Effect of adherence to carbohydrate counting on metabolic control in children and adolescents with type 1 diabetes mellitus

• Published in: Annals of pediatric endocrinology & metabolism 2020, 25(3), , pp.156-162
• Main Authors: Bayram, Sinem, Kızıltan, Gül, Akın, Onur
• Format: Article
• Language: English
• Subjects: adherence; adolescents; carbohydrate; carbohydrate counting; child; Original; type 1 diabetes mellitus; 소아과학
• ISSN: 2287-1012; 2287-1292
• DOI: 10.6065/apem.1938192.096

Carbohydrate counting provides better glycemic control and flexibility than other food planning methods. Consistent adherence to such a complex method is difficult, especially for youth. However, studies that determine adherence to this method and whether it alters metabolic control are limited. The aim of the current study was to determine adherence to this method and investigate its effect on metabolic control, anthropometric measurements, insulin dose, and energy intake. In this prospective cross-sectional study, 53 children and adolescents with type 1 diabetes mellitus aged 2 to18 years and receiving intensive insulin therapy were trained and followed for 6 months. Demographics, anthropometrics, insulin requirements, hemoglobin A1c (HbA1c), fasting lipids, and food records at baseline and study conclusion were evaluated. At the end of the study patients were divided into adherer and nonadherer groups according to carbohydrate estimate deviations from standardized daily sample menus and calculations for accurate insulin doses. More than 10-g variation in daily consumed carbohydrate amount or failure to decide bolus insulin dose was defined as a nonadherer. The mean HbA1c, low-density lipoprotein cholesterol, and body mass index standard deviation score changed after the carbohydrate counting training while the mean HbA1c between groups was significant (P