The effect of additional mealtime insulin bolus using an insulin-to-protein ratio compared to usual carbohydrate counting on postprandial glucose in those with type 1 diabetes who usually follow a carbohydrate-restricted diet: A randomized cross-over tria

2018 ◽  
Vol 20 (10) ◽  
pp. 2486-2489 ◽  
Author(s):  
Jeremy D. Krebs ◽  
Jacob Arahill ◽  
Pip Cresswell ◽  
Mark Weatherall ◽  
Amber Parry-Strong
Keyword(s):  
Type 1 Diabetes ◽  
Postprandial Glucose ◽  
Restricted Diet ◽  
Protein Ratio ◽  
Carbohydrate Counting ◽  
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

733-P: Postprandial Glucose Variability in People with Type 1 Diabetes Is Individual and Impacted by Physiological and Clinical Parameters

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 733-P
Author(s):  
CASSY F.B. DINGENA ◽  
AILSA MARSH ◽  
RAMZI AJJAN ◽  
MATTHEW CAMPBELL
Keyword(s):  
Type 1 Diabetes ◽  
Glucose Variability ◽  
Postprandial Glucose ◽  
Clinical Parameters

Effects of advanced carbohydrate counting in patients with Type 1 diabetes: a systematic review

2014 ◽  
Vol 31 (8) ◽  
pp. 886-896 ◽  
Author(s):  
S. Schmidt ◽  
B. Schelde ◽  
K. Nørgaard
Keyword(s):  
Systematic Review ◽  
Type 1 Diabetes ◽  
Carbohydrate Counting

Carbohydrate counting in type 1 diabetes: time to REACCT

2007 ◽  
Vol 24 (3) ◽  
pp. 134-136 ◽  
Author(s):  
TJ Ulahannan ◽  
W Ross ◽  
FC Davies
Keyword(s):  
Type 1 Diabetes ◽  
Carbohydrate Counting

scholarly journals Possible Ways to Improve Postprandial Glucose Control in Type 1 Diabetes

2018 ◽  
Vol 20 (S2) ◽  
pp. S2-24-S2-32 ◽  
Author(s):  
Halis Kaan Akturk ◽  
Amanda Rewers ◽  
Hal Joseph ◽  
Nicole Schneider ◽  
Satish K. Garg
Keyword(s):  
Type 1 Diabetes ◽  
Glucose Control ◽  
Postprandial Glucose
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