Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus

Authors

  • Izabela Zibetti de Albuquerque Hospital das Clínicas. Universidade Federal de Goiás.
  • Maria Luiza Ferreira Stringhini Faculdade de Nutrição. Universidade Federal de Goiás.
  • Rosana de Morais Borges Marques Faculdade de Nutrição. Universidade Federal de Goiás.
  • Cláudia Aparecida Mundim Hospital das Clínicas. Universidade Federal de Goiás.
  • Monike Lourenço Dias Rodrigues Faculdade de Medicina. Universidade Federal de Goiás.
  • Maria Raquel Hidalgo Campos Faculdade de Nutrição. Universidade Federal de Goiás.

DOI:

https://doi.org/10.15448/1980-6108.2014.4.18381

Keywords:

DIABETES MELLITUS, TYPE 1, HEMOGLOBIN A, GLYCOSYLATE, ADOLESCENT, DIETARY CARBOHYDRATES, NUTRITIONAL STATUS

Abstract

AIMS: To evaluate the effect of a carbohydrate counting program on the anthropometric measurements, body composition, biochemical parameters anddietary intake of adolescentswithtype 1 diabetes mellitususing insulin. METHODS: A randomized clinical trial included adolescents between 10 and 19 years in treatment for type 1 diabetes with association of fast-acting insulin (regular) and intermediate-acting insulin (Neutral Protamine Hagedorn). The participants received nutritional counseling and were followed for four months, being divided into intervention group (IG), with carbohydrate counting, and control group (CG), without carbohydrate counting. At the beginning and end of the program, patients were evaluated for body mass index, waist circumference, body fat percentage and biochemical parameters: glycated hemoglobin, fasting glucose, postprandial glucose and lipid levels. Dietary intake was assessed every two weeks through the 24-hour recall. For intragroup comparison T-paired and Wilcoxon tests were used, and for intergroup comparison Student t and Mann-Whitney tests were used. The significance level was 5%. RESULTS: The study included 28 adolescents, 14 in each group. The IG significantly decreased glycated hemoglobin (p=0.002) and lipid intake (p=0.002), and increased carbohydrate intake (p=0.005). The CG increased glycated hemoglobin (p=0.024). The IG showed lower fasting glucose value (p=0.033) and glycated hemoglobin (p <0.001) compared to the CG. Both groups decreased caloric intake. Anthropometric parameters were stable and there was no difference between groups. CONCLUSIONS: Carbohydrate counting together with Neutral Protamine Hagedorn and Regular insulins favored glycemic control, allowed flexibility in carbohydrate intake, decreased caloric intake, and had no effect on body composition.

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Author Biographies

Izabela Zibetti de Albuquerque, Hospital das Clínicas. Universidade Federal de Goiás.

Mestre em Nutrição e Saúde.

Maria Luiza Ferreira Stringhini, Faculdade de Nutrição. Universidade Federal de Goiás.

Doutora em Ciência Animal.

Rosana de Morais Borges Marques, Faculdade de Nutrição. Universidade Federal de Goiás.

Doutora em Ciências da Saúde.

Cláudia Aparecida Mundim, Hospital das Clínicas. Universidade Federal de Goiás.

Médica Endocrinologista.

Monike Lourenço Dias Rodrigues, Faculdade de Medicina. Universidade Federal de Goiás.

Doutora em Medicina (Endocrinologia Clínica).

Maria Raquel Hidalgo Campos, Faculdade de Nutrição. Universidade Federal de Goiás.

Doutora em Medicina Tropical.

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Published

2014-12-15

How to Cite

Zibetti de Albuquerque, I., Ferreira Stringhini, M. L., de Morais Borges Marques, R., Mundim, C. A., Lourenço Dias Rodrigues, M., & Hidalgo Campos, M. R. (2014). Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus. Scientia Medica, 24(4), 343–352. https://doi.org/10.15448/1980-6108.2014.4.18381

Issue

Vol. 24 No. 4 (2014)

Section

Original Articles

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