Effect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus

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 influe...

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Autores principales:	Agnieszka Lejk, Jędrzej Chrzanowski, Adrianna Cieślak, Wojciech Fendler, Małgorzata Myśliwiec
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	paediatric diabetes carbohydrates individualized nutritional guideline Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/153d88dc384f4471b4c8bfd3530dc280
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spelling	oai:doaj.org-article:153d88dc384f4471b4c8bfd3530dc2802021-11-25T18:34:22ZEffect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus10.3390/nu131138152072-6643https://doaj.org/article/153d88dc384f4471b4c8bfd3530dc2802021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3815https://doaj.org/toc/2072-6643Unhealthy 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.Agnieszka LejkJędrzej ChrzanowskiAdrianna CieślakWojciech FendlerMałgorzata MyśliwiecMDPI AGarticlepaediatric diabetescarbohydratesindividualized nutritional guidelineNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3815, p 3815 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	paediatric diabetes carbohydrates individualized nutritional guideline Nutrition. Foods and food supply TX341-641
spellingShingle	paediatric diabetes carbohydrates individualized nutritional guideline Nutrition. Foods and food supply TX341-641 Agnieszka Lejk Jędrzej Chrzanowski Adrianna Cieślak Wojciech Fendler Małgorzata Myśliwiec Effect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus
description	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.
format	article
author	Agnieszka Lejk Jędrzej Chrzanowski Adrianna Cieślak Wojciech Fendler Małgorzata Myśliwiec
author_facet	Agnieszka Lejk Jędrzej Chrzanowski Adrianna Cieślak Wojciech Fendler Małgorzata Myśliwiec
author_sort	Agnieszka Lejk
title	Effect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus
title_short	Effect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus
title_full	Effect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus
title_fullStr	Effect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus
title_full_unstemmed	Effect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus
title_sort	effect of nutritional habits on the glycemic response to different carbohydrate diet in children with type 1 diabetes mellitus
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/153d88dc384f4471b4c8bfd3530dc280
work_keys_str_mv	AT agnieszkalejk effectofnutritionalhabitsontheglycemicresponsetodifferentcarbohydratedietinchildrenwithtype1diabetesmellitus AT jedrzejchrzanowski effectofnutritionalhabitsontheglycemicresponsetodifferentcarbohydratedietinchildrenwithtype1diabetesmellitus AT adriannacieslak effectofnutritionalhabitsontheglycemicresponsetodifferentcarbohydratedietinchildrenwithtype1diabetesmellitus AT wojciechfendler effectofnutritionalhabitsontheglycemicresponsetodifferentcarbohydratedietinchildrenwithtype1diabetesmellitus AT małgorzatamysliwiec effectofnutritionalhabitsontheglycemicresponsetodifferentcarbohydratedietinchildrenwithtype1diabetesmellitus
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Effect of Nutritional Habits on the Glycemic Response to Different Carbohydrate Diet in Children with Type 1 Diabetes Mellitus

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