<scp>ISPAD</scp>
            Clinical Practice Consensus Guidelines 2022: Nutritional management in children and adolescents with diabetes

Annan, Samuel; Higgins, Laurie; Jelleryd, Elisabeth; Hannon, Tamara S.; Rose, Shelley; Salis, Sheryl; Baptista, Juliana; Chinchilla, Paula; Marcovecchio, Maria Loredana

doi:10.1111/pedi.13429

Cited by 58 publications

(56 citation statements)

References 278 publications

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“…This finding also implies that monitoring carbohydrate intake, whether by carbohydrate counting or experience-based estimation is the key to achieving glycemic control [35]. An international organization such as the ISPAD recommends further research to examine any potential metabolic and glycemic benefits of carbohydrate restriction in the treatment of DM [36]. Frequency of meal was another independent factor significantly associated with poor glycemic control.…”

Section: Discussionmentioning

confidence: 99%

Poor glycemic control and its associated factors among children with type 1 diabetes mellitus in Harar, eastern Ethiopia: A cross-sectional study

Habteyohans,

Hailu,

Meseret

et al. 2023

BMC Endocr Disord

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Background Poor glycemic control increases the risk of acute metabolic derangements and long-term consequences, which are the main causes of morbidity and mortality. Maintaining adequate glycemic control is challenging for children with diabetes, particularly in resource-limited settings. There is a paucity of data on the magnitude of poor glycemic control and its predisposing factors in Ethiopian particularly in this study setting. Hence, we aimed to assess the magnitude of poor glycemic control and its associated factors among children and adolescents with type 1 diabetic mellitus in Jugol and Hiwot Fana Compressive Specialized University Hospitals in Harar, eastern Ethiopia. Methods A facility-based cross-sectional study was conducted among 231 children and adolescents with type 1 diabetes mellitus in Jugol and Hiwot Fana Compressive Specialized University Hospitals. Participants were included consecutively in the follow-up clinic from November 15, 2022 to January 15, 2023. Data were collected through an interviewer-administered structured questionnaire and a review of medical records. A binary logistic regression model with an adjusted odds ratio (aOR) and a 95% confidence interval (CI) was used to identify the factors associated with poor glycemic control. Statistical significance was set at p < 0.05. Result A total of 231 children and adolescents with type 1 diabetes mellitus were included. The magnitude of poor glycemic control was 166 (71.9%) with 95% CI 66.0–77.7%). In multivariable analysis, the age of the child (aOR = 0.19, 95% CI: 0.05–0.83), education of the caregiver (aOR = 4.13;95% CI: 1.82–9.46), meal frequency less than three (aOR = 3.28; 95% CI: 1.25–8.62), and consumption of forbidden foods (aOR = 3.17; 95% CI: 1.21–8.29) were factors significantly associated with poor glycemic control. Conclusion Two-thirds of participants had poor glycemic control. There was a statistically significant association between the age of the child, education of the caregiver, meal frequency, and forbidden foods with poor glycemic control. To improve glycemic control, diabetes education on meal use and selection should be conducted during follow-up along with parent education.

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Section: Discussionmentioning

confidence: 99%

Poor glycemic control and its associated factors among children with type 1 diabetes mellitus in Harar, eastern Ethiopia: A cross-sectional study

Habteyohans,

Hailu,

Meseret

et al. 2023

BMC Endocr Disord

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“…Recommended animal protein sources include fish, lean cuts of meat, and low-fat dairy products. However, there is insufficient evidence to restrict protein intake [ 13 ]. The American Diabetes Association (ADA) concluded that children with diabetes should consume the recommended amount of protein for healthy children if their kidney function is normal [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the nutritional status of children with type 1 diabetes and their healthy siblings

Arslan,

Ünsal,

Durmaz

et al. 2023

pedm

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Background Although there are studies evaluating the psychological adjustment of healthy children when their siblings have type 1 diabetes mellitus (T1DM), no study evaluating their nutritional status exists. Thus, this study aimed to determine the nutritional status of children with T1DM and their healthy siblings. Material and methods Data from a control group, healthy siblings, and patients who were followed and treated for T1DM in the Paediatric Gastroenterology and Paediatric Endocrinology outpatient clinics of the Health Sciences University Gülhane Medical Faculty between November 2019 and November 2020 were analysed and compared. The groups were compared in terms of nutritional characteristics, daily macro and micronutrient intakes and classified according to their body mass index (BMI) Z -scores. Results The study population consisted of 29 children with T1DM (51.7% female, 48.3% male; age: 11.00 ±3.66 years), 36 healthy siblings of children with T1DM (50% female, 50% male; age: 9.61 ±4.84 years), and a control group of 58 healthy children (51.7% female, 48.3% male; age: 10.68 ±3.01years).The BMI Z -score of 28.6% of healthy siblings and 25% of children with T1DM was > 1 SD or overweight. All of the control group children were of normal weight. None of the children were obese; however, the overweight rate was significantly higher in the healthy siblings and diabetes groups compared to the control group ( p = 0.012). Daily energy intake (%) was significantly higher in the control group than in the healthy siblings ( p < 0.001). Conclusions A quarter of the children with T1DM over five years of age were overweight. In addition, healthy siblings were found to have higher BMI Z -scores than controls. This is the first study to evaluate the nutritional status of siblings of patients with T1DM and will hopefully lead to more comprehensive studies that will also assess their daily exercise and physical activity.

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“…The management of DM1 is an autoimmune disease characterized by the progressive destruction of pancreatic beta cells (2) , refers not only to the chronicity condition as well as the requirement of treatment and respective care, with regard to the feeding triad, physical exercise and insulin therapy (3,4) .…”

Section: Introductionmentioning

confidence: 99%

Impacto de uma colônia de férias para adolescentes com diabetes tipo 1: estudo longitudinal

Flora,

Malheiro,

Barros

et al. 2023

Cienc Cuid Saude

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Objetivo: caracterizar adolescentes com diabetes tipo 1, frequentadores de uma colônia de férias, e sua evolução nas dimensões do conhecimento acerca da doença, na autoeficácia, qualidade de vida e hemoglobina glicada. Método: estudo quantitativo comparativo antes e após o campo, com seguimento de seis meses. Foram avaliados o conhecimento (teste de conhecimentos acerca da diabetes), aautoeficácia (self-efficacy diabetes scale), a qualidade de vida (disabkids chronic generic measure) e a hemoglobina glicada, em três momentos, de 2018 a 2019, em 30 adolescentes com diabetes dos 15 aos 18 anos, que participaram numacolônia de férias. Resultados: os adolescentes apresentavam inicialmente conhecimento global elevado (>80%) na área do exercício físico, hipoglicemia e complicações da diabetes, e inferior a 60% sobre conservação de insulina, substituição de lanceta, refeições, monitorização de glicose, vômitos, diarréia e consumo de bebidas alcoólicas. Os níveis de autoeficácia social aumentaram após a colônia, contudo não se mantiveram após seis meses. Não se observaram alterações nos valores da hemoglobina glicadae na qualidade de vida após a colônia. Conclusão: acolônia produziu efeito na autoeficácia social, contudo, não se pode afirmar impacto ao nível dos conhecimentos e qualidade de vida dos participantes. Os resultados sugerem a implementação de programas estruturados, com foco na promoção da autogestão da diabetes.

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ISPAD Clinical Practice Consensus Guidelines 2022: Nutritional management in children and adolescents with diabetes

Cited by 58 publications

References 278 publications

Poor glycemic control and its associated factors among children with type 1 diabetes mellitus in Harar, eastern Ethiopia: A cross-sectional study

Poor glycemic control and its associated factors among children with type 1 diabetes mellitus in Harar, eastern Ethiopia: A cross-sectional study

Evaluation of the nutritional status of children with type 1 diabetes and their healthy siblings

Impacto de uma colônia de férias para adolescentes com diabetes tipo 1: estudo longitudinal

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