Impact of advanced and basic carbohydrate counting methods on metabolic control in patients with type 1 diabetes
Abstract
Objective Diets based on carbohydrate counting remain a key strategy for improving glycemic control in patients with type 1 diabetes. However, these diets may promote weight gain because of the flexibility in food choices. The aim of this study was to compare carbohydrate counting methods regarding anthropometric, biochemical, and dietary variables in individuals with type 1 diabetes, as well as to evaluate their knowledge about nutrition. Methods Participants were allocated in basic or advanced groups. After 3 mo of the nutritional counseling, dietary intake, anthropometric variables, lipemia, and glycemic control were compared between groups. A questionnaire regarding carbohydrate counting, sucrose intake, nutritional knowledge, and diabetes and nutrition taboos also was administered. Results Ten (30%) participants had already used advanced carbohydrate counting before the nutritional counseling and these individuals had a higher body mass index (BMI) (P 90% with both methods). Conclusions Advanced carbohydrate counting did not affect lipemic and glycemic control in individuals with type 1 diabetes, however, it may increase food intake, and consequently the BMI and WC, when compared to basic carbohydrate counting. Furthermore, carbohydrate counting promoted greater food flexibility.
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Randomized controlled trials in adults with type 1 diabetes have shown that carbohydrate counting can improve glycemic control, quality of life, and general well-being without increases in severe hypoglycemic events, body weight, or blood lipids.
“carbohydrate counting can improve glycemic control, quality of life, and general well-being”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [172]
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FATORES ASSOCIADOS AO CONTROLE GLICÊMICO EM PACIENTES PORTADORES DE DIABETES MELLITUS TIPO 1
Guzatti, P. R., Balthazar, A. P., Canalli, M. H., & Machado, T. F. (2017) · Arquivos Catarinenses de Medicina · doi:10.63845/5yfv5976
- Authors
- Souto, D. L., Zajdenverg, L., Rodacki, M., & Rosado, E. L.
- Affiliations
- Universidade Federal do Rio de Janeiro (BR)
- Venue
- Nutrition
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 30
- Issue
- 3
- Pages
- 286-290
- ISSN
- 0899-9007 (ISSN-L)
- OpenAlex
- W2090130890
- Cited by
- 30
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 4 · 2016: 1 · 2015: 1 · 2014: 1
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nutrition (publishedVersion)
- PubMed (publishedVersion)
- 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 › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- type 1 diabetes, carbohydrate counting, glycemic control, nutrition counseling, body mass index, waist circumference, dietary fat intake, nutrition knowledge, weight gain, lipemia
- MeSH terms
- Adolescent, Adult, Blood Glucose, Energy Intake, Counseling, Diabetes Mellitus, Type 1, Diet, Dietary Carbohydrates, Dietary Fats, Dietary Proteins, Female, Follow-Up Studies, Humans, Cholesterol, HDL, Cholesterol, LDL, Male, Nutritional Status, Surveys and Questionnaires, Diet Records, Body Mass Index, Waist Circumference, Young Adult, Nutritionists
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