Tags

Type your tag names separated by a space and hit enter

The effect of flexible low glycemic index dietary advice versus measured carbohydrate exchange diets on glycemic control in children with type 1 diabetes.
Diabetes Care. 2001 Jul; 24(7):1137-43.DC

Abstract

OBJECTIVE

To determine the long-term effect of low glycemic index dietary advice on metabolic control and quality of life in children with type 1 diabetes.

RESEARCH DESIGN AND METHODS

Children with type 1 diabetes (n = 104) were recruited to a prospective, stratified, randomized, parallel study to examine the effects of a measured carbohydrate exchange (CHOx) diet versus a more flexible low-glycemic index (GI) dietary regimen on HbA(1c) levels, incidence of hypo- and hyperglycemia, insulin dose, dietary intake, and measures of quality of life over 12 months.

RESULTS

At 12 months, children in the low-GI group had significantly better HbA(1c) levels than those in the CHOx group (8.05 +/- 0.95 vs. 8.61 +/- 1.37%, P = 0.05). Rates of excessive hyperglycemia (>15 episodes per month) were significantly lower in the low-GI group (35 vs. 66%, P = 0.006). There were no differences in insulin dose, hypoglycemic episodes, or dietary composition. The low-GI dietary regimen was associated with better quality of life for both children and parents.

CONCLUSIONS

Flexible dietary instruction based on the food pyramid with an emphasis of low-GI foods improves HbA(1c) levels without increasing the risk of hypoglycemia and enhances the quality of life in children with diabetes.

Authors+Show Affiliations

Department of Nutrition and Food Services, Royal Children's Hospital, Melbourne, Australia. gilberth@cryptic.rch.unimelb.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11423492

Citation

Gilbertson, H R., et al. "The Effect of Flexible Low Glycemic Index Dietary Advice Versus Measured Carbohydrate Exchange Diets On Glycemic Control in Children With Type 1 Diabetes." Diabetes Care, vol. 24, no. 7, 2001, pp. 1137-43.
Gilbertson HR, Brand-Miller JC, Thorburn AW, et al. The effect of flexible low glycemic index dietary advice versus measured carbohydrate exchange diets on glycemic control in children with type 1 diabetes. Diabetes Care. 2001;24(7):1137-43.
Gilbertson, H. R., Brand-Miller, J. C., Thorburn, A. W., Evans, S., Chondros, P., & Werther, G. A. (2001). The effect of flexible low glycemic index dietary advice versus measured carbohydrate exchange diets on glycemic control in children with type 1 diabetes. Diabetes Care, 24(7), 1137-43.
Gilbertson HR, et al. The Effect of Flexible Low Glycemic Index Dietary Advice Versus Measured Carbohydrate Exchange Diets On Glycemic Control in Children With Type 1 Diabetes. Diabetes Care. 2001;24(7):1137-43. PubMed PMID: 11423492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of flexible low glycemic index dietary advice versus measured carbohydrate exchange diets on glycemic control in children with type 1 diabetes. AU - Gilbertson,H R, AU - Brand-Miller,J C, AU - Thorburn,A W, AU - Evans,S, AU - Chondros,P, AU - Werther,G A, PY - 2001/6/26/pubmed PY - 2001/9/8/medline PY - 2001/6/26/entrez SP - 1137 EP - 43 JF - Diabetes care JO - Diabetes Care VL - 24 IS - 7 N2 - OBJECTIVE: To determine the long-term effect of low glycemic index dietary advice on metabolic control and quality of life in children with type 1 diabetes. RESEARCH DESIGN AND METHODS: Children with type 1 diabetes (n = 104) were recruited to a prospective, stratified, randomized, parallel study to examine the effects of a measured carbohydrate exchange (CHOx) diet versus a more flexible low-glycemic index (GI) dietary regimen on HbA(1c) levels, incidence of hypo- and hyperglycemia, insulin dose, dietary intake, and measures of quality of life over 12 months. RESULTS: At 12 months, children in the low-GI group had significantly better HbA(1c) levels than those in the CHOx group (8.05 +/- 0.95 vs. 8.61 +/- 1.37%, P = 0.05). Rates of excessive hyperglycemia (>15 episodes per month) were significantly lower in the low-GI group (35 vs. 66%, P = 0.006). There were no differences in insulin dose, hypoglycemic episodes, or dietary composition. The low-GI dietary regimen was associated with better quality of life for both children and parents. CONCLUSIONS: Flexible dietary instruction based on the food pyramid with an emphasis of low-GI foods improves HbA(1c) levels without increasing the risk of hypoglycemia and enhances the quality of life in children with diabetes. SN - 0149-5992 UR - https://www.unboundmedicine.com/medline/citation/11423492/The_effect_of_flexible_low_glycemic_index_dietary_advice_versus_measured_carbohydrate_exchange_diets_on_glycemic_control_in_children_with_type_1_diabetes_ L2 - https://diabetesjournals.org/care/article-lookup/doi/10.2337/diacare.24.7.1137 DB - PRIME DP - Unbound Medicine ER -