Diabetes Questions

My friend’s son has been diagnosed with type 1

he is a 10 year old playstation addict who eats mostly rubbish

The Dieticisn has said that he should now eat a diet of mostly carbs, and that cornflakes, white bread etc are all good

Surely this makes no sense at all and the kid should be eating low carb, or have i got completely the wrong end of the stick

A diet of white bread and cornflakes?
You do know white bread has the fiber removed and is like drinking pure sugar,right?
Where did your dietician get his/her degree from?
School of idiocy?
You want to go back to nature.
Are corn flakes found in nature?No,not natural carbohydrates.
Is white bread found in nature?Hell no.
White bread is one of the worst things you can consume when you have any form of diabetes.
Stay away from processed foods too.
They have ingredients like high fructose corn syrup and MSG,which makes you eat more.

Take plenty of Fish oil

No soda/juices

Eliminate all refined sugars,and artificial sweeteners(even splenda).

A diet low in wheat and grains.

You want most of your carbohydrates to come from fruits,vegetables,and beans(some brown rice won’t hurt).

Use stevia natural sweetener(tastes so much better than splenda too).

Try packing his lunch with healthy,natural foods for him when he goes to school.
Not the crap they have there.

No junk food.

Do these things and he won’t need all the medication.

By the way,getting him to put down the playstation and go exercise a few times a week wouldn’t hurt either.
Cthulhu

Article 1

If you’ve been diagnosed with diabetes, your doctor has probably mentioned that you should pay careful attention to nutrition and diet as part of your treatment program. Nutrition experts say that there is no one diet for diabetes, but people with diabetes should follow the nutrition guidelines in the Food Pyramid, while paying special attention to carbohydrate intake. People with diabetes should also eat about the same amount of food at the same time each day to keep blood sugar levels stable.

Getting Started With Nutrition Treatment
If you’ve never attempted to eat a healthy, well-balanced diet before your diabetes diagnosis, it can be difficult to know where to get started. Try these tips from the American Dietetic Association:

Eat more starches such as bread, cereal, and starchy vegetables. Aim for six servings a day or more. For example, have cold cereal with nonfat milk or a bagel with a teaspoon of jelly for breakfast. Another starch-adding strategy is to add cooked black beans, corn or garbanzo beans to salads or casseroles.
Eat five fruits and vegetables every day. Have a piece of fruit or two as a snack, or add vegetables to chili, stir-fried dishes or stews. You can also pack raw vegetables for lunch or snacks.
Eat sugars and sweets in moderation. Include your favorite sweets in your diet once or twice a week at most. Split a dessert to satisfy your sweet tooth while reducing the sugar, fat and calories.
Soluble fibers are found mainly in fruits, vegetables and some seeds, and are especially good for people with diabetes because they help to slow down or reduce the absorption of glucose from the intestines. Legumes, such as cooked kidney beans, are among the highest soluble fiber foods. Other fiber-containing foods, such as carrots, also have a positive effect on blood sugar levels. Insoluble fibers, found in bran, whole grains and nuts, act as intestinal scrubbers by cleaning out the lower gastrointestinal tract.

After a diabetes diagnosis, consider seeing a dietitian and developing a meal plan to get started. Taking into account your lifestyle, your medication, your weight and any medical conditions you may have in addition to diabetes as well as your favorite foods, the dietitian will help you create a diet that will prevent complications of diabetes and still give you the pleasure you’ve always had in eating. To find a diabetes teacher (nurse, dietitian, pharmacist and other health care professional), call the American Association of Diabetes Educators at 1-800-342-2382. If you want to find a dietitian near you, call the American Dietetic Association’s National Center for Nutrition and Dietetics at 1-800-366-1655 or visit their Web site at
www.eatright.org/find.html.

Article 2

Endocrine Web’s Diabetes Center

Treatment of Diabetes

There are several aspects in the treatment of diabetes, each one with a very important role.

The mainstays of treatment are:

Working towards obtaining ideal body weight
Following a diabetic diet
Regular exercise
Diabetic medication if needed
Note: Type 1 Diabetes must be treated with insulin. This involves injecting insulin under the skin for it to work. Insulin cannot be taken as a pill because the digestive juices in the stomach would destroy the insulin before it could work. Scientists are looking for new ways to give insulin. But today, shots are the only method. There are, however, new methods to give the shots…Insulin Pumps are now being widely used and many people are having great results. A new page on insulin pumps will be on line soon.

The Diabetic Diet

Diet is very important in diabetes. There are differing philosophies on what is the BEST diet but below is a guideline with some general principles.

Patients with Type 1 diabetes should have a diet that has approximately 35 calories per kg of body weight per day (or 16 calories per pound of body weight per day). Patients with Type 2 diabetes generally are put on a 1500-1800 calorie diet per day to promote weight loss and then the maintenance of ideal body weight… However, this may vary depending on the person’s age, sex, activity level, current weight and body style. More obese individuals may need more calories initially until their weight is less. This is because it takes more calories to maintain a larger body and a 1600 calorie diet for them may promote weight loss that is too fast to be healthy. Men have more muscle mass in general and therefore may require more calories. Muscle burns more calories per hour than fat. (Thus also one reason to regularly exercise and build up muscle!) Also, people whose activity level is low will have less daily caloric needs.

Generally, carbohydrates should make up about 50 percent of the daily calories ( with the accepted range 40-60 percent). In general, lower carbohydrate intake is associated with lower sugar levels in the blood. However the benefits of this can be cancelled out by the problems associated with a higher fat diet taken in to compensate for the lower amount of carbohydrates… This problem can be improved by substituting monounsaturated and polyunsaturated fats for saturated fats.

Most people with diabetes find that it is quite helpful to sit down with a dietician or nutritionist for a consult about what is the best diet for them and how many daily calories they need. It is quite important for diabetics to understand the principles of carbohydrate counting and how to help control blood sugar levels through proper diet. Below are some general principles about the diabetic diet.

Understanding Food Groups

There are three basic food groups: fats, proteins and carbohydrates. The carbohydrates are the foods that can be broken down into sugar. It is essential to have all three food groups in your diet to have good nutrition.

  1. Why count carbohydrates?

Carbohydrate makes your blood glucose level go up. If you know how much carbohydrate you’ve eaten, you have a good idea what your blood glucose level is going to do. The more carbohydrates you eat, the higher your blood sugar will go up.

  1. Which foods contain carbohydrate?

Most of the carbohydrate we eat comes from three food groups: starch, fruit and milk. Vegetables also contain some carbohydrates, but foods in the meat and fat groups contain very little carbohydrate. Sugars may be added or may be naturally present (such as in fruits). The nutrient term for sugars can also be identified by looking for -ose at the end of a word ( i.e. glucose, fructose, sucrose, etc. are all sugars). Look for these on food labels to help identify foods that contain sugar.

To make things easy, many people begin carbohydrate counting by rounding the carbohydrate value of milk up to 15. In other words, one serving of starch, fruit or milk all contain 15 grams carbohydrate or one carbohydrate serving. Three servings of vegetable also contain 15 grams. Each meal and snack will contain a specific total number of grams of carbohydrate.

For example: Each gram of carbohydrate provides 4 calories. A diabetic on a 1600 calorie diet should get 50% of these calories from carbohydrate. This would be a total of 800 calories or 200 gms of carbohydrate (at 4 calories per gram) spread out over the day. At 15 grams per exchange, this would be about 13 exchanges of carbohydrate per day.

The amount of food you eat is closely related to blood sugar control. If you eat more food than is recommended on your meal plan, your blood sugar goes up. Although foods containing carbohydrate (carb) have the most impact on blood sugars, the calories from all foods will affect blood sugar. The only way you can tell if you are eating the right amount is to measure your foods carefully. Also, it is important to space your carbohydrates out throughout the day to avoid sugar “loading.” Measuring your blood sugar regularly also provides important feedback on how high your sugar went based on what you ate and your level of activity.

Where do you get carbohydrate information?

The “Nutrition Facts” label on most foods is the best way to get carbohydrate information, but not all foods have labels. Your local bookstore and library have books that list the carbohydrate in restaurant foods, fast foods, convenience foods and fresh foods. You will still need to weigh or measure the foods to know the amount of grams of carbohydrates present.

How do you count carbohydrate?

Carbohydrates can be counted in number of grams or can be counted as exchanges. One carbohydrate exchange equals 15 grams of carbohydrate. A good reference for learning how to count calories in this manner will be on line here

soon including a calorie computer.

Free Foods:

These are foods that you can eat without counting. A free food or drink is one that contains less than 20 calories and 5 grams or less of carbohydrate per serving. If your serving or a food contains more than 5 grams of carbohydrate, you should count it in your meal plan.

Examples of free foods:

Bouillon or broth
Carbonated or mineral water
Club soda
Coffee or tea
Diet soft drinks
Drink mixes, sugar-free
Tonic water, sugar free
Sugar-free hard candy
Sugar-free Jell-O
Sugar-free gum
Jam or jelly, light or low-sugar, 2 tsp.
Sugar free syrup, 2 tsp.

You should spread out free foods throughout the day and not eat them in one sitting.

Fitting Sugar in Your Meal Plan

It is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrate (carb) for that meal or snack is consistent. Many research studies have shown that meals which contain sugar do not make the blood sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carb, the blood sugar levels will go up.

Does this mean I can eat cake and not worry about it?

No! A slice of white cake with chocolate icing ( 1/12 of a cake or 80 gram weight) will give you about 300 calories, 45 grams of carb and 12 grams of fat. That is three starch servings and over 2 fat servings. Before you have a slice of cake, ask yourself the following questions: Will that small piece of cake be satisfying or will I still be hungry? How it will fit into my meal plan? Do I have 300 calories to “spend” on this? Are there other choices I could make which would contribute less fat? A 1/12 slice of angel food cake has less than 1 gram of fat and only 30 carb. This may be a better choice.

Controlling all carbohydrates

It is important to realize that sugar is not the only carbohydrate that you have to “control”. The body will convert all carbohydrates to glucose - so eating extra servings of rice, pasta, bread, fruit or other carbohydrate foods will make the blood sugar rise. Just because something doesn’t have sugar in it doesn’t mean you can eat as much as you want. Your meal plan is designed so that the carbohydrate content of your meals remains as consistent as possible from day to day.

A word of caution:

Although sugar does not cause the blood sugar to rise any higher than other carbohydrates, it should be eaten along with other healthy foods. If you choose to drink a 12 ounce can of a sugar-sweetened soft drink, that would use up about 45 grams carb - and you wouldn’t have gotten any nutrition (protein, vitamins or minerals). What a waste of calories! High sugar foods are more concentrated in carb. Therefore the volume would be smaller than a low sugar food. High sugar foods might not be a good choice if they will just tempt you to eat more. If you would rather eat larger portions, select low sugar choices. Look at the differences in portion size you get for equal amounts of carbohydrate in these cereals!

Granola
Frosted Flakes
Corn Flakes
Cheerios
Puffed Wheat

1/4 cup
1/3 cup
3/4 cup
1 cup
1 1/4 cup

In addition, many sugar-containing foods also contain a lot of fat. Foods such as cookies, pastries, ice cream and cakes should be avoided largely because of the fat content and because they don’t contribute much nutritional value. If you do want a “sweet” - make a low-fat choice, such as low-fat frozen yogurt, gingersnaps, fig bars or graham crackers and substitute it for another carbohydrates on your meal plan.

More about Type 1 Diabetes Type 1 Diabetes Symptoms, Causes, Diagnosis and Treatments

Oh yeah,follow the Food Pyramid alright.
Refined sugar on the top of the list,meat on the bottom.

The Food Pyramid,along with all the crap they shoot into food,is one of the reasons why we have obese kids running around today with diabetes(other than lack of exercise).

Cold ,processed cereals isn’t the best thing to have when you have diabetes.
I can’t believe most “doctors” reccomend their patients eat processed cereals and white bread when they have diabetes.
Just another fine example that doctors SHOULD study nutriton when they go to medical school.
Oh,thats right.I just forgot.
They can keep diabetics on medication by reccomending them eat shitty,refined sugar from the Food Pyramid.That way they increase profits.
Duh!

cthulu is right. that dietitian should be raped.

Get berardis pecision nutrition. It is great for diabetics. meat, veggies and nuts, tons of fiber etc.

Dietitians are the reason I’m glad It’s hard for me to own a gun. I’d shoot them all.

I think your dietitian hates your son. She wants him to have his foot cut off in 2 years. rape her.

sorry but my blood pressure just jumped up a little there. My comments might be uncalled for ;o)

-chris

[quote]sic wrote:
Article 1

If you’ve been diagnosed with diabetes, your doctor has probably mentioned that you should pay careful attention to nutrition and diet as part of your treatment program. Nutrition experts say that there is no one diet for diabetes, but people with diabetes should follow the nutrition guidelines in the Food Pyramid, while paying special attention to carbohydrate intake. People with diabetes should also eat about the same amount of food at the same time each day to keep blood sugar levels stable.

Getting Started With Nutrition Treatment
If you’ve never attempted to eat a healthy, well-balanced diet before your diabetes diagnosis, it can be difficult to know where to get started. Try these tips from the American Dietetic Association:

Eat more starches such as bread, cereal, and starchy vegetables. Aim for six servings a day or more. For example, have cold cereal with nonfat milk or a bagel with a teaspoon of jelly for breakfast. Another starch-adding strategy is to add cooked black beans, corn or garbanzo beans to salads or casseroles.
Eat five fruits and vegetables every day. Have a piece of fruit or two as a snack, or add vegetables to chili, stir-fried dishes or stews. You can also pack raw vegetables for lunch or snacks.
Eat sugars and sweets in moderation. Include your favorite sweets in your diet once or twice a week at most. Split a dessert to satisfy your sweet tooth while reducing the sugar, fat and calories.
Soluble fibers are found mainly in fruits, vegetables and some seeds, and are especially good for people with diabetes because they help to slow down or reduce the absorption of glucose from the intestines. Legumes, such as cooked kidney beans, are among the highest soluble fiber foods. Other fiber-containing foods, such as carrots, also have a positive effect on blood sugar levels. Insoluble fibers, found in bran, whole grains and nuts, act as intestinal scrubbers by cleaning out the lower gastrointestinal tract.

After a diabetes diagnosis, consider seeing a dietitian and developing a meal plan to get started. Taking into account your lifestyle, your medication, your weight and any medical conditions you may have in addition to diabetes as well as your favorite foods, the dietitian will help you create a diet that will prevent complications of diabetes and still give you the pleasure you’ve always had in eating. To find a diabetes teacher (nurse, dietitian, pharmacist and other health care professional), call the American Association of Diabetes Educators at 1-800-342-2382. If you want to find a dietitian near you, call the American Dietetic Association’s National Center for Nutrition and Dietetics at 1-800-366-1655 or visit their Web site at
www.eatright.org/find.html.

Article 2

Endocrine Web’s Diabetes Center

Treatment of Diabetes

There are several aspects in the treatment of diabetes, each one with a very important role.

The mainstays of treatment are:

Working towards obtaining ideal body weight
Following a diabetic diet
Regular exercise
Diabetic medication if needed
Note: Type 1 Diabetes must be treated with insulin. This involves injecting insulin under the skin for it to work. Insulin cannot be taken as a pill because the digestive juices in the stomach would destroy the insulin before it could work. Scientists are looking for new ways to give insulin. But today, shots are the only method. There are, however, new methods to give the shots…Insulin Pumps are now being widely used and many people are having great results. A new page on insulin pumps will be on line soon.

The Diabetic Diet

Diet is very important in diabetes. There are differing philosophies on what is the BEST diet but below is a guideline with some general principles.

Patients with Type 1 diabetes should have a diet that has approximately 35 calories per kg of body weight per day (or 16 calories per pound of body weight per day). Patients with Type 2 diabetes generally are put on a 1500-1800 calorie diet per day to promote weight loss and then the maintenance of ideal body weight… However, this may vary depending on the person’s age, sex, activity level, current weight and body style. More obese individuals may need more calories initially until their weight is less. This is because it takes more calories to maintain a larger body and a 1600 calorie diet for them may promote weight loss that is too fast to be healthy. Men have more muscle mass in general and therefore may require more calories. Muscle burns more calories per hour than fat. (Thus also one reason to regularly exercise and build up muscle!) Also, people whose activity level is low will have less daily caloric needs.

Generally, carbohydrates should make up about 50 percent of the daily calories ( with the accepted range 40-60 percent). In general, lower carbohydrate intake is associated with lower sugar levels in the blood. However the benefits of this can be cancelled out by the problems associated with a higher fat diet taken in to compensate for the lower amount of carbohydrates… This problem can be improved by substituting monounsaturated and polyunsaturated fats for saturated fats.

Most people with diabetes find that it is quite helpful to sit down with a dietician or nutritionist for a consult about what is the best diet for them and how many daily calories they need. It is quite important for diabetics to understand the principles of carbohydrate counting and how to help control blood sugar levels through proper diet. Below are some general principles about the diabetic diet.

Understanding Food Groups

There are three basic food groups: fats, proteins and carbohydrates. The carbohydrates are the foods that can be broken down into sugar. It is essential to have all three food groups in your diet to have good nutrition.

  1. Why count carbohydrates?

Carbohydrate makes your blood glucose level go up. If you know how much carbohydrate you’ve eaten, you have a good idea what your blood glucose level is going to do. The more carbohydrates you eat, the higher your blood sugar will go up.

  1. Which foods contain carbohydrate?

Most of the carbohydrate we eat comes from three food groups: starch, fruit and milk. Vegetables also contain some carbohydrates, but foods in the meat and fat groups contain very little carbohydrate. Sugars may be added or may be naturally present (such as in fruits). The nutrient term for sugars can also be identified by looking for -ose at the end of a word ( i.e. glucose, fructose, sucrose, etc. are all sugars). Look for these on food labels to help identify foods that contain sugar.

To make things easy, many people begin carbohydrate counting by rounding the carbohydrate value of milk up to 15. In other words, one serving of starch, fruit or milk all contain 15 grams carbohydrate or one carbohydrate serving. Three servings of vegetable also contain 15 grams. Each meal and snack will contain a specific total number of grams of carbohydrate.

For example: Each gram of carbohydrate provides 4 calories. A diabetic on a 1600 calorie diet should get 50% of these calories from carbohydrate. This would be a total of 800 calories or 200 gms of carbohydrate (at 4 calories per gram) spread out over the day. At 15 grams per exchange, this would be about 13 exchanges of carbohydrate per day.

The amount of food you eat is closely related to blood sugar control. If you eat more food than is recommended on your meal plan, your blood sugar goes up. Although foods containing carbohydrate (carb) have the most impact on blood sugars, the calories from all foods will affect blood sugar. The only way you can tell if you are eating the right amount is to measure your foods carefully. Also, it is important to space your carbohydrates out throughout the day to avoid sugar “loading.” Measuring your blood sugar regularly also provides important feedback on how high your sugar went based on what you ate and your level of activity.

Where do you get carbohydrate information?

The “Nutrition Facts” label on most foods is the best way to get carbohydrate information, but not all foods have labels. Your local bookstore and library have books that list the carbohydrate in restaurant foods, fast foods, convenience foods and fresh foods. You will still need to weigh or measure the foods to know the amount of grams of carbohydrates present.

How do you count carbohydrate?

Carbohydrates can be counted in number of grams or can be counted as exchanges. One carbohydrate exchange equals 15 grams of carbohydrate. A good reference for learning how to count calories in this manner will be on line here

soon including a calorie computer.

Free Foods:

These are foods that you can eat without counting. A free food or drink is one that contains less than 20 calories and 5 grams or less of carbohydrate per serving. If your serving or a food contains more than 5 grams of carbohydrate, you should count it in your meal plan.

Examples of free foods:

Bouillon or broth
Carbonated or mineral water
Club soda
Coffee or tea
Diet soft drinks
Drink mixes, sugar-free
Tonic water, sugar free
Sugar-free hard candy
Sugar-free Jell-O
Sugar-free gum
Jam or jelly, light or low-sugar, 2 tsp.
Sugar free syrup, 2 tsp.

You should spread out free foods throughout the day and not eat them in one sitting.

Fitting Sugar in Your Meal Plan

It is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrate (carb) for that meal or snack is consistent. Many research studies have shown that meals which contain sugar do not make the blood sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carb, the blood sugar levels will go up.

Does this mean I can eat cake and not worry about it?

No! A slice of white cake with chocolate icing ( 1/12 of a cake or 80 gram weight) will give you about 300 calories, 45 grams of carb and 12 grams of fat. That is three starch servings and over 2 fat servings. Before you have a slice of cake, ask yourself the following questions: Will that small piece of cake be satisfying or will I still be hungry? How it will fit into my meal plan? Do I have 300 calories to “spend” on this? Are there other choices I could make which would contribute less fat? A 1/12 slice of angel food cake has less than 1 gram of fat and only 30 carb. This may be a better choice.

Controlling all carbohydrates

It is important to realize that sugar is not the only carbohydrate that you have to “control”. The body will convert all carbohydrates to glucose - so eating extra servings of rice, pasta, bread, fruit or other carbohydrate foods will make the blood sugar rise. Just because something doesn’t have sugar in it doesn’t mean you can eat as much as you want. Your meal plan is designed so that the carbohydrate content of your meals remains as consistent as possible from day to day.

A word of caution:

Although sugar does not cause the blood sugar to rise any higher than other carbohydrates, it should be eaten along with other healthy foods. If you choose to drink a 12 ounce can of a sugar-sweetened soft drink, that would use up about 45 grams carb - and you wouldn’t have gotten any nutrition (protein, vitamins or minerals). What a waste of calories! High sugar foods are more concentrated in carb. Therefore the volume would be smaller than a low sugar food. High sugar foods might not be a good choice if they will just tempt you to eat more. If you would rather eat larger portions, select low sugar choices. Look at the differences in portion size you get for equal amounts of carbohydrate in these cereals!

Granola
Frosted Flakes
Corn Flakes
Cheerios
Puffed Wheat

1/4 cup
1/3 cup
3/4 cup
1 cup
1 1/4 cup

In addition, many sugar-containing foods also contain a lot of fat. Foods such as cookies, pastries, ice cream and cakes should be avoided largely because of the fat content and because they don’t contribute much nutritional value. If you do want a “sweet” - make a low-fat choice, such as low-fat frozen yogurt, gingersnaps, fig bars or graham crackers and substitute it for another carbohydrates on your meal plan.

More about Type 1 Diabetes http://www.endocrineweb.com/diabetes/1diabetes.html[/quote]

Are you nuts!? Getting info on nutrition from government food guides is a joke. “Have a bagel with a teaspoon of jelly for breakfast.” LMAO!

Follow what Cthulhu said, he/she has got it right on.

Was this person really an accredited registered dietician?

I do have a gun…hmmm.
Oh,please…stop it!
You’re putting thoughts in my head.

Whoa, some flaring tempers here…

Anyway, speaking from experience (I myself am a type I diabetic), I agree that recommending a diet rich in refined grains and sugar is pretty absurd, espescially for a young kid who will most likely struggle with the disease at first. However, unhealthiness of quick digesting carbohydrates for ANY person aside, it can be easier to learn to balance carbs and insulin by accounting for quickly digesting carbs.

By keeping track of the grams of high GI carbs eaten in a meal, then observing how one’s blood glucose reacts, it may be easier to get a handle on how one reacts to a given amount of carbohydrates and how much insulin is needed to counteract these carbs. I remember when I was first trying to get a handle on things, it was often easier to master judging how much insulin was needed for quick digesting carbs rather than slowly digesting carbs which required more accurate observation over time and often treatment with insulin over a larger span of time. This type of self-observation may be difficult for a 10 year old with likely no experience with “grams of carbs” or “carb to insulin ratios”.

But please don’t confuse this to mean that I advocate this practice in the long run. I myself am living proof that a moderate carb diet coupled with low GI carbs can result in much better and easier control of one’s blood glucose (along with a multitude of other factors). What I am simply stating is that high GI carbs are not necessarily the devil when it comes to type I diabetes.

And just another comment: Once your friend’s son is moderately comfortable with counterbalancing insulin and carbs, I strongly consider he take a look at switching to an insulin pump. I myself have one, and it has changed my life for the better in many ways.
(And just people know I’m not talking out my ass, I routinely get hba1c numbers from 5.0 - 5.4, so I have a decent handle on blood glucose control.)

Thanks guys

it’s not my son, but i shot over there with Precision Nutrition soon as i heard, but his mum says…“that is the opposite of what the doctor said so i’m not doing that”

so i thought i’d come here for help

for breakfast on sunday morning he had 4xslices of white bread and margerine… i was just about to explode but the health professionals seem to think it’s the best food for him

So you guys think Berardi style would be best, Don’t they need a certain level of carbs?

[quote]Driven88 wrote:
Whoa, some flaring tempers here…

Anyway, speaking from experience (I myself am a type I diabetic), I agree that recommending a diet rich in refined grains and sugar is pretty absurd, espescially for a young kid who will most likely struggle with the disease at first. However, unhealthiness of quick digesting carbohydrates for ANY person aside, it can be easier to learn to balance carbs and insulin by accounting for quickly digesting carbs.

By keeping track of the grams of high GI carbs eaten in a meal, then observing how one’s blood glucose reacts, it may be easier to get a handle on how one reacts to a given amount of carbohydrates and how much insulin is needed to counteract these carbs. I remember when I was first trying to get a handle on things, it was often easier to master judging how much insulin was needed for quick digesting carbs rather than slowly digesting carbs which required more accurate observation over time and often treatment with insulin over a larger span of time. This type of self-observation may be difficult for a 10 year old with likely no experience with “grams of carbs” or “carb to insulin ratios”.

But please don’t confuse this to mean that I advocate this practice in the long run. I myself am living proof that a moderate carb diet coupled with low GI carbs can result in much better and easier control of one’s blood glucose (along with a multitude of other factors). What I am simply stating is that high GI carbs are not necessarily the devil when it comes to type I diabetes.

And just another comment: Once your friend’s son is moderately comfortable with counterbalancing insulin and carbs, I strongly consider he take a look at switching to an insulin pump. I myself have one, and it has changed my life for the better in many ways.
(And just people know I’m not talking out my ass, I routinely get hba1c numbers from 5.0 - 5.4, so I have a decent handle on blood glucose control.)
[/quote]

Ahhh makes more sense now, if they say eat this much carb and take this much insulin then it’s easy to medicate…gotcha

My daughter was diagnosed 9 years ago with type 1. She was 11.
The dietician is a fuckwit.
The absolute best resource is “Dr. Bernstein’s Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars Revised & Updated”.
The book is available on Amazon.
The total program is in the book.
Basically lean meat, vegetables and strength training. Low carb intake, I think < 20g per day.
They shouldn’t follow any advice from the American Diatetic Assoc or use the food pyramid. Simply uninformed and outdated.
My daughter has her A1C numbers less than 6% (normal range = 4 to 6%) while the ADA recommend only 8% or lower.

[quote]Cthulhu wrote:

Do these things and he won’t need all the medication.

Cthulhu[/quote]

okay, you’re right about exercising and watching diet, but that “medication” is insulin…if you don’t have it-you die. type 1 diabetics no longer produce insulin on their own. type II’s generally have poor insulin sensitivity…

[quote]Cthulhu wrote:

Do these things and he won’t need all the medication.

Cthulhu[/quote]

okay, you’re right about exercising and watching diet, but that “medication” is insulin…if you don’t have it-you die. type 1 diabetics no longer produce insulin on their own. type II’s generally have poor insulin sensitivity…

[quote]Cthulhu wrote:
A diet of white bread and cornflakes?
You do know white bread has the fiber removed and is like drinking pure sugar,right?
Where did your dietician get his/her degree from?
School of idiocy?
You want to go back to nature.
Are corn flakes found in nature?No,not natural carbohydrates.
Is white bread found in nature?Hell no.
White bread is one of the worst things you can consume when you have any form of diabetes.
Stay away from processed foods too.
They have ingredients like high fructose corn syrup and MSG,which makes you eat more.

Take plenty of Fish oil

No soda/juices

Eliminate all refined sugars,and artificial sweeteners(even splenda).

A diet low in wheat and grains.

You want most of your carbohydrates to come from fruits,vegetables,and beans(some brown rice won’t hurt).

Use stevia natural sweetener(tastes so much better than splenda too).

Try packing his lunch with healthy,natural foods for him when he goes to school.
Not the crap they have there.

No junk food.

Do these things and he won’t need all the medication.

By the way,getting him to put down the playstation and go exercise a few times a week wouldn’t hurt either.
Cthulhu[/quote]

Unfortunately, this kid will need the medication! Type I diabeties is insulin dependent so he will need medication for the rest of his life. But he also needs to be smart about his diet and exercise. Monitor his blood sugar like he is suppose to – or the paramedics in his area will become his best friends and frequent visitors.

Normally the dietitians tell type I diabetics to eat more processed food in order to ensure that their blood sugar stays elevated and does not bottom out. But as long as he monitors and keeps tabs on how he feels then he will be fine. This is a difficult diesease for any one – but very hard on young kids as they feel like they are different than everyone else. Parents tend to become over protective as well. It is going to be a tough road of adjustment for the whole family.

So-called type 1 diabetics, by being told to take as much insulin as necessary to compensate for their immensely inadequate diet extremely high in foods that convert into sugar, ultimately acquire insulin resistance, and turn also into type 2 diabetics. This is because the cause of insulin resistance is overexposure to insulin in the first place.
Your body’s cells become desensitized to insulin (and importantly to leptin and other hormones) by being overexposed to these hormones by eating food that causes excessive secretion. This is much like being overexposed to an odor in a room; soon you can’t smell it. If you eat a diet high in sugar-forming foods, the excess insulin that is being produced each time causes your cells to eventually become unable to properly “smell” the insulin.

Thus, type 1 diabetics taking two, three, and even 10 times the insulin that they ought to and that is necessitated by following current medical dietary recommendations, ultimately become desensitized, resistant, to the insulin that they are taking. They become both insulin deficient, and insulin resistant caused by DIE.

It is especially a disgrace that insulin-resistant diabetics (the vast majority of diabetics) become worse by following current medical recommendations and treatment. This is a disease that is reversible, and in many cases curable by paying attention to decades of metabolic science (as revealed in books such as “The Rosedale Diet” and the “Total Health Program”).

so let me get a handle on this

he can eat Berardi style? or will it be a very tough transition?

The kid has always had a terrible diet, pretty much all he’ll eat is mashed potato and sausages, toast and sweets

His Mum is massively overprotective and lets him eat badly and spend hours on the playstation,

otherwise he is a nice kind and quite bright kid, trouble is if i try and present a different eating plan i need some pretty convincing evidence and some strategies for getting him interested.

I would say sure, this kid can eat Berardi style, but that doesnt seem too feasible. It is already a very large change to go from mindlessly throwing back food to having to consider how each meal will affect your blood sugar.

For the time being (not for the long haul), it may be easier to plan out a breakfast, lunch, and dinner. Calculate how many grams of carbs/protein/fat are in each meal, and then observe how one’s body reacts. It is important to learn how to control the disease before making any leaps into more complicated diets which may be useful in the future attaining ever better control over one’s blood glucose. After this kid understands just how his body reacts to different types of carbs, as well as when they are mixed with proteins and fats, then I think its a great idea to step away from cramming down high GI carbs and move onto a more healthy diet.

So while I agree that more healthy diets should definately be followed in the future, I believe its necessary that this kid and his family take one step at the time. Its easy to for us to say jump in and say “try diet X or Y, its much more healthy”, but most of us are well versed in diet and nutrition, and not a 10 year old kid whos life just changed forever.

As a last note: Exercise does wonders for blood sugar control. I know this kid may not love to do it, but something as simple as taking a walk or playing some football with some friends is really beneficial.

[quote]sic wrote:
Article 1

If you’ve been diagnosed with diabetes, your doctor has probably mentioned that you should pay careful attention to nutrition and diet as part of your treatment program. Nutrition experts say that there is no one diet for diabetes, but people with diabetes should follow the nutrition guidelines in the Food Pyramid, while paying special attention to carbohydrate intake. People with diabetes should also eat about the same amount of food at the same time each day to keep blood sugar levels stable.

Getting Started With Nutrition Treatment
If you’ve never attempted to eat a healthy, well-balanced diet before your diabetes diagnosis, it can be difficult to know where to get started. Try these tips from the American Dietetic Association:

Eat more starches such as bread, cereal, and starchy vegetables. Aim for six servings a day or more. For example, have cold cereal with nonfat milk or a bagel with a teaspoon of jelly for breakfast. Another starch-adding strategy is to add cooked black beans, corn or garbanzo beans to salads or casseroles.
Eat five fruits and vegetables every day. Have a piece of fruit or two as a snack, or add vegetables to chili, stir-fried dishes or stews. You can also pack raw vegetables for lunch or snacks.
Eat sugars and sweets in moderation. Include your favorite sweets in your diet once or twice a week at most. Split a dessert to satisfy your sweet tooth while reducing the sugar, fat and calories.
Soluble fibers are found mainly in fruits, vegetables and some seeds, and are especially good for people with diabetes because they help to slow down or reduce the absorption of glucose from the intestines. Legumes, such as cooked kidney beans, are among the highest soluble fiber foods. Other fiber-containing foods, such as carrots, also have a positive effect on blood sugar levels. Insoluble fibers, found in bran, whole grains and nuts, act as intestinal scrubbers by cleaning out the lower gastrointestinal tract.

After a diabetes diagnosis, consider seeing a dietitian and developing a meal plan to get started. Taking into account your lifestyle, your medication, your weight and any medical conditions you may have in addition to diabetes as well as your favorite foods, the dietitian will help you create a diet that will prevent complications of diabetes and still give you the pleasure you’ve always had in eating. To find a diabetes teacher (nurse, dietitian, pharmacist and other health care professional), call the American Association of Diabetes Educators at 1-800-342-2382. If you want to find a dietitian near you, call the American Dietetic Association’s National Center for Nutrition and Dietetics at 1-800-366-1655 or visit their Web site at
www.eatright.org/find.html.

Article 2

Endocrine Web’s Diabetes Center

Treatment of Diabetes

There are several aspects in the treatment of diabetes, each one with a very important role.

The mainstays of treatment are:

Working towards obtaining ideal body weight
Following a diabetic diet
Regular exercise
Diabetic medication if needed
Note: Type 1 Diabetes must be treated with insulin. This involves injecting insulin under the skin for it to work. Insulin cannot be taken as a pill because the digestive juices in the stomach would destroy the insulin before it could work. Scientists are looking for new ways to give insulin. But today, shots are the only method. There are, however, new methods to give the shots…Insulin Pumps are now being widely used and many people are having great results. A new page on insulin pumps will be on line soon.

The Diabetic Diet

Diet is very important in diabetes. There are differing philosophies on what is the BEST diet but below is a guideline with some general principles.

Patients with Type 1 diabetes should have a diet that has approximately 35 calories per kg of body weight per day (or 16 calories per pound of body weight per day). Patients with Type 2 diabetes generally are put on a 1500-1800 calorie diet per day to promote weight loss and then the maintenance of ideal body weight… However, this may vary depending on the person’s age, sex, activity level, current weight and body style. More obese individuals may need more calories initially until their weight is less. This is because it takes more calories to maintain a larger body and a 1600 calorie diet for them may promote weight loss that is too fast to be healthy. Men have more muscle mass in general and therefore may require more calories. Muscle burns more calories per hour than fat. (Thus also one reason to regularly exercise and build up muscle!) Also, people whose activity level is low will have less daily caloric needs.

Generally, carbohydrates should make up about 50 percent of the daily calories ( with the accepted range 40-60 percent). In general, lower carbohydrate intake is associated with lower sugar levels in the blood. However the benefits of this can be cancelled out by the problems associated with a higher fat diet taken in to compensate for the lower amount of carbohydrates… This problem can be improved by substituting monounsaturated and polyunsaturated fats for saturated fats.

Most people with diabetes find that it is quite helpful to sit down with a dietician or nutritionist for a consult about what is the best diet for them and how many daily calories they need. It is quite important for diabetics to understand the principles of carbohydrate counting and how to help control blood sugar levels through proper diet. Below are some general principles about the diabetic diet.

Understanding Food Groups

There are three basic food groups: fats, proteins and carbohydrates. The carbohydrates are the foods that can be broken down into sugar. It is essential to have all three food groups in your diet to have good nutrition.

  1. Why count carbohydrates?

Carbohydrate makes your blood glucose level go up. If you know how much carbohydrate you’ve eaten, you have a good idea what your blood glucose level is going to do. The more carbohydrates you eat, the higher your blood sugar will go up.

  1. Which foods contain carbohydrate?

Most of the carbohydrate we eat comes from three food groups: starch, fruit and milk. Vegetables also contain some carbohydrates, but foods in the meat and fat groups contain very little carbohydrate. Sugars may be added or may be naturally present (such as in fruits). The nutrient term for sugars can also be identified by looking for -ose at the end of a word ( i.e. glucose, fructose, sucrose, etc. are all sugars). Look for these on food labels to help identify foods that contain sugar.

To make things easy, many people begin carbohydrate counting by rounding the carbohydrate value of milk up to 15. In other words, one serving of starch, fruit or milk all contain 15 grams carbohydrate or one carbohydrate serving. Three servings of vegetable also contain 15 grams. Each meal and snack will contain a specific total number of grams of carbohydrate.

For example: Each gram of carbohydrate provides 4 calories. A diabetic on a 1600 calorie diet should get 50% of these calories from carbohydrate. This would be a total of 800 calories or 200 gms of carbohydrate (at 4 calories per gram) spread out over the day. At 15 grams per exchange, this would be about 13 exchanges of carbohydrate per day.

The amount of food you eat is closely related to blood sugar control. If you eat more food than is recommended on your meal plan, your blood sugar goes up. Although foods containing carbohydrate (carb) have the most impact on blood sugars, the calories from all foods will affect blood sugar. The only way you can tell if you are eating the right amount is to measure your foods carefully. Also, it is important to space your carbohydrates out throughout the day to avoid sugar “loading.” Measuring your blood sugar regularly also provides important feedback on how high your sugar went based on what you ate and your level of activity.

Where do you get carbohydrate information?

The “Nutrition Facts” label on most foods is the best way to get carbohydrate information, but not all foods have labels. Your local bookstore and library have books that list the carbohydrate in restaurant foods, fast foods, convenience foods and fresh foods. You will still need to weigh or measure the foods to know the amount of grams of carbohydrates present.

How do you count carbohydrate?

Carbohydrates can be counted in number of grams or can be counted as exchanges. One carbohydrate exchange equals 15 grams of carbohydrate. A good reference for learning how to count calories in this manner will be on line here

soon including a calorie computer.

Free Foods:

These are foods that you can eat without counting. A free food or drink is one that contains less than 20 calories and 5 grams or less of carbohydrate per serving. If your serving or a food contains more than 5 grams of carbohydrate, you should count it in your meal plan.

Examples of free foods:

Bouillon or broth
Carbonated or mineral water
Club soda
Coffee or tea
Diet soft drinks
Drink mixes, sugar-free
Tonic water, sugar free
Sugar-free hard candy
Sugar-free Jell-O
Sugar-free gum
Jam or jelly, light or low-sugar, 2 tsp.
Sugar free syrup, 2 tsp.

You should spread out free foods throughout the day and not eat them in one sitting.

Fitting Sugar in Your Meal Plan

It is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrate (carb) for that meal or snack is consistent. Many research studies have shown that meals which contain sugar do not make the blood sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carb, the blood sugar levels will go up.

Does this mean I can eat cake and not worry about it?

No! A slice of white cake with chocolate icing ( 1/12 of a cake or 80 gram weight) will give you about 300 calories, 45 grams of carb and 12 grams of fat. That is three starch servings and over 2 fat servings. Before you have a slice of cake, ask yourself the following questions: Will that small piece of cake be satisfying or will I still be hungry? How it will fit into my meal plan? Do I have 300 calories to “spend” on this? Are there other choices I could make which would contribute less fat? A 1/12 slice of angel food cake has less than 1 gram of fat and only 30 carb. This may be a better choice.

Controlling all carbohydrates

It is important to realize that sugar is not the only carbohydrate that you have to “control”. The body will convert all carbohydrates to glucose - so eating extra servings of rice, pasta, bread, fruit or other carbohydrate foods will make the blood sugar rise. Just because something doesn’t have sugar in it doesn’t mean you can eat as much as you want. Your meal plan is designed so that the carbohydrate content of your meals remains as consistent as possible from day to day.

A word of caution:

Although sugar does not cause the blood sugar to rise any higher than other carbohydrates, it should be eaten along with other healthy foods. If you choose to drink a 12 ounce can of a sugar-sweetened soft drink, that would use up about 45 grams carb - and you wouldn’t have gotten any nutrition (protein, vitamins or minerals). What a waste of calories! High sugar foods are more concentrated in carb. Therefore the volume would be smaller than a low sugar food. High sugar foods might not be a good choice if they will just tempt you to eat more. If you would rather eat larger portions, select low sugar choices. Look at the differences in portion size you get for equal amounts of carbohydrate in these cereals!

Granola
Frosted Flakes
Corn Flakes
Cheerios
Puffed Wheat

1/4 cup
1/3 cup
3/4 cup
1 cup
1 1/4 cup

In addition, many sugar-containing foods also contain a lot of fat. Foods such as cookies, pastries, ice cream and cakes should be avoided largely because of the fat content and because they don’t contribute much nutritional value. If you do want a “sweet” - make a low-fat choice, such as low-fat frozen yogurt, gingersnaps, fig bars or graham crackers and substitute it for another carbohydrates on your meal plan.

More about Type 1 Diabetes http://www.endocrineweb.com/diabetes/1diabetes.html[/quote]

Extremely, extremely outdated stuff. Cthulu has it right :slight_smile:

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