Childhood Diabetes Warning: Steer Clear of Low-Carb Diets, Pediatricians Advise
In a recent statement, the American Academy of Pediatrics (AAP) has expressed safety concerns about low-carbohydrate diets for children with diabetes or prediabetes. The primary reason for this caution is that children require sufficient carbohydrates for normal growth and development.
The AAP recommends that 45% to 65% of a child’s total daily calories should come from carbohydrates. Very low-carb diets, which allow only 20 to 50 grams per day, are not appropriate for this population.
Potential negative effects of low-carb diets for children with diabetes or prediabetes include growth and developmental problems, nutritional imbalances, and difficulty in managing blood sugar safely. Insufficient carbohydrate intake can impair growth and delay puberty, limit important nutrients, and complicate blood sugar regulation.
Dr. Johns, a pediatrician, advises against processed, bleached carbohydrates and instead suggests whole grain, whole wheat, brown rice, and vegetable alternatives. She emphasises the importance of balance and variety in nutrition, suggesting a mix of protein, carbohydrates, healthy fats, and fiber for children.
The AAP also cautions against low-carbohydrate or ketogenic diets for children without proper monitoring by healthcare professionals. In certain cases, a low carb approach might be undertaken, but only under close diabetes care team supervision.
The report encourages parents to consult their pediatrician for guidance regarding dietary plans for children with diabetes or prediabetes. It emphasises the importance of informed decisions and the potential harm that low carb diets could cause to children's natural growth and development.
Rachael Richardson, a nutrition advocate, emphasises the importance of education-based approaches to nutrition for young children. She recommends focusing on the distinction between real and fake foods, food growth, and healthy eating to combat chronic diseases.
It's worth noting that there is little research to support the safety and efficacy of low carb diets for children. Therefore, it's crucial to approach dietary plans for children with diabetes or prediabetes with caution and under professional guidance.
Children who need help managing weight or glucose levels are recommended to limit carbohydrates from sugar, processed foods, and sugar-sweetened beverages. The AAP encourages parents to prioritise a balanced diet that supports growth while managing blood glucose effectively.
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