideas|
|Giovedì 10 Marzo 2016 08:46|
People with diabetes know very well that food plays a big part in their blood sugar control. Carbohydrates (CHOs) have the greatest effect on the blood sugars, and it is for that reason we pay close attention to these when managing diabetes. Carbohydrates are the primary source of fuel for our body, so it’s important not only to choose healthier alternatives but also to limit how many carbohydrates you eat at any one particular meal/snack.
When planning your child’s meals and snacks, make sure to offer a variety from all the food groups:
So while we focus the majority of our attention on CHOs (because they have an almost immediate effect on your blood sugar level), it’s important when planning for snacks to have a balance of ALL nutrients. Having a balance allows for better blood sugar control (less spikes) as well as allowing your child to feel full for a longer period of time (instead of running back inside and asking for more!).
Most growing children need snacks whether they have diabetes or not. Snacks can help prevent low blood glucose and between-meal hunger, and may be necessary to help your child grow. Depending on the insulin regimen, whether using multiple daily injections or an insulin pump, insulin will be needed to cover CHOs at snack times (depending on the physical activity level and blood sugar level at that time). Typical snacks range from 0 to 30 grams of CHOs for the school-age child. Teenagers may need more CHOs.
Here are a few examples of snack ideas for kids (15 grams of CHO):
Remember to balance your CHOs from the snack with some protein and fat – this will slow the rate at which the carbohydrates empty from your stomach and result in a more gradual rise in blood sugar. Having a hungry child with high blood sugars can be very challenging. Keeping a few of these low CHO options on hand is always a good idea. Choosing low CHO foods that have minimal impact on blood sugar will help tide your child over while you are waiting for the insulin on board to kick in.
Low-Carb Snack Ideas
Other factors to consider is the timing of the bolus. This can have a huge impact on the after-meal spikes. Boluses given too late to match the carbohydrates consumed can produce significant hyperglycemia soon after eating, whereas a properly timed bolus (15 minutes before the meal or snack) can result in excellent after-meal control. However, for young children whose food intake may be unpredictable, it’s best to bolus soon after the meal once you have determined the exact amount of CHOs consumed.
The DRI Education Team,