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Low carbohydrate diet in type 1 diabetes, long-term improvement and adherence: A clinical audit.
Diabetol Metab Syndr. 2012 May 31; 4(1):23.DM

Abstract

BACKGROUND

Reduction of dietary carbohydrates and corresponding insulin doses stabilizes and lowers mean blood glucose in individuals with type 1 diabetes within days. The long-term adherence for persons who have learned this technique is unknown. To assess adherence over 4 years in such a group the present audit was done retrospectively by record analysis for individuals who have attended an educational course. Adherence was assessed from HbA1c changes and individuals' own reports.

FINDINGS

Altogether 48 persons with diabetes duration of 24 ± 12 years and HbA1c > = 6.1% (Mono-S; DCCT = 7.1%) attended the course. Mean HbA1c for all attendees was at start, at 3 months and 4 years 7.6% ± 1.0%, 6.3 ± 0.7%, 6.9 ± 1.0% respectively. The number of non-adherent persons was 25 (52%). HbA1c in this group was at start, at 3 months and 4 years: 7.5 ±1.1%, 6.5 ± 0.8%, 7.4 ± 0.9%. In the group of 23 (48%) adherent persons mean HbA1c was at start, at 3 months and 4 years 7.7 ± 1.0%, 6.4 ± 0.9%, 6.4 ± 0.8%.

CONCLUSION

Attending an educational course on dietary carbohydrate reduction and corresponding insulin reduction in type 1 diabetes gave lasting improvement. About half of the individuals adhered to the program after 4 years. The method may be useful in informed and motivated persons with type 1 diabetes. The number needed to treat to have lasting effect in 1 was 2.

Authors+Show Affiliations

Formerly Department of Medicine, Blekingesjukhuset, Karlshamn, 37480, Karlshamn, Sweden. jvesti_nielsen@hotmail.com.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22650646

Citation

Nielsen, Jørgen Vesti, et al. "Low Carbohydrate Diet in Type 1 Diabetes, Long-term Improvement and Adherence: a Clinical Audit." Diabetology & Metabolic Syndrome, vol. 4, no. 1, 2012, p. 23.
Nielsen JV, Gando C, Joensson E, et al. Low carbohydrate diet in type 1 diabetes, long-term improvement and adherence: A clinical audit. Diabetol Metab Syndr. 2012;4(1):23.
Nielsen, J. V., Gando, C., Joensson, E., & Paulsson, C. (2012). Low carbohydrate diet in type 1 diabetes, long-term improvement and adherence: A clinical audit. Diabetology & Metabolic Syndrome, 4(1), 23. https://doi.org/10.1186/1758-5996-4-23
Nielsen JV, et al. Low Carbohydrate Diet in Type 1 Diabetes, Long-term Improvement and Adherence: a Clinical Audit. Diabetol Metab Syndr. 2012 May 31;4(1):23. PubMed PMID: 22650646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Low carbohydrate diet in type 1 diabetes, long-term improvement and adherence: A clinical audit. AU - Nielsen,Jørgen Vesti, AU - Gando,Caroline, AU - Joensson,Eva, AU - Paulsson,Carina, Y1 - 2012/05/31/ PY - 2012/01/09/received PY - 2012/05/14/accepted PY - 2012/6/2/entrez PY - 2012/6/2/pubmed PY - 2012/6/2/medline SP - 23 EP - 23 JF - Diabetology & metabolic syndrome JO - Diabetol Metab Syndr VL - 4 IS - 1 N2 - BACKGROUND: Reduction of dietary carbohydrates and corresponding insulin doses stabilizes and lowers mean blood glucose in individuals with type 1 diabetes within days. The long-term adherence for persons who have learned this technique is unknown. To assess adherence over 4 years in such a group the present audit was done retrospectively by record analysis for individuals who have attended an educational course. Adherence was assessed from HbA1c changes and individuals' own reports. FINDINGS: Altogether 48 persons with diabetes duration of 24 ± 12 years and HbA1c > = 6.1% (Mono-S; DCCT = 7.1%) attended the course. Mean HbA1c for all attendees was at start, at 3 months and 4 years 7.6% ± 1.0%, 6.3 ± 0.7%, 6.9 ± 1.0% respectively. The number of non-adherent persons was 25 (52%). HbA1c in this group was at start, at 3 months and 4 years: 7.5 ±1.1%, 6.5 ± 0.8%, 7.4 ± 0.9%. In the group of 23 (48%) adherent persons mean HbA1c was at start, at 3 months and 4 years 7.7 ± 1.0%, 6.4 ± 0.9%, 6.4 ± 0.8%. CONCLUSION: Attending an educational course on dietary carbohydrate reduction and corresponding insulin reduction in type 1 diabetes gave lasting improvement. About half of the individuals adhered to the program after 4 years. The method may be useful in informed and motivated persons with type 1 diabetes. The number needed to treat to have lasting effect in 1 was 2. SN - 1758-5996 UR - https://www.unboundmedicine.com/medline/citation/22650646/Low_carbohydrate_diet_in_type_1_diabetes_long_term_improvement_and_adherence:_A_clinical_audit_ L2 - https://dmsjournal.biomedcentral.com/articles/10.1186/1758-5996-4-23 DB - PRIME DP - Unbound Medicine ER -
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