Quantitative assessment of dietary intake in adults with type 1 diabetes following flexible insulin therapy education with an active promotion of dietary freedom

Knight, Brigid A., Hickman, Ingrid J., Gibbons, Kristen and McIntyre, Harold D. (2016) Quantitative assessment of dietary intake in adults with type 1 diabetes following flexible insulin therapy education with an active promotion of dietary freedom. Diabetes Research and Clinical Practice, 116 36-42. doi:10.1016/j.diabres.2016.03.016


Author Knight, Brigid A.
Hickman, Ingrid J.
Gibbons, Kristen
McIntyre, Harold D.
Title Quantitative assessment of dietary intake in adults with type 1 diabetes following flexible insulin therapy education with an active promotion of dietary freedom
Journal name Diabetes Research and Clinical Practice   Check publisher's open access policy
ISSN 1872-8227
0168-8227
Publication date 2016-06-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.diabres.2016.03.016
Open Access Status Not Open Access
Volume 116
Start page 36
End page 42
Total pages 7
Place of publication Shannon, Clare Ireland
Publisher Elsevier Ireland
Collection year 2017
Language eng
Formatted abstract
Clinical practice guidelines for diabetes include dietary guidelines to address the increased risk of cardiovascular disease.

Aims: To identify impact of flexible insulin education with an active promotion of dietary freedom on energy and macronutrient intake and achievement of nutrient recommendations in adults with Type 1 diabetes.

Methods: Dietary assessment was performed prior to and 12 months following flexible insulin education. Nutrient intake and the proportion achieving the European Association for the Study of Diabetes (EASD) nutrient guidelines were compared at baseline and post course.

Results: Dietary data were available for 46 participants. Post course reductions were seen in median [IQR] energy kcal/d (1799 [1521-1931] to 1592 [1378-1940], p = 0.002), fibre g/1000 kcal (14 [12-16] to 13 [11-15], p = 0.047), protein g/day (89 ([78-108] to 82 [74-93], p = 0.001) and carbohydrate g/day (198 [172-330] to 162 [143-204], p = <0.001). The proportion experiencing at least 1 severe hypoglycaemia event over 12 months was significantly reduced (χ2 = 7.7, p = 0.006) from baseline (n = 13, 26%) to post course (n = 3, 6%). Achievement of EASD guidelines was poor and did not change post course.

Conclusions: Flexible insulin education with an active promotion of dietary freedom does not appear to 'worsen' the achievement of EASD nutrition guidelines in adults with Type 1 diabetes. On the contrary, the dietary changes observed were reductions in energy, carbohydrate and protein intake. Flexible insulin education may offer benefits in enabling reduced energy intake without increasing hypoglycaemia.
Keyword Cardiovascular disease
Diabetes
Diet
Flexible insulin
Nutrition
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
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