AboutKidsHealth

 

 

Setting up the meal planSSetting up the meal planSetting up the meal planEnglishEndocrinology;NutritionChild (0-12 years);Teen (13-18 years)PancreasEndocrine systemHealthy living and preventionAdult (19+)NA2016-10-17T04:00:00ZCatherine Pastor RN, MN, HonBSc;Vanita Pais RD, CDE;Jennifer Harrington MBBS, PhD;Jennifer Galle MD, FRCPC​000Flat ContentHealth A-Z<p>Learn how a registered dietitian will work with you to set up a meal plan to meet the needs of your child and family.</p><p>You may ask yourself essential questions: How is the meal plan developed? How do I set the timing of meals and snacks? How much food should I provide? A registered dietitian (RD) will help create a meal plan to meet the needs of your child and family. The dietitian is experienced in nutrition planning for children and adolescents. The dietitian is a key member of your diabetes team.<br></p><p> <br> </p><h2>Key points</h2> <ul><li>A dietitian will create a meal plan based on food records of what your child and family typically eat.</li> <li>Carbohydrate counting is an approach to meal planning that considers total amount of carbohydrates at a meal or snack.</li> <li>The dietitian will teach you about healthy food choices, portion sizes, carbohydrate counting, and how to choose nutritious carbohydrates.</li></ul>
Élaboration d’un régime alimentaireÉÉlaboration d’un régime alimentaireSetting up the meal planFrenchEndocrinology;NutritionChild (0-12 years);Teen (13-18 years)PancreasEndocrine systemHealthy living and preventionAdult (19+)NA2016-10-17T04:00:00ZCatherine Pastor RN, MN, HonBSc;Vanita Pais RD, CDE;Jennifer Harrington MBBS, PhD;Jennifer Galle MD, FRCPC​000Flat ContentHealth A-Z<p>Voyez comment un diététiste collaborera avec vous pour établir un régime alimentaire répondant aux besoins de votre enfant et de votre famille.<br></p><p>Vous devez vous poser les questions essentielles suivantes : Comment le régime alimentaire est-il élaboré? Comment dois-je planifier l’horaire des repas et des collations? Quelle quantité de nourriture dois-je donner? Un diététiste vous aidera à créer un régime alimentaire qui répondra aux besoins de votre enfant et de la famille. Celui-ci a de l’expérience dans la planification des repas pour les enfants et les adolescents. Il est un membre clé de votre équipe de soins de santé du diabète.<br></p><h2>À retenir</h2><ul><li>Le diététiste élaborera le régime alimentaire en fonction du registre des aliments que votre enfant et votre famille consommez normalement.</li><li>Le calcul des glucides est une méthode de planification des repas tenant compte de la quantité totale de glucides prises à un repas ou à une collation.<br></li><li>Le diététiste vous expliquera les choix santé, les portions et le calcul des glucides, et vous proposera des glucides nutritifs.</li></ul>

 

 

Setting up the meal plan1742.00000000000Setting up the meal planSetting up the meal planSEnglishEndocrinology;NutritionChild (0-12 years);Teen (13-18 years)PancreasEndocrine systemHealthy living and preventionAdult (19+)NA2016-10-17T04:00:00ZCatherine Pastor RN, MN, HonBSc;Vanita Pais RD, CDE;Jennifer Harrington MBBS, PhD;Jennifer Galle MD, FRCPC​000Flat ContentHealth A-Z<p>Learn how a registered dietitian will work with you to set up a meal plan to meet the needs of your child and family.</p><p>You may ask yourself essential questions: How is the meal plan developed? How do I set the timing of meals and snacks? How much food should I provide? A registered dietitian (RD) will help create a meal plan to meet the needs of your child and family. The dietitian is experienced in nutrition planning for children and adolescents. The dietitian is a key member of your diabetes team.<br></p><p> <br> </p><h2>Key points</h2> <ul><li>A dietitian will create a meal plan based on food records of what your child and family typically eat.</li> <li>Carbohydrate counting is an approach to meal planning that considers total amount of carbohydrates at a meal or snack.</li> <li>The dietitian will teach you about healthy food choices, portion sizes, carbohydrate counting, and how to choose nutritious carbohydrates.</li></ul><p>The meal plan should be based on what and how much food your child normally eats. As such, food intake records (a "meal diary") help the dietitian figure out how much food your child typically eats. To create food records specific to your family, you and your family will be asked to record the amount and types of food eaten at each meal and snack over a period of about three days.</p><p>Your dietitian will review these records and calculate the average amount of <a href="/Article?contentid=1741&language=English">carbohydrates</a>, <a href="/Article?contentid=1741&language=English">protein</a>, and <a href="/Article?contentid=1741&language=English">fat</a> eaten at each meal and snack. This forms the basis of the meal plan and can also inform the <a href="/Article?contentid=1736&language=English">insulin regimen</a>. The timing of meals and snacks can be somewhat flexible, to work with the family’s routines as best as possible. As the child grows and daily routines change (for example, going to school, extracurricular activities, increased activity), the meal plan evolves accordingly.</p><h2>Carbohydrate counting</h2><p>People with diabetes have to plan their meals in order to manage their <a href="/Article?contentid=1723&language=English">blood glucose (sugar) levels</a> and stay healthy. People with type 1 and type 2 diabetes need to follow <a href="http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/index-eng.php" target="_blank">healthy eating guidelines</a>--there is no specific "diabetic" diet.</p><p>Carbohydrate counting is an approach to meal planning that considers total amount of carbohydrates at a meal or snack. Carbohydrate counting will allow for more control, consistency, and flexibility with foods. You can match the amount of insulin with the amount of carbohydrates your child eats. It may also be used to control portions of carbohydrates.</p><h3>What is a serving or carbohydrate choice?</h3><p>The <a href="http://www.diabetes.ca/" target="_blank">Canadian Diabetes Association</a> has a food choice system, called <a href="http://www.diabetes.ca/clinical-practice-education/professional-resources/diet-nutrition-beyond-the-basics?" target="_blank"> <em>Beyond the Basics: Meal Planning for Healthy Eating and Diabetes Management</em></a>. It organizes food into seven groups, based on protein, fats, and carbohydrate content. Carbohydrates are further divided into grains and starches, fruits, milk and alternatives, and other choices.</p><ul><li>Food groups that contain carbohydrates and raise your blood sugars are:</li><ul><li>grains and starches<br></li><li>fruits</li><li>milk and milk alternatives</li><li>some vegetables such as potatoes, sweet potato, carrots, peas, and corn</li><li>other choices such as cookies, muffins, chocolate, candy, chips.</li></ul></ul><p>One serving of carbohydrates contains 15 grams of <a href="/Article?contentid=1741&language=English">available carbohydrates</a> (the equivalent of three teaspoons of sugar). A "serving" can also be referred to as "one carbohydrate choice" or "one exchange".</p><p>The following table provides carbohydrate content (in grams) for each food group.</p> <table class="akh-table"><thead><tr><th scope="colgroup" style="width:232px;">Food group<br></th><th scope="colgroup" style="width:55%;">One serving of carbohydrates (grams)</th></tr></thead><tbody><tr><td style="width:232px;">Grains and starches<br></td><td>15<br></td></tr><tr><td style="width:232px;">Fruit</td><td>15</td></tr><tr><td style="width:232px;">Vegetables</td><td><5</td></tr><tr><td style="width:232px;">Meat</td><td>0</td></tr><tr><td style="width:232px;">Fats</td><td>0</td></tr><tr><td style="width:232px;">Milk and milk alternatives<br>(8 oz or 250 mL)</td><td>15</td></tr></tbody></table><p></p><table class="akh-table"><thead><tr><th colspan="2" scope="colgroup">Examples of one carbohydrate serving (15 g)</th></tr><tr><th scope="col" style="width:257px;">Food group<br></th><th scope="col" style="width:306px;">Example</th></tr></thead><tbody><tr><th rowspan="11" style="width:257px;">Starch<br></th><td style="width:306px;height:19px;">1 slice bread</td></tr><tr><td style="width:306px;">½ cup (125 mL) unsweetened cereal</td></tr><tr><td style="width:306px;">½ hamburger bun or hot dog bun</td></tr><tr><td style="width:306px;">3 cups (750 mL) popped popcorn</td></tr><tr><td style="width:306px;">1/3 cup (80 mL) cooked rice</td></tr><tr><td style="width:306px;">½ cup (125 mL) kernel corn (frozen or canned<br>with no sugar added) or half a cob</td></tr><tr><td style="width:306px;">½ medium potato 75g</td></tr><tr><td style="width:306px;">3 arrowroot cookies</td></tr><tr><td style="width:306px;">½ cup cooked spaghetti</td></tr><tr><td style="width:306px;">7 soda crackers</td></tr><tr><td style="width:306px;">1 cup (250 mL) thick blended soup</td></tr><tr><th rowspan="6" style="width:257px;">Fruit and vegetables</th><td style="width:306px;">1 medium apple</td></tr><tr><td style="width:306px;">½ banana</td></tr><tr><td style="width:306px;">1 cup (250 mL) blueberries</td></tr><tr><td style="width:306px;">1 cup (250 mL) watermelon</td></tr><tr><td style="width:306px;">1 medium orange</td></tr><tr><td style="width:306px;">2 cups (500 mL) strawberries</td></tr><tr><th rowspan="2" style="width:257px;">Milk</th><td style="width:306px;">1 cup (250 mL) milk</td></tr><tr><td style="width:306px;">3/4 cup (180 mL) yogurt</td></tr></tbody></table><p>The dietitian will teach you about healthy food choices, portion sizes, and carbohydrate counting.</p><p>It may seem difficult at first, but weighing and measuring food will help you learn to figure out what a carbohydrate choice and portion size look like. After a while, you will no longer need to double-check every measurement.</p><p>However, it is a good idea to go back to weighing and measuring foods from time to time. This helps you be sure that your estimates are still correct.</p><p>Health Canada maintains a list of foods with their nutritional analysis, including details about carbohydrate content. It is called the <a target="_blank" href="http://webprod3.hc-sc.gc.ca/cnf-fce/index-eng.jsp">Canadian Nutrient File</a> and can be helpful for foods that come without nutritional information.</p><h2>Maintaining a healthy diet</h2><p>Along with carbohydrate counting, you should consider food quality. Choose nutritious carbohydrates. "Wasting" carbohydrates on carbohydrate-rich but nutritionally empty foods can lead to poor growth and development. Therefore, it is better to choose an apple over a cookie, even if the sugar content in both is the same.</p><h2>There are two methods of meal planning using carbohydrate counting</h2><p> <a href="/Article?contentid=1743&language=English">Method 1</a> is following a meal plan with a consistent amount of carbohydrates and insulin. With this method of meal planning, your child eats a set amount of carbohydrates at each meal and snack, and takes a set amount of insulin. Many families start with this method of meal planning.</p><p> <a href="/Article?contentid=1744&language=English">Method 2</a> is following a meal plan with a fluctuating carbohydrate count per meal. With this method, your dietitian helps you decide how much <a href="/Article?contentid=1729&language=English">rapid-acting insulin</a> your child needs to cover a certain amount of carbohydrates; it is the <a href="/article?contentid=1738&language=English">insulin-to-carbohydrate ratio</a> (I:C).</p><h3>Choosing a meal planning method</h3><p>Learn how to follow a consistent-carbohydrate meal plan or adjust insulin for carbohydrates to help keep your child’s blood glucose close to target levels. Your dietitian can help you decide which meal planning method is best for your family.​</p>Setting up the meal plan

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.