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Effects of Carbohydrate Counting Method on Metabolic Control in Children with Type 1 Diabetes Mellitus
Objective: Medical nutritional therapy is important for glycemic control in children and adolescents with type 1 diabetes mellitus (T1DM). Carbohydrate (carb) counting, which is a more flexible nutritional method, has become popular in recent years. This study aimed to investigate the effects of...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Galenos Publishing
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4141579/ https://www.ncbi.nlm.nih.gov/pubmed/24932599 http://dx.doi.org/10.4274/jcrpe.1191 |
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author | Gökşen, Damla Atik Altınok, Yasemin Özen, Samim Demir, Günay Darcan, Şükran |
author_facet | Gökşen, Damla Atik Altınok, Yasemin Özen, Samim Demir, Günay Darcan, Şükran |
author_sort | Gökşen, Damla |
collection | PubMed |
description | Objective: Medical nutritional therapy is important for glycemic control in children and adolescents with type 1 diabetes mellitus (T1DM). Carbohydrate (carb) counting, which is a more flexible nutritional method, has become popular in recent years. This study aimed to investigate the effects of carb counting on metabolic control, body measurements and serum lipid levels in children and adolescents with T1DM. Methods: T1DM patients aged 7-18 years and receiving flexible insulin therapy were divided into carb counting (n=52) and control (n=32) groups and were followed for 2 years in this randomized, controlled study. Demographic characteristics, body measurements, insulin requirements, hemoglobin A1c (HbA1c) and serum lipid levels at baseline and at follow-up were evaluated. Results: There were no statistically significant differences between the groups in mean HbA1c values in the year preceding the study or in age, gender, duration of diabetes, puberty stage, total daily insulin dose, body mass index (BMI) standard deviation score (SDS) and serum lipid values. While there were no differences in BMI SDS, daily insulin requirement, total cholesterol, low-density lipoprotein and triglyceride values between the two groups (p>0.05) during the follow-up, annual mean HbA1c levels of the 2nd year were significantly lower in the carb counting group (p=0.010). The mean values of high-density lipoprotein were also significantly higher in the first and 2nd years in the carb counting group (p=0.02 and p=0.043, respectively). Conclusion: Carb counting may provide good metabolic control in children and adolescents with T1DM without causing any increase in weight or in insulin requirements. |
format | Online Article Text |
id | pubmed-4141579 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Galenos Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-41415792014-08-22 Effects of Carbohydrate Counting Method on Metabolic Control in Children with Type 1 Diabetes Mellitus Gökşen, Damla Atik Altınok, Yasemin Özen, Samim Demir, Günay Darcan, Şükran J Clin Res Pediatr Endocrinol Original Article Objective: Medical nutritional therapy is important for glycemic control in children and adolescents with type 1 diabetes mellitus (T1DM). Carbohydrate (carb) counting, which is a more flexible nutritional method, has become popular in recent years. This study aimed to investigate the effects of carb counting on metabolic control, body measurements and serum lipid levels in children and adolescents with T1DM. Methods: T1DM patients aged 7-18 years and receiving flexible insulin therapy were divided into carb counting (n=52) and control (n=32) groups and were followed for 2 years in this randomized, controlled study. Demographic characteristics, body measurements, insulin requirements, hemoglobin A1c (HbA1c) and serum lipid levels at baseline and at follow-up were evaluated. Results: There were no statistically significant differences between the groups in mean HbA1c values in the year preceding the study or in age, gender, duration of diabetes, puberty stage, total daily insulin dose, body mass index (BMI) standard deviation score (SDS) and serum lipid values. While there were no differences in BMI SDS, daily insulin requirement, total cholesterol, low-density lipoprotein and triglyceride values between the two groups (p>0.05) during the follow-up, annual mean HbA1c levels of the 2nd year were significantly lower in the carb counting group (p=0.010). The mean values of high-density lipoprotein were also significantly higher in the first and 2nd years in the carb counting group (p=0.02 and p=0.043, respectively). Conclusion: Carb counting may provide good metabolic control in children and adolescents with T1DM without causing any increase in weight or in insulin requirements. Galenos Publishing 2014-06 2014-06-05 /pmc/articles/PMC4141579/ /pubmed/24932599 http://dx.doi.org/10.4274/jcrpe.1191 Text en © Journal of Clinical Research in Pediatric Endocrinology, Published by Galenos Publishing. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Gökşen, Damla Atik Altınok, Yasemin Özen, Samim Demir, Günay Darcan, Şükran Effects of Carbohydrate Counting Method on Metabolic Control in Children with Type 1 Diabetes Mellitus |
title | Effects of Carbohydrate Counting Method on Metabolic Control in Children with Type 1 Diabetes Mellitus |
title_full | Effects of Carbohydrate Counting Method on Metabolic Control in Children with Type 1 Diabetes Mellitus |
title_fullStr | Effects of Carbohydrate Counting Method on Metabolic Control in Children with Type 1 Diabetes Mellitus |
title_full_unstemmed | Effects of Carbohydrate Counting Method on Metabolic Control in Children with Type 1 Diabetes Mellitus |
title_short | Effects of Carbohydrate Counting Method on Metabolic Control in Children with Type 1 Diabetes Mellitus |
title_sort | effects of carbohydrate counting method on metabolic control in children with type 1 diabetes mellitus |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4141579/ https://www.ncbi.nlm.nih.gov/pubmed/24932599 http://dx.doi.org/10.4274/jcrpe.1191 |
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