Effects of nutrition education using a food-based approach, carbohydrate counting or routine care in type 1 diabetes: 12 months prospective randomized trial
| العنوان: | Effects of nutrition education using a food-based approach, carbohydrate counting or routine care in type 1 diabetes: 12 months prospective randomized trial |
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| المؤلفون: | Mette Axelsen, Araz Rawshani, Eva Thors Adolfsson, Agneta Berglund, Björn Eliasson, Johan Jendle, Sofia Sterner Isaksson, Marcus Lind, Margareta Bensow Bacos, Ulf Lindblad |
| المصدر: | BMJ Open Diabetes Research & Care, Vol 9, Iss 1 (2021) BMJ Open Diabetes Research & Care |
| بيانات النشر: | BMJ Publishing Group, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Blood Glucose, Male, medicine.medical_specialty, Diet therapy, Endocrinology, Diabetes and Metabolism, Nutrition Education, Endocrinology and Diabetes, Diseases of the endocrine glands. Clinical endocrinology, law.invention, Carbohydrate counting, Randomized controlled trial, Quality of life, law, Internal medicine, Diabetes mellitus, medicine, Dietary Carbohydrates, diabetic, Humans, Prospective Studies, Glycemic, Type 1 diabetes, education, business.industry, Middle Aged, medicine.disease, RC648-665, Diabetes Mellitus, Type 1, type 1, diet therapy, Endokrinologi och diabetes, diabetes mellitus, Quality of Life, Female, Clinical care/Education/Nutrition, business, diet |
| الوصف: | IntroductionEvidence on the effects of structured nutrition education is weak in adults with type 1 diabetes mellitus (T1D) with moderately impaired glycemic control. Objective was to compare the effects of different types of nutrition education programs on glycemic control, cardiovascular risk factors, quality of life, diet quality and food choices in T1D.Research design and methodsA 12 months randomized controlled study conducted at nine diabetes specialist centers with three parallel arms: (i) a food-based approach (FBA) including foods with low glycemic index or (ii) carbohydrate counting (CC) according to today’s standard practice or (iii) individual sessions according to routine care (RC). The primary end point was difference in glycated hemoglobin A1c (HbA1c) between groups at 12 months.Results159 patients were randomized (FBA: 51; CC: 52; RC: 55). Mean (SD) age 48.6 (12.0) years, 57.9% females and mean (SD) HbA1c level 63.9 (7.9) mmol/mol, 8% (0.7%). After 3 months, HbA1c improved in both FBA and CC compared with RC. However, there were no significant differences at 12 months in HbA1c; FBA versus RC (−0.4 mmol/mol (1.3), 0.04% (0.1%)), CC versus RC (−0.8 mmol/mol (1.2), 0.1% (0.1%)), FBA versus CC (0.4 mmol/mol (0.3), 0.04% (0.01%)). At 12 months, intake of legumes, nuts and vegetables was improved in FBA versus CC and RC. FBA also reported higher intake of monounsaturated and polyunsaturated fats compared with RC, and dietary fiber, monounsaturated and polyunsaturated fats compared with CC (all p values ConclusionsNutrition education using an FBA, CC or RC is equivalent in terms of HbA1c and cardiovascular risk factors in persons with T1D with moderately impaired glycemic control. An FBA had benefits regarding food choices compared with CC and RC. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2052-4897 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0659036edc955c40ea21515ef51a89bbTest https://drc.bmj.com/content/9/1/e001971.fullTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....0659036edc955c40ea21515ef51a89bb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20524897 |
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