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- Title
Effect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus.
- Authors
Lejk, Agnieszka; Chrzanowski, Jędrzej; Cieślak, Adrianna; Fendler, Wojciech; Myśliwiec, Małgorzata
- Abstract
Unhealthy eating habits are associated with obesity, metabolic syndrome, and increased insulin resistance in young patients with type 1 diabetes mellitus (T1DM), and may impact the possible benefit from dietary interventions on glycaemic control. This study determines how nutritional patterns influence the quality of dietary intervention with a 30% or 50% carbohydrate diet in terms of glycaemic control measured with continuous glucose monitoring (CGM). Eating habits were obtained with a frequency-of-consumption questionnaire (FFQ-6) before the diet assessment. Altogether, we collected CGM and FFQ-6 data from 30 children (16 boys and 14 girls aged 10–17 years) with T1DM subjected to two consecutive 3-day nutritional plans. From these, 23 patients met the CGM data quality criteria for further analysis. Furthermore, high accuracy achieved in training (95.65%) and V-fold cross-validation (81.67%) suggest a significant impact of food habits in response to introduced nutritional changes. Patients who consumed more vegetables or grains (>4 times per day), more wheat products (>once per day), fewer fats (<1.5 times per day), and ranked fruit juice as the most common selection in the drinks category achieved glycaemic control more often after the introduction of a 30% carbohydrate diet, as opposed to those with different dietary patterns, whose glycaemic control was negatively impacted after switching to this diet. Additionally, the 50% carbohydrate diet was safe for all patients in the context of glycaemic control.
- Subjects
FOOD habits; NUTRITIONAL assessment; VEGETABLES; BLOOD sugar monitoring; GLYCEMIC control; TYPE 1 diabetes; CARBOHYDRATE content of food; GLYCEMIC index; MEDICAL protocols; QUESTIONNAIRES; NUTRITIONAL status
- Publication
Nutrients, 2021, Vol 13, Issue 11, p3815
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu13113815