Pediatric Nutrition in Practice

Nutritional Management of Diabetes in Childhood 225

3

• Low-GI foods should be substituted for high-
  GI foods in the diets of children with diabetes
  to improve glycemic control


• The prevention of overweight and obesity in
  pediatric T1DM is a key strategy of care and
  should involve a family-based approach
  
  
  • Individualized nutritional advice should be
    provided on how to manage physical activity,
    exercise and competitive sports
  
  
  • Nutritional management of type 2 diabetes re-
    quires a family and community approach to
    manage issues of excessive weight gain, lack of
    physical activity and the increased risk of car-
    diovascular disease
  
  
  
  

of carbohydrate counting on glucose

control and quality of life over 24 weeks

in adult patients with type 1 diabetes on

continuous subcutaneous insulin infu-

sion: a randomized, prospective clinical

trial (GIOCAR). Diabetes Care 2011; 34:

823–827.

11 Smart CE, Ross K, Edge JA, King BR,

McElduff P, Collins CE: Can children

with type 1 diabetes and their caregivers

estimate the carbohydrate content of

meals and snacks? Diabet Med 2010; 27:

348–353.

12 Smart C, Evans M, O’Connell S, McEl-

duff P, Lopez P, Jones T, et al: Both

dietary protein and fat increase post-

prandial glucose excursions in children

with type 1 diabetes, and the effect is

additive. Diabetes Care 2013; 36: 3897–

3902.

13 Thomas D, Elliott E: Low glycaemic in-

dex, or low glycaemic load, diets for dia-

betes mellitus. Cochrane Database Syst

Rev 2009; 1:CD006296.

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Koletzko B, et al. (eds): Pediatric Nutrition in Practice. World Rev Nutr Diet. Basel, Karger, 2015, vol 113, pp 218–225
DOI: 10.1159/000367863