insulin dependent diabetes
What is the Age of Diabetes in Children?
Diabetes, commonly known as adult disease among children, may cause astonishment when it occurs in children. Diabetes, which is known as diabetes, is also seen in children. Diabetes, which is most frequently seen in the 10-14 age group, may unfortunately occur in preschool age in recent years. However, in the event that diabetes occurs at this age, families and sometimes physicians may not consider the diagnosis of diabetes. However, we need to keep in mind that diabetes can occur throughout the whole childhood.
What are the Diabetes Findings in Children?
The findings of diabetes in children are the same as in adults; frequent and much urination, much like drinking water. Increased appetite may be another symptom. Parents say that their children always drink more water than they drink, and that they have a constant state of hunger against water. Children who drink a lot of water start to urinate more than ever in the day, there is an increase in the frequency of night urination and in some cases may be encountered in the wetting conditions. Weight loss despite eating a lot; Another important symptom of Type 1 diabetes in children.
The lack of insulin hormone causes fat loss in the course of time and the loss of muscle tissue. Reluctance in school-age children, decreased vision, fatigue, the emergence of fungal infection in the genital area of the girl is another important symptom. In this case, it is very important for families and teachers to be more cautious about the situation and to be aware of the situation changes and to immediately take the control of a physician.
Otherwise, due to the intensification of insulin deficiency; Symptoms of nausea, vomiting, abdominal pain, depression in the eyes, deep and rapid breathing (respiratory distress), and the smell of acetone in the mouth, such as diabetic coma begin.
- Objective: To provide basic knowledge about the importance of nutrition therapy in the method of diabetes in children and adults.
- Describe the effects of nutrient intake on blood glucose level and metabolic control
- Know that there are two very important goals in nutritional therapy (keeping blood glucose levels and body weight between normal limits),
- Understand the importance of reading the label on the food package before food selection is made,
- According to insulin application and activity level; to organize the number of meals, hours and nutrients,
To understand that prevention and delaying of long-term complications can be possible with nutritional therapy,
- Each person with diabetes should have unique needs and should be aware of different characteristics.
- Before choosing food, the importance of reading the label on the packaging should be understood.
- Describe the effects of food consumption on blood glucose level and metabolic control.
- It should be noted that there are two important purposes in the treatment of nutrition.
- Ability to regulate meal hours, meal number and nutrient content according to insulin application and activity level.
- Each diabetes patient should know that he / she has specific needs and can show different characteristics.
- To understand that prevention or delaying of long term complications can be possible with nutritional therapy.
Food Intake Most foods consist of a mixture of carbohydrates, proteins and fats. Food intake, food and beverages are vital factors in the management of diabetes. The nutrients taken increase blood glucose levels. During digestion, foods are broken down into glucose and other nutrients. Glucose is transported by blood to all parts of the body and provides energy. Blood glucose is required to maintain body functions.
In simple carbohydrates such as jam, jelly, honey, molasses, sugar, glucose, fruit, vegetables, bread and cereals products, such as blood glucose increases faster in complex carbohydrates. The blood glucose elevation values of the food (glycemic index) are different from each other. Consumption of foods with low glycemic index results in a lower blood glucose response.
Therefore, people with diabetes, such as white bread, potatoes, rice and banana foods with high glycemic index instead of wheat bread, red lentils, apple, pear-like foods with low glycemic index is recommended. Posa (fiber) are the parts of plant foods that cannot be digested with digestive enzymes. Water soluble.
Control of glucose and insulin levels. Insoluble in water, accelerates the passage of food through the intestinal tract. It has a laxative effect. 20 – 40 g pulp (wheat bran, vegetables, fruits, dried legumes) should be taken daily. Glucose in meat and fats takes longer to raise blood glucose. Because these foods are longer to digest or break down.
When glucose begins to enter the bloodstream during digestion, the pancreas releases insuline resistance into the bloodstream. With the help of insulin, body glucose is used for energy. The nutritional intake of each person with diabetes should be recorded accurately and accurately. If the nutritional program shows that it eats more or less than recommended, changes in the drug treatment or care plan may be made. Consult the dietitian and physician when necessary.
Objectives of Nutrition Therapy To provide and maintain the desired body scale Meal plan that meets the right energy requirement for people with diabetes is vital. Thus, the desired scale is reached and the desired scale can be sustained. The excess nutrients taken with the food are stored as fat in the body and result in obesity. In obese people, insulin cannot be used effectively in the body.
Nutrition Plan for Children with Diabetes
Diabetes is one of the important elements during the treatment of diabetes nutrition plan. In diabetics, the diet plan is a healthy and balanced diet that should be followed by healthy individuals rather than a restrictive diet. The amount of calories a child needs to take daily is the same amount as the calories of a child without the disease. In other words, there is no restriction on the amount of total calories.
The point to be considered at this point is to provide the distribution of total calories between meals. Diabetes patients in the diet as well as 3 main meals and consists of 3 meals. However, in some cases, the number of main meals can be arranged as 4. Your doctor will surely arrange the main meals according to the daily activity of the child and the number of insulin injections. What is important here is to adapt to the programs and times.
The total daily calorie intake in diabetic nutrition program; 50-60% of carbohydrates, 15-20% of proteins, 30-35% of the fat is covered. Your dietitian may be able to exchange the foods in the main food groups in the program with other foods. You can also get help from our article titled u Table of Changes in Dietary List Bun. It is possible to consume 3 scoops of cooked rice instead of a slice of bread.
By taking advantage of this nutritional change list, you can make changes in your child’s nutrition program and thus prevent your child from getting squeezed out of the nutrition program. The main nutrients to be avoided in diabetic nutrition program:
- Sugary drinks
- Soft drinks
- Ice cream
These food varieties are not preferred because they cause rapid rise in blood sugar. Desserts prepared with normal sugar may be included in the normal diet program, provided that it does not exceed 5% of the carbohydrate daily intake for the child. you can also prepare sweet foods prepared with artificial sweeteners to meet the sweet desire of the child. Warning: Diabetes products sold in grocery stores use calorie sweeteners, which may cause blood sugar to rise. Diabetes products should not be used uncontrolled with the thought of release. Dietary beverages are prepared with artificial sweeteners.
Major Food Groups
- Foods containing calories; it provides the energy required for the body from these nutrients.
- Foods containing carbohydrates; sugar, cereal, bread, floury foods, milk, yogurt, fruit, cheese, legumes • Foods containing fat; solid fat, liquid oil, milk and dairy products, olive oil, slider Foods containing protein; meat, fish, milk, cheese, eggs In these food types, the effect of fats and proteins on blood sugar is very low. The biggest effect on your blood sugar is due to carbohydrates. No Calories
- Mineral water This type of nutrients are essential for the body, but do not give calories and have no effect on blood sugar. carbohydrates Carbohydrates provide most of the energy needed by the body. 1 gram of carbohydrate contains 4 calories. Carbohydrates basic food regulating blood sugar group. It is divided into two groups: compound and simple carbohydrates. The consumption of more complex (complex) carbohydrates in diabetics is recommended. Compound (Complex) Carbohydrate Foods; • High pulp: whole wheat bread, legumes, vegetables, fruits.
- Low spatter: white bread, white flour, corn flakes, rice, pasta The fiber, also called fiber, is found in plant foods and is not part of the digestive system. Fruits, cereals and vegetables are examples of foods rich in pulp. There are two types of pulp; Water soluble particles: legumes, cereals, fruits, vegetables and oats. Nutrient-rich foods that are soluble in water provide a slow absorption of blood sugar and a lowering of blood levels. Water-insoluble fats: bran, whole-wheat flour and whole wheat flour food.
How to Consumption More?
• Vegetables can be added to main dishes as well as rice, pasta and pastries.
• Meat, chicken, fish, as well as foods as well as vegetable garnish can be served.
• Dry legumes can also be served by adding soup, rice and some vegetable dishes.
• Whole wheat flour can be used instead of white flour which you will use in meals or half can be used.
• Rice pilaf can be added to raw foods such as peas, carrots, chickpeas, corn and almonds.
• Dried fruit or fresh fruit can be added to milk desserts.
• Can be consumed with boiled or baked potato shells.
• Dry legume, dried fruit, corn, nuts and pasta can be added to the salad.
Oils are another nutrient that is an energy source in your body. It is not very effective on blood sugar. However, it can cause weight gain because it contains high calories when consumed more than necessary. 1 gram oil contains 9 calories. Oils are divided into two as saturated (solid) and unsaturated (liquid).
1. Saturated fats: Butter, margarine, cheese, milk, meat
2. Unsaturated fats: Sunflower oil, olive oil
• Polyunsaturated: Corn, sunflower oil and so on.
• Monounsaturated: Olive oil, almonds, walnuts, hazelnuts
Unsaturated fat is more suitable for diabetics. Saturated fats are not preferred because they may cause arteriosclerosis and cholesterol elevation in the following periods.
How to Reduce Saturated Fat Consumption
- Remove the fat portion of the meat and the skin of the chicken.
- Fish, turkey and chicken can be preferred instead of red meat.
- A small amount of oil can be used instead of solid fat in meals.
- Processed meats such as salami, sausage, bacon and sausage should be consumed infrequently. • Use of butter and margarine should be restricted.
- Food should be consumed as grilled, boiled and steamed, not by frying and roasting. Cholesterol Excess Foods • Brain
- Egg yolk
- Red meat
- Leather of chicken, fish and turkey meat
- Tail oil
The task of proteins is to help improve and repair worn-out cells. They don’t raise blood sugar. In a normal nutrition program, 12-15% of the daily energy is supplied from protein. One gram of protein contains four calories. Red meat, chicken, fish, milk and fodder products, dried legumes, egg protein-containing foods.
The diet and healthy nutritionist that you have consulted for your child with diabetes will share the program with the appropriate portion amounts of the food groups we have mentioned for their daily caloric needs. However, as you mentioned before, you can change the menus in the right amounts using the nutrient change table, and you can save the program from being boring and make it fun for your child.
Be sure to support your child by adapting you in his nutritional program not only by regulating nutrients in this process of course. In this process, your child will be implementing a program within the framework of healthy nutrition rules and this program is suitable for you. However, there may be changes in their quantities. In this regard, you can obtain the correct information from the expert and you should show that you can be fed this program by saving your child from a separate nutrition program. This support is of great importance for a child.