Eating patterns and food intake of persons with type 1 diabetes within the T1D Exchange

Powers, Margaret A.; Gal, Robin L.; Connor, Crystal G.; Mangan, Meg; Maahs, David M.; Clements, Mark A.; Mayer-Davis, Elizabeth J.

doi:10.1016/j.diabres.2018.05.011

Cited by 53Diabetes Management and ResearchDiabetes Management and EducationNutritional Studies and Diet

Eating patterns and food intake of persons with type 1 diabetes within the T1D Exchange

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Powers, Margaret A., Gal, Robin L., Connor, Crystal G., Mangan, Meg, Maahs, David M., Clements, Mark A., Mayer-Davis, Elizabeth J.·2018·Diabetes Research and Clinical Practice

DOI 10.1016/j.diabres.2018.05.011PMC PMC7423164

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Aims To identify dietary intake and eating patterns of people with type 1 diabetes from childhood to later adulthood in relation to HbA1c.Methods Trained interviewers conducted 24-hour recalls via phone utilizing a multiple pass approach and administered two nutrition questionnaires; 463 participants (or parents of participants) within the T1D Exchange clinic registry were included. Participants were 5 to 81 years with 80-101 participants in five age groups; 56% were female, and 92% were white, with a median diabetes duration of 11.1 years and a median HbA1c of 7.4% [57 mmol/mol]).Results Those with type 1 diabetes consumed less calories from carbohydrates and more from fats and protein than those in the general population, based on the National Health and Nutrition Examination Survey data. Carbohydrate intake was not correlated with HbA 1c levels. Increased fiber intake, more eating occasions, higher Healthy Eating Index scores, and higher nutrition knowledge scores were each associated with lower HbA1c levels.Conclusions Food intake, eating patterns and nutrition knowledge are associated with glycemic control across a registry-based cohort of adults and children with type 1 diabetes. Additionally, these data can inform the design of future studies to advance our understanding of nutritional influences on type 1 diabetes self-care and control.

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Authors: Powers, M. A., Gal, R. L., Connor, C. G., Mangan, M., Maahs, D. M., Clements, M. A., & Mayer-Davis, E. J.
Affiliations: Park Nicollet Clinic (US)
Jaeb Center for Health Research (US)
Stanford Medicine (US)
Children's Mercy Hospital (US)
Corresponding author: Connor, Crystal G.
ORCID: Gal, Robin L.
Maahs, David M.
Clements, Mark A.
Venue: Diabetes Research and Clinical Practice
Publisher: Elsevier BV
Published: 2018-07
Volume: 141
Pages: 217-228
ISSN: 0168-8227 (ISSN-L)
DOI: 10.1016/j.diabres.2018.05.011
PMC: PMC7423164
OpenAlex: W2804870735
Cited by: 53
References: 37
Citations by year: 2026: 5 · 2025: 9 · 2024: 12 · 2023: 7 · 2022: 5 · 2021: 3 · 2020: 8 · 2019: 2 · 2018: 1 · 2017: 1
FWCI: 2.78
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (am, 329 d)
Locations: Diabetes Research and Clinical Practice (acceptedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Diabetes and Digestive and Kidney Diseases (P30DK056350)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords: type 1 diabetes, dietary habits, dietary intake, glycemic control, HbA1c, carbohydrate intake, dietary fiber, Healthy Eating Index, nutrition knowledge, eating occasions
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Diabetes Mellitus, Type 1, Eating, Feeding Behavior, Female, Humans, Male, Middle Aged, Nutrition Surveys, Young Adult

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Eating patterns and food intake of persons with type 1 diabetes within the T1D Exchange

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