ArticleDiabetes technology & therapeutics2014
Associations of nutrient intake with glycemic control in youth with type 1 diabetes: differences by insulin regimen.
Article in Diabetes technology & therapeutics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- The Role of Protein and Fat Intake on Insulin Therapy in Glycaemic Control of Paediatric Type 1 Diabetes: A Systematic Review and Research Gaps.Nutrients · 2021Pooled it
- Effects of Macronutrient Intake and Number of Meals on Glycemic Outcomes Over 1 Year in Youth with Type 1 Diabetes.Diabetes technology & therapeutics · 2024Trial
- A High Protein Diet Is Associated with Improved Glycemic Control Following Exercise among Adolescents with Type 1 Diabetes.Nutrients · 2023Trial
- Promoting glycemic control in young children with type I diabetes: Results from a pilot intervention for parents.Families, systems & health : the journal of collaborative family healthcare · 2022Trial
- Picky Eaters Improved Diet Quality in a Randomized Behavioral Intervention Trial in Youth with Type 1 Diabetes.Journal of the Academy of Nutrition and Dietetics · 2018Trial
- Greater diet quality is associated with more optimal glycemic control in a longitudinal study of youth with type 1 diabetes.The American journal of clinical nutrition · 2016Trial
- Improving dietary quality in youth with type 1 diabetes: randomized clinical trial of a family-based behavioral intervention.The international journal of behavioral nutrition and physical activity · 2015Trial
- Article
- The Association Between Diet Quality and Glycemic Outcomes Among People with Type 1 Diabetes.Current developments in nutrition · 2024Article
- Postprandial glucose metabolism in children and adolescents with type 1 diabetes mellitus: potential targets for improvement.European journal of clinical nutrition · 2024Review
- Postprandial Glucose Variability Following Typical Meals in Youth Living with Type 1 Diabetes.Nutrients · 2024Article
- 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes-2024.Diabetes care · 2024Review
- Unfavorable Effects of Low-carbonhydrate Diet in a Pediatric Patient with Type 1 Diabetes MellitusJournal of clinical research in pediatric endocrinology · 2023Article
- Article
- Macronutrient Intake in Children and Adolescents with Type 1 Diabetes and Its Association with Glycemic Outcomes.Pediatric diabetes · 2023Article
- 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes-2023.Diabetes care · 2023Review
- Understanding Nutritional Knowledge and Experiences in Families With a Child Newly Diagnosed With Type 1 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2023Article
- Investigating the association between dietary patterns and glycemic control among children and adolescents with T1DM.Open life sciences · 2023Article
- Prevalence of Metabolic Syndrome in Relation to Cardiovascular Biomarkers and Dietary Factors among Adolescents with Type 1 Diabetes Mellitus.Nutrients · 2022Article
- Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundType 1 diabetes management has evolved from meal plans towards flexible eating with carbohydrate counting. With this shift, youth with type 1 diabetes may consume excess fat and insufficient fiber, which may impact glycemic control. Few studies consider whether insulin regimen influences associations between dietary intake and hemoglobin A1c. PATIENTS AND
methodsIn this cross-sectional study, 252 youth (52% male; age, 13.2 ± 2.8 years; body mass index z-score [z-BMI], 0.7 ± 0.8) with type 1 diabetes completed 3-day food records. Dietary intake was compared with published guidelines. Logistic regression predicted the odds of suboptimal glycemic control (an A1c level of ≥ 8.5%) related to fat and protein intake or fiber intake according to insulin regimen (pump vs. injection) adjusting for age, sex, diabetes duration, z-BMI, insulin dose, glucose monitoring frequency, and total energy intake (TEI).
resultsYouth had a mean TEI of 40.9 ± 15.4 kcal/kg/day and excess fat and insufficient fiber intake compared against published guidelines. Pump-treated youth consuming the highest quartile of fat intake (as percentage TEI) had 3.6 (95% confidence interval, 1.3-9.7) times the odds of a suboptimal A1c than those in the lowest quartile. No such association was found in injection-treated youth. In the total sample, youth with the lowest quartile of fiber intake had 3.6 (95% confidence interval, 1.4-9.0) times the odds of a suboptimal A1c, but this association did not differ by insulin regimen. There was no association between protein intake and A1c.
conclusionsHigher fat intake in pump-treated youth and lower fiber intake in all youth were associated with an A1c level of ≥ 8.5%. Improving dietary quality may help improve A1c.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.