For the best success rates, the whole family needs to make changes rather than singling out only the child or teen with diabetes. A cornerstone of treatment is to work on lifestyle changes with diet and exercise to promote weight loss. Pediatric type 2 diabetes is associated with obesity and insulin resistance. Substitute artificially-sweetened foods to help limit carb intake. Examples are cake frosting, candy, cookies, regular soda, and other sweets. Use moderation with sweets, and give at a meal with insulin. They will raise your blood sugar quickly if they are not given with insulin. Peeled cucumber logs filled with hummus or flavored cream cheeseĬoncentrated sweets have a large amount of carbs in a small amount of food.Small tossed salad with flavored tofu cubes.Scrambled egg with chopped, cooked vegetables.Add cooked carrot, celery, or other vegetables Vegetable, miso, chicken, or beef broth.Lettuce leaves rolled with meat or cheese.Reduced-fat string cheese or a hard boiled egg. Small serving of nuts with a sugar-free drink.We recommend the following low-carb snacks: Snacks that include high-fiber vegetables and protein, or hot liquids like soup and tea can boost fullness to help control hunger between meals (and insulin doses). Low-carb snacks can help control your appetite between meals and insulin doses. They include low-calorie vegetables (for example, celery, cucumbers, peppers, etc.) and sugar-free foods (for example, sugar-free popsicles, Jell-O, and drinks). These foods contain few carbohydrates or calories and have minimal effect on blood sugar. Use this table of suggested carb levels to help meet your needs for growth and good nutrition. Over time you will be able to carb-count with confidence and adjust your insulin based on your serving size. Measuring foods is recommended to most accurately determine the carb count of high starch or sugar foods, especially just after diagnosis. Sugar alcohols are only about half-absorbed, so also subtract half of the grams of sugar alcohol from the total carbs. If the food contains less than 5 grams of fiber, subtract half of the fiber grams from the total carbohydrate, as only part of the fiber is absorbed. It is important to compare your serving size to the serving listed on the nutrition facts label for accurate carb counting. Prepared foods are required to have food labels, and reference books will help you find carb contents for ones that do not, like produce, meats, and restaurant foods. Reading food labels will help you control your diabetes, and is essential to learning carb counting. Carbs are found in many food groups, such as grains, fruit, milk, and sweets.Carbohydrate is a broad category including sugars, fiber, and starches (bread, cereal and starchy vegetables like potatoes).Look for reduced-fat choices to help control saturated fat. Most dairy foods count as carbohydrates cheese is a low-carb protein substitute.Include low-fat dairy to meet calcium needs.
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