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January 16, 2004

Meal Planning, Food and Diet

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Question from California, USA:

Ever since my daughter was diagnosed about a year ago with type 1 diabetes, I’ve been told differently from hospital to clinic on her diet. At the hospital they said she was forbidden to eat all sodium, MSG, syrups had to be sugar free, no cakes, etc. Then at the clinic I was told she can have things like cakes and ice cream occasionally and to stick with what the hospital says and no fruit juice unless she had low blood sugars. If she was to have ice cream and juice, it was to be about once a month. Then months later I was told to use Splenda and make her own replacement cake for parties we would attend.

Now we went to a clinic at a different location (keep in mind this is all the same HMO-the referral was made by her doctor), so we’re back to the people we first saw. Now that the diet came up, they said she can eat anything a normal six-year-old can eat, and even have juice and everything containing sugar and corn syrup. So now we are thrown for a loop. We don’t want to do the wrong thing and give her sweets even occasionally that will eventually give her long term side effects. With all the conflicting advice we don’t know what to believe.

Answer:

From: DTeam Staff

It sounds like you’ve been round and round with both extremes of nutritional meal planning for persons with diabetes. Nowadays, meal planning has gotten more liberal WITHOUT a compromise in blood sugar control. One has to remember the magic word — MODERATION. Occasional sweets and foods higher in carbohydrates can be worked into your child’s meal in moderation if something else is taken out of the meal. Portion sizes are stressed nowadays to control blood sugars. Count carbohydrates and work in sweets in moderation along with other healthy foods (fruits, vegetables, low fat dairy products, whole grain foods, etc.). Schedule an appointment with a registered dietitian who specializes in diabetes meal planning if you need an individualized meal plan for your child. They can certainly assist with this plan.

JMS