Some specific fastfood recommendations

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Here are a few suggestions for decent food choices at some very popular fast-food restaurants:

1 A hamburger at Burger King isn't a bad choice for lunch. It contains 330 kcalories (kilocalories is the correct measurement, not calories, which is a much smaller number) and about 30 grams of carbohydrate, 20 grams of protein, and 12 grams of fat. The Burger King hamburger contains 530 milligrams of sodium. If your child goes up to the bacon double cheeseburger, he consumes 640 kcalories with 1,240 milligrams of sodium, so keep him away from those.

i Denny's menu offers some healthy choices, such as the Grilled Chicken Dinner. It has about 200 kilocalories, 25 percent of which are fat calories, 25 percent carbohydrate calories, and 50 percent protein calories, which isn't a good balance. But your child can have some carrots and a baked potato to add carbohydrates. Without any extras, the Grilled Chicken Dinner contains about 824 milligrams of sodium, so the dish is not ideal as far as sodium is concerned. This dinner choice also contains 30 grams of carbohydrate.

i At Domino's Pizza, your child may have two slices of medium cheese, deep-dish pizza with peppers and mushrooms as the toppings. Peppers and mushrooms add very little to the calorie count, so you don't need to consider them in his food plan. Two slices of the pizza provides about 375 kilocalories with 10 grams of fat and about 500 milligrams of sodium. The carbohydrate count is 45 grams. A small green salad with fat-free dressing provides a satisfying, low-calorie addition.

i McDonald's has all kinds of choices for breakfast, some good and some not so good. The Egg McMuffin is a good choice at only 290 kcalories and 30 grams of carbohydrate. If your child orders the scrambled eggs, he still gets eggs but loses the carbs and a lot of sodium. That's the only suitable breakfast option at McDonald's for your child with T1DM, however.

Avoid McDonald's hotcakes at 600 kcalories; the biscuit with sausage, mostly made of fat and a gram of salt; and particularly the biscuit with bacon, egg, and cheese, which has 480 kcalories and 1.4 grams of salt with too much fat.

1 Arby's roast beef sandwich looks good, but should your child get the junior, regular, or super size? It's not that hard a choice: The junior has 324 kcalories with about 22 grams of carbohydrate, not too bad. But the regular goes up to 388 kcalories, and the super tops out at 523 kcalories. The sodium content likewise climbs from 779 to 1009 to 1189 milligrams of salt. So the junior size is clearly the best choice for your child.


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