Rethinking Carbohydrate Intake and Time in Range in Children and Adolescents with Type 1 Diabetes.
Adolescent
Blood Glucose
/ analysis
Blood Glucose Self-Monitoring
Child
Diabetes Mellitus, Type 1
/ blood
Diet
/ statistics & numerical data
Diet Records
Dietary Carbohydrates
/ analysis
Dietary Fiber
/ analysis
Dietary Proteins
/ analysis
Eating
/ physiology
Female
Glycated Hemoglobin
/ analysis
Glycemic Control
/ statistics & numerical data
Humans
Italy
Logistic Models
Male
Postprandial Period
/ physiology
Time Factors
children and adolescents
continuous glucose monitoring
macronutrients
multi-center observational study
time in range
type 1 diabetes
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
29 Oct 2021
29 Oct 2021
Historique:
received:
05
10
2021
revised:
20
10
2021
accepted:
28
10
2021
entrez:
27
11
2021
pubmed:
28
11
2021
medline:
15
12
2021
Statut:
epublish
Résumé
The aim of this study was to evaluate the association between macronutrient intake and time in range (TIR) of 70-180 mg/dL in children and adolescents with type 1 diabetes (T1D). A multi-center study recruited patients with T1D using continuous glucose monitoring (CGM) between January 2019 and January 2020 from centers across Italy. Diet intake was recorded using three-day weighed food diaries. Nutrients were evaluated as percentages of total intake. TIR was considered at target if the percentage of readings was higher than 70%. Clinical and nutritional factors associated with TIR at target were analyzed using multiple correspondence analysis and multiple logistic regression. Data from 197 participants (53% male, median age 11.6 years, median HbA1c 55.2 mmol/mol, median TIR 60%) were analyzed. Macronutrient intake was 45.9% carbohydrates, 16.9% protein, 37.3% fat, and 13.1 g/day fiber (median values). TIR > 70% was observed in 28% of participants; their diet contained more protein (17.6%,
Identifiants
pubmed: 34836124
pii: nu13113869
doi: 10.3390/nu13113869
pmc: PMC8624203
pii:
doi:
Substances chimiques
Blood Glucose
0
Dietary Carbohydrates
0
Dietary Fiber
0
Dietary Proteins
0
Glycated Hemoglobin A
0
hemoglobin A1c protein, human
0
Types de publication
Evaluation Study
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
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