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Science Forum Index » Medicine - Nutrition Forum » Eating Right and Diabetes...
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| ironjustice... |
 Posted: Wed Jul 02, 2008 3:09 am |
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"Importance of diet in achieving optimal glucose control"
Better Glucose Control In Children With Type 1 Diabetes Associated
With Dietary Adherence
Article Date: 02 Jul 2008 - 6:00 PDT
A study by researchers at the Joslin Diabetes Center has shown that
adherence to prescribed dietary recommendations is associated with
better glucose control in children with type 1 diabetes.
"In recent years, diabetes management has been focused around new
medications and technologies," said Lori Laffel, M.D., senior author
of the paper, which is published in the July issue of Diabetes Care.
"In this study, we were encouraged to identify the unique importance
of diet on blood sugar control in children and teens with type 1
diabetes."
Laffel is Chief of Joslin Diabetes Center's Pediatric, Adolescent and
Young Adult Section and an Investigator in the Joslin Section on
Genetics and Epidemiology.
The study surveyed the parents of 119 children and teens ages 9-14
years and asked how closely they followed prescribed dietary
behaviors, such as estimating carbohydrate intake, matching the
child's insulin dose to carbohydrate intake and the quality of the
diet itself, in terms of intake of sweets and fats.
Subjects who most closely adhered to the dietary recommendations had
lower A1C levels - a measurement of average blood glucose deemed the
best way to estimate overall glucose control. Lower A1C levels mean
better glucose control.
Children who adhered closely or fairly closely to the prescribed
dietary recommendations showed an A1C level of up to almost a full
point lower than those who were least adherent. Those who adhered the
least had an average A1C of 9 percent, while those who adhered more
closely to the recommendations had an average A1C between 8.1 and 8.4
percent, depending on their level of adherence.
The A1C difference of between 0.6 and 0.9 is considered significant,
according to Sanjeev Mehta, M.D., lead author and a Joslin staff
physician and research associate, who noted that lowering A1C scores
is associated with a significant reduction in risk of diabetes-related
complications.
"By achieving target A1C levels, the long-term risk of complications
can be reduced by 50 to 75 percent," he said. "For every point you
lower your A1C score, the risk is reduced further."
Mehta said the study's demonstration that dietary behaviors are
directly associated with glycemic control provides families with
another avenue through which they can optimize their children's
diabetes management. He noted that this study highlights the
importance of dietary adherence in achieving optimal glucose control
in the era where more youth with type 1 diabetes are using new
technologies, such as insulin pumps and rapid acting insulin.
"The relative importance of dietary behaviors in diabetes management
had not been investigated in this current era," he said.
The paper concluded: "Dietary adherence may represent an important
modifiable factor in the treatment of youth with type 1 diabetes. In
this era of intensive management, future interventions aimed at
increasing diabetes-specific dietary adherence may improve glycemic
control in this population."
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Article adapted by Medical News Today from original press release.
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The study was funded by the National Institute of Child Health and
Human Development (NICHD).
Other researchers participating in the study included Lisa K.
Volkening at Joslin; Barbara J. Anderson of Texas Children's Hospital;
Tonja Nansel of NICHD; Jill Weissberg-Benchell of Children's Memorial
Hospital, Chicago; and Tim Wysocki of Nemours Children's Clinic,
Jacksonville, FL.
Source: Kira Jastive
Joslin Diabetes Center
Who loves ya.
Tom
Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh
Man Is A Herbivore!
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DEAD PEOPLE WALKING
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