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Carbohydrate Counted School Meals . The process for all school meals being carbohydrate counted and the impact of its implementation By Jennie Brown (Dietitian). Why Carbohydrate Count School Menus?. Carbohydrate counting from diagnosis All children & young people inject/bolus at school
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Carbohydrate Counted School Meals The process for all school meals being carbohydrate counted and the impact of its implementation By Jennie Brown (Dietitian)
Why Carbohydrate Count School Menus? • Carbohydrate counting from diagnosis • All children & young people inject/bolus at school • Most parents work therefore cannot supervise carbohydrate counting at lunchtime • Portions at school are different to at school • Carb counting accurately requires practice – school staff get little experience…and reluctant to!
The Process of Carbohydrate Counting School Meals At New Cross there are patients from lots of different areas: • Wolverhampton • Dudley • Walsall • Shropshire • Staffordshire
Wolverhampton School Meals • Jo Smith, School Meals Development Officer, Wolverhampton City Council analyses all Wolverhampton school menu recipes (see folder) • When menus change she emails them to me on request • From the information can work out carbohydrate content per portion • These are then put in tables for school & parents • Care plans contain ready reckoners for child’s carb ratios
Staffordshire School Meals • More difficult! • Based on goodwill of a contact ,Food Development Assistant, Catering Service, Staffordshire County Council • They also analyse all school meals but time consuming extrapolating all data from database
Other Outlying areas and Independent School Catering • Done on an ad-hoc basis • Meeting with school cook • Based on average contents for each food where labels aren’t available • Time-consuming! Meeting usually >1 hour + time to check carbs & type
Common Problems – Cons • Keeping up with changes • Portion sizes can vary • Very time consuming • Special occasions (e.g. Christmas, Diamond Jubilees etc)
Benefits - Pros • Schools more willing • Confidence for parents and child • Better control • More clarity for all