Food exchange estimation by children with type 1 diabetes at summer camp

Author(s):  
Wojciech Szypowski ◽  
Karolina Kunecka ◽  
Beata Zduńczyk ◽  
Katarzyna Piechowiak ◽  
Maria Dyczek ◽  
...  

AbstractBackground:As exchange counting poses difficulty for children with type 1 diabetes (T1D) attending diabetes camps, they often guesstimate food amount without performing an exchange calculation. The aim of the study was to compare the accuracy of estimation with exchange counting using the mobile food exchange calculator (MFEC).Methods:During a summer camp, 25 children with T1D on pumps estimated the number of carbohydrate (CE) and fat/protein exchanges (FPE) appropriate for main meals. Afterwards, the number of exchanges was counted with MFEC and electronic scales.Results:There was a difference between CE (p<0.0001) and FPE (p<0.0001) estimations and counting using MFEC. The youth miscalculated the true values of ≥1 CE and ≥1 FPE by 31% and 23%, respectively. They more often underestimated than overestimated CE and FPE (p<0.0001). The estimation error increased with younger age.Conclusions:Carbohydrate counting caused significant error in the exchange number. The use of MFEC facilitates correct exchange calculation. Patients should weigh food and calculate exchanges themselves using mobile applications.

2014 ◽  
Vol 31 (8) ◽  
pp. 886-896 ◽  
Author(s):  
S. Schmidt ◽  
B. Schelde ◽  
K. Nørgaard

2021 ◽  
Vol 12 ◽  
Author(s):  
Meenal Mavinkurve ◽  
Muhammad Yazid Jalaludin ◽  
Elaine Wan Ling Chan ◽  
Mazidah Noordin ◽  
Nurshadia Samingan ◽  
...  

BackgroundChildren with Type 1 diabetes (T1DM) commonly present in diabetic ketoacidosis (DKA) at initial diagnosis. This is likely due to several factors, one of which includes the propensity for T1DM to be misdiagnosed. The prevalence of misdiagnosis has been reported in non-Asian children with T1DM but not in Asian cohorts.AimTo report the rate of misdiagnosis and its associated risk factors in Malaysian children and adolescents with T1DM.MethodsA retrospective analysis of children with T1DM below 18 years of age over a 10 year period was conducted.ResultsThe cohort included 119 children (53.8% female) with a mean age 8.1 SD ± 3.9 years. 38.7% of cases were misdiagnosed, of which respiratory illnesses were the most common (37.0%) misdiagnosis. The rate of misdiagnosis remained the same over the 10 year period. Among the variables examined, younger age at presentation, DKA at presentation, healthcare professional (HCP) contact and admission to the intensive care unit were significantly different between the misdiagnosed and correctly diagnosed groups (p &lt;0.05).ConclusionMisdiagnosis of T1DM occurs more frequently in Malaysian children &lt;5 years of age. Misdiagnosed cases are at a higher risk of presenting in DKA with increased risk of ICU admission and more likely to have had prior HCP contact. Awareness of T1DM amongst healthcare professionals is crucial for early identification, prevention of DKA and reducing rates of misdiagnosis


2007 ◽  
Vol 24 (3) ◽  
pp. 134-136 ◽  
Author(s):  
TJ Ulahannan ◽  
W Ross ◽  
FC Davies

2016 ◽  
Vol 18 (12) ◽  
pp. 813-819 ◽  
Author(s):  
Steven Trawley ◽  
Jessica L. Browne ◽  
Virginia L. Hagger ◽  
Christel Hendrieckx ◽  
Elizabeth Holmes-Truscott ◽  
...  

2019 ◽  
Vol 43 (7) ◽  
pp. S8
Author(s):  
Dorsa Majdpour ◽  
Michael Tsoukas ◽  
Jean-Francois Yale ◽  
Ahmad Haidar

2016 ◽  
Vol 29 (1) ◽  
pp. 77-84
Author(s):  
Beatriz Diniz GABRIEL ◽  
Cristiano Tulio ALBUQUERQUE ◽  
Marcella Lobato Dias CONSOLI ◽  
Patrícia Amaral Fulgêncio da Cunha MENEZES ◽  
Janice Sepúlveda REIS

ABSTRACT Objective: To develop and evaluate the effectiveness of a nutrition education program to enable adolescents with type 1 diabetes to count carbohydrates without the parents' help. Methods: Nineteen adolescents with type 1 diabetes from a diabetes center participated in four fortnightly meetings of one hour, with lectures and discussions about healthy nutrition, importance of nutrients for blood glucose, portion sizes, food replacements, and carbohydrate counting therapy. All meetings ended with exercises to check the learning. Adolescents were followed for one year after the intervention. Results: All participants were 100% successful in all the steps of the program and started carbohydrate counting in the main meals. Nutritional status and total daily insulin doses before and after the study did not differ. After 12 months, 68% of the adolescents counted carbohydrates at all times, 16% did so in extra snacks, and 16% were suspended from the new therapy. Eighty percent of the parents were satisfied with the program, believing teenagers were trained in the new therapy. Conclusion: A short nutrition education program successfully trained adolescents to count carbohydrates without the parents' help.


2018 ◽  
Vol 24 ◽  
pp. 188 ◽  
Author(s):  
Kiriaki Papa ◽  
Anastasios Vamvakis ◽  
Elena Laskaridou ◽  
Iliana Mameka ◽  
Kiriaki Tsiroukidou ◽  
...  

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