Day-to-Day Consistency in Amount and Source of Carbohydrate Intake Associated with Improved Blood Glucose Control in Type 1 Diabetes
| Autor: | N. W. Rodger, Robert G. Josse, Lawrence A. Leiter, Jean-Louis Chiasson, Tom Wolever, S. Hamad, Edmond A. Ryan, Stephanie Ross |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Starch Coefficient of variation Medicine (miscellaneous) Diet Records chemistry.chemical_compound Animal science Internal medicine Diet Diabetic Dietary Carbohydrates medicine Humans Insulin Glycated Hemoglobin Type 1 diabetes Nutrition and Dietetics business.industry Blood Glucose Self-Monitoring Middle Aged Carbohydrate medicine.disease Diabetes Mellitus Type 1 Glycemic index Endocrinology chemistry Female Glycated hemoglobin Hemoglobin Energy Intake business Nutritive Value |
| Zdroj: | Journal of the American College of Nutrition. 18:242-247 |
| ISSN: | 1541-1087 0731-5724 |
| Popis: | To determine if a relationship exists between blood glucose control and variability in nutrient intake from day-to-day in subjects with type 1 diabetes.Two three-day diet records and one measurement of glycated hemoglobin (HbA1c) were obtained from 272 subjects with type 1 diabetes treated with a mixture of regular and NPH insulins before breakfast and supper and using a standardized algorithm to adjust insulin dose according to the results of self-monitoring of blood glucose two to four times daily. Day-to-day variation in nutrient intake was expressed as the coefficient of variation (CV = SDx100/mean).Nutrient intakes in the study population (mean +/- SD) were energy 8.35+/-2.43 MJ, fat 81+/-30 g, protein 94+/-28 g, carbohydrate 227+/-68 g, starch 126+/-38 g and dietary fiber 20+/-6 g with diet glycemic index being 84.2+/-7.4. Neither energy, nutrient intakes nor insulin dose was significantly related to HbA1c. Day-to-day variation of carbohydrate (p = 0.0097) and starch (p = 0.0016) intakes and diet glycemic index (p = 0.033) was positively related to HbA1c, and the associations remained significant when adjusted for age, sex, duration of diabetes and BMI. Day-to-day variation in energy, protein or fat intakes was not related to HbA1c.Consistency in the amount and source of carbohydrate intake from day-to-day is associated with improved blood glucose control in people with type 1 diabetes, a result which supports continued educational efforts to achieve adherence to a diabetes diet plan. This conclusion may not apply to people on intensified insulin therapy who adjust their insulin dose based on their actual carbohydrate intake at each meal. |
| Databáze: | OpenAIRE |
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