Agenda: What is a Special Diet? What is a Disability? Allergies vs. Food Intolerances Disabilities and Special Dietary Needs Attention-Deficit Hyperactivity Disorder Diabetes Mellitus Vegetarian Diets Resources
What is considered a Special Diet? What is considered a Disability? ◦ DPI Guidance Memorandum 12 C: CACFP Meal Pattern Requirements Pages 6-8
There are 12 categories. Some examples include: autism, Deafness or other hearing impairments, visual impairment, learning disabilities, and acute health problems (e.g. asthma, diabetes, epilepsy, leukemia, heart condition)
Allergies: protein in foods (i.e., milk, eggs, fish, crustacean shellfish, tree nuts, wheat, peanuts, & soybeans) trigger abnormal immune response Food Intolerances: due to inability of the body to digest or metabolize a food component
All personnel know allergies of all children Allergies must be posted in a conspicuous but confidential manner Instructions from parent and physician must at all times be kept with the teacher supervising the child Staff must be trained in emergency procedures for responding to allergies
Emergency equipment, EpiPens must be readily available and secured from children’s reach If a child is severely allergic to a particular food, it should not be served anywhere in the entire setting Parents should be sent regular reminders to let staff members know about allergies
Children may be hyperactive, impulsive, inattentive Causes can be genetic (inherited) factors; brain injury; exposure to toxic substances: lead, alcohol & tobacco; premature birth Nutrition Consideration: eliminate food dyes and increase foods that are high in omega-3 fatty acids (fatty fish, walnuts, canola oil, flax) ◦ Sugar and synthetic sweeteners?
Diabetes Mellitus is a disorder which prevents the body from using food properly, causing a glucose intolerance, or hyperglycemia (elevated blood sugar).
Type I Diabetes Type II Diabetes Impaired Glucose Intolerance (IGT) Secondary Diabetes
A diabetic diet is a healthy balanced diet, eliminating excessive concentrated sweets, based on the person’s usual food intake and activity patterns 2-3 year old children need the same numbers of servings as 4-6 year old children but they need smaller portions. General rule of thumb: 1 Tablespoon of food per year of age
Three types: ◦ Lacto-Ovo Vegetarian ◦ Lacto-Vegetarian ◦ Vegan Vegetarian Vegan= plant-based foods and NO animal products including honey and products made with animal by-products such as gelatin Lacto = milk and milk products Ovo = eggs
Benefits: lowers blood cholesterol, lowers blood pressure, lowers body mass index, reduces risk of heart disease and stroke, and reduces risk of type 2 diabetes
Protein N-3 fatty acids Iron Zinc Iodine Calcium Vitamin D Vitamin B-12
DPI Community Nutrition Child and Adult Care Food Program: ◦ Dietary Guidelines for Americans: ◦
Book Child Care Rethinking Nutrition: Connecting Science and Practice in Early Childhood Settings ◦ by Susan Nitzke, PhD, RD; Dave Riley, PhD; Ann Ramminger, MS; Georgine Jacobs MS Internet Diabetes National Diabetes Education Program –
Internet: Food allergies USDA oddler.pdf oddler.pdf Baby and Kid Allergies –