التفاصيل البيبلوغرافية
| العنوان: |
Benefit of supplementary fat plus protein counting as compared with conventional carbohydrate counting for insulin bolus calculation in children with pump therapy. |
| المؤلفون: |
Kordonouri, Olga, Hartmann, Reinhard, Remus, Kerstin, Bläsig, Sarah, Sadeghian, Evelin, Danne, Thomas |
| المصدر: |
Pediatric Diabetes; Nov2012, Vol. 13 Issue 7, p540-544, 5p, 1 Diagram, 2 Graphs |
| مصطلحات موضوعية: |
TREATMENT of diabetes, TYPE 1 diabetes, CROSSOVER trials, DIETARY supplements, INTRAVENOUS fat emulsions, CARBOHYDRATE content of food, INGESTION, INSULIN, INSULIN pumps, PEDIATRICS, PHARMACEUTICAL arithmetic, T-test (Statistics), DATA analysis, RANDOMIZED controlled trials, DESCRIPTIVE statistics |
| مستخلص: |
Objective To investigate carbohydrate ( CARB) and supplementary fat/protein ( CFP) counting using normal and dual-wave bolus in pump therapy of children and young people with type 1 diabetes ( T1D). Study design and methods A randomized clinical trial was conducted in 42 patients (age 6-21 yr) with T1D for at least 1 yr (5.2 ± 3.1 yr, mean ± SD) and pump therapy for at least 3 months (3.3 ± 1.8 yr). Standardized test meals (pizza-salami; 50% carbohydrate, 34% fat, 16% protein; corresponding to 33% of age-adjusted daily energy requirement) were given at lunch time on four different days with normal and dual-wave bolus using CARB and CFP counting in a randomized sequence. Sensor-augmented pumps were used for continuous glucose monitoring of 6-h postprandial glucose profiles. Intra-individual comparisons of glucose parameters [area under the curve ( AUC) mg/dL ×6 h; average glucose, AV mg/dL] were performed. Results Using CFP counting, 6-h postprandial glucose AUC (805 ± 261) and AV (137.8 ± 46.2) were significantly lower than AUC (926 ± 285) and AV (160.5 ± 51.9) by CARB counting (p < 0.001, each). CFP counting led to significantly lower postprandial glucose parameters independently from the kind of bolus (normal bolus: Δ AUC 169, p < 0.001; Δ AV 30.6, p < 0.001/dual-wave bolus: Δ AUC 73, p = 0.045, Δ AV 14.8, p = 0.033). Postprandial hypoglycemia episodes (<70 mg/dL) occurred more frequently in CFP than in CARB counting (35.7% vs. 9.5%, p < 0.001). No severe hypoglycemia was reported. Conclusion In patients with long-term T1D, meal-related insulin dosing based on carbohydrate plus fat/protein counting reduces the postprandial glucose levels (ClinicalTrials.gov NCT01400659). [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
