A 12-year-old girl has been diagnosed with insulindependent diabetes mellitus. Which of these principles would best guide her nutritional management?

Question

Options

• AConcentrated sweets are taken during increased activity.
• BFood restriction is imposed to reduce weight.
• CCaloric distribution should be calculated to fit activity patterns.
• DFat requirements are increased owing to the possibility of ketoacidosis.

• A
  3% (1)
• B
  8% (3)
• C
  77% (30)
• D
  13% (5)

Explanation

(A) Concentrated sweets are eliminated from diet planning. Complex carbohydrates may be taken at the time of increased activity. (B) Food restriction is not used for diabetic control of growing children. Caloric restriction may be imposed for weight control if necessary. (C) Total caloric intake and proportions of basic nutrients should be consistent from day to day. Distribution of these calories should fit the activity pattern. Extra food is needed for increased activity. A balance of food, exercise, and insulin should be maintained. (D) Because of the increased risk of atherosclerosis, the fat percentage of the total caloric intake

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