For a child with type 1 diabetes, which macronutrient distribution is recommended in a well-balanced diet?

For a child with type 1 diabetes, which macronutrient distribution is recommended in a well-balanced diet?

• A. 10% to 15% fat, 30% to 35% protein, 45% to 60% carbohydrates
• B. 10% to 20% fat, 10% to 20% protein, 55% to 60% carbohydrates
• C. 5% to 10% fat, 25% to 30% carbohydrates, 45% to 60% protein
• D. 30% to 35% fat, 10% to 15% carbohydrates, 45% to 60% protein

Answer: (B)

In managing type 1 diabetes in a child, carbohydrates have the biggest immediate impact on blood glucose and the insulin dose is often planned around carbohydrate intake, so a well-balanced diet places the largest share of calories with carbohydrates while keeping fats and proteins appropriate for growth and heart health. The pattern that uses about half to a little more of daily calories from carbohydrates (roughly 55–60%), with modest fat (10–20%) and protein (10–20%), aligns with this approach and supports predictable glucose responses without overemphasizing fat or protein. The other patterns push calories toward fats or proteins or reduce carbohydrate intake in ways that can complicate glycemic control or growth needs.

In managing type 1 diabetes in a child, carbohydrates have the biggest immediate impact on blood glucose and the insulin dose is often planned around carbohydrate intake, so a well-balanced diet places the largest share of calories with carbohydrates while keeping fats and proteins appropriate for growth and heart health. The pattern that uses about half to a little more of daily calories from carbohydrates (roughly 55–60%), with modest fat (10–20%) and protein (10–20%), aligns with this approach and supports predictable glucose responses without overemphasizing fat or protein. The other patterns push calories toward fats or proteins or reduce carbohydrate intake in ways that can complicate glycemic control or growth needs.