The comparison of two mealtime insulin dosing algorithms for high and low glycaemic index meals in adolescents with type 1 diabetes

2020 ◽  
Author(s):  
Busra Erdal ◽  
Zeynep Caferoglu ◽  
Nihal Hatipoglu
Keyword(s):  
Type 1 Diabetes ◽  
Glycaemic Index ◽  
Mealtime Insulin

scholarly journals From 'pleasure to chemistry': the experience of carbohydrate counting with and without carbohydrate restriction for people with Type 1 diabetes

2015 ◽  
Vol 7 (4) ◽  
pp. 291 ◽  
Author(s):  
Pip Cresswell ◽  
Jeremy Krebs ◽  
Jean Gilmour ◽  
Aoife Hanna ◽  
Amber Parry-Strong
Keyword(s):  
Insulin Resistance ◽  
Type 1 Diabetes ◽  
Diabetes Mellitus Type 1 ◽  
Insulin Dosage ◽  
Daily Maximum ◽  
Carbohydrate Counting ◽  
Low Carbohydrate Diet ◽  
Low Carbohydrate ◽  
Mealtime Insulin

INTRODUCTION: Matching carbohydrate intake with insulin dosage is recommended management for people with Type 1 diabetes. However, international interest in restricted carbohydrate diets is growing. General practitioners and practice nurses need to know how to advise people with Type 1 diabetes regarding low-carbohydrate diets. This study aimed to explore the carbohydrate counting experiences of people with Type 1 diabetes in a trial with and without a diet restricted to 75 g of carbohydrate per day. METHODS: Eight participants were interviewed by focus group or interview 12 weeks after a carbohydrate counting course with individual dietary choice or the same course with information on restricted carbohydrate eating and a daily maximum intake of 75 g of carbohydrate. Data were analysed using a qualitative thematic analysis approach. FINDINGS: Themes included the need for insulin management skills, impact of the dietary experience, and need for dietary knowledge. The restricted-carbohydrate group encountered mealtime insulin resistance and difficulty managing insulin dosages when transitioning on and off the low-carbohydrate diet. The diet impacted on mood, feelings of satiety and it was reported that food changed from being 'a pleasure to chemistry'. Both groups described feeling empowered to manage their diabetes as a result of the carbohydrate counting course. CONCLUSION: Participants reported increased knowledge and challenging insulin management. The restricted-carbohydrate group reported mealtime insulin resistance and a strong dietary impact. Extra health professional support may be required, especially at dietary transition periods. More research is warranted into the reported mealtime insulin resistance. KEYWORDS: Carbohydrates; diabetes mellitus, Type 1; diabetic diet; qualitative research; self care

1058-P: The Use of Metabolic Digital Twins to Personalize Mealtime Insulin Dosing in Type 1 Diabetes Clinical Management

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1058-P
Author(s):  
TENELE A. SMITH ◽  
MARIA M. SERON ◽  
GRAHAM C. GOODWIN ◽  
ADRIAN M. MEDIOLI ◽  
BRUCE R. KING ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Clinical Management ◽  
Digital Twins ◽  
Mealtime Insulin

scholarly journals Improving the Estimation of Mealtime Insulin Dose in Adults With Type 1 Diabetes: The Normal Insulin Demand for Dose Adjustment (NIDDA) study

Diabetes Care ◽  
2011 ◽  
Vol 34 (10) ◽  
pp. 2146-2151 ◽  
Author(s):  
J. Bao ◽  
H. R. Gilbertson ◽  
R. Gray ◽  
D. Munns ◽  
G. Howard ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Dose Adjustment ◽  
Insulin Dose ◽  
Mealtime Insulin
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