What are the meal and snack guidelines during school and after- school programs?
SWP: Meals and snacks with proper timing are integral to optimal blood sugar control. The meal plan is determined by the physician in collaboration with a dietitian. The parents often convey this information to school personnel. The timing of snacks is intended to coincide with times of peak insulin activity. Furthermore, the childs insulin dose is “balanced” with a certain expectation in regards to food. The macronutrient most important to maintaining blood glucose levels is carbohydrate. Approximately 95-100% of ingested carbohydrate is converted into glucose by two hours post ingestion. The meal plan of the student with diabetes takes this into account and “prescribes” a specific quantity of carbohydrate to be consumed each day, apportioned between 3 meals and 2-3 snacks. Parents are encouraged to pack snacks for the student or guide the students selection of suitable snacks and meals. After-school program personnel should ensure the student consumes the afternoon snack. Failure to
