Effectiveness and safety of carbohydrate counting in the management of adult patients with type 1 diabetes mellitus: a systematic review and meta-analysis

Vaz, Eliege Carolina; Porfírio, Gustavo José Martiniano; Nunes, Hélio Rubens de Carvalho; Nogueira, Vânia dos Santos Nunes

doi:10.20945/2359-3997000000045

Cited by 26 publications

(21 citation statements)

References 35 publications

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“…To approach this variability in people using insulin treatment, strategies have evolved to adjust prandial doses based on predicted needs. Thus, education of patients on how to adjust prandial insulin to account for carbohydrate intake, premeal glucose levels, and anticipated activity can be effective and should be offered to most patients (22,23). For individuals in whom carbohydrate counting is effective, estimates of the fat and protein content of meals can be incorporated into their prandial dosing for added benefit (24).…”

Section: Insulin Therapymentioning

confidence: 99%

9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2021

2020

Diabetes Care

779

473

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The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes the ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee (https://doi.org/10.2337/dc21-SPPC), are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA's clinical practice recommendations, please refer to the Standards of Care Introduction (https://doi.org/10.2337/dc21-SINT). Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

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Section: Insulin Therapymentioning

confidence: 99%

9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2021

2020

Diabetes Care

779

473

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“…The main emphasis for those with type 1 diabetes is to maintain blood glucose concentrations as close to the non-diabetic range as possible while avoiding hypoglycaemia, aiming for HbA1c of 48 mmol/mol (6.5%) or less in order to reduce the risk of long-term complications. The primary strategy for glycaemic control is widely accepted as carbohydrate counting with insulin dose adjustment on a meal-by-meal basis, and two recent meta-analyses have confirmed the efficacy of this approach [ 16 , 17 ]. It is recommended that carbohydrate counting and insulin adjustment are included in structured education programmes and referral to a local, validated programme is advocated.…”

Section: Components Of Dietary Advicementioning

confidence: 99%

A Practical Guide to Delivering Nutritional Advice to People with Diabetes

Dyson

2019

Diabetes Ther

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Dietary advice is fundamental to the management of diabetes. Although ideally such advice should be delivered by a state-registered dietitian, it is more usually delivered by other health professionals. The primary focus for those with type 1 diabetes is carbohydrate counting and insulin adjustment and for the majority of people with type 2 diabetes, weight management is key. Patient-centred care is emphasised for the delivery of dietary advice. It is widely recognised that knowledge alone is not sufficient to induce behaviour change and practical approaches to a variety of behavioural interventions are discussed.

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“…También debe desalentarse el consumo excesivo de alcohol dado que inhibe la gluconeogénesis, favorece la hipoglucemia y promueve la pérdida de autocuidado. El consumo de sodio sugerido es <2.300 mg/día 67,68 .…”

Section: Intervenciones No Farmacológicas En Personas Con Dm1 Y Ecvunclassified

Mesa 1: Diabetes mellitus tipo 1 y enfermedad cardiovascular

González¹,

Chertkoff

Burgos

et al. 2020

Rev. Soc. Argent. Diabetes

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La principal causa de muerte en personas con diabetes mellitus tipo 1 (DM1) es de origen cardiovascular (CV). La duración de la DM1 es uno de los predictores más importantes para infarto agudo de miocardio (IAM), junto con el colesterol de lipoproteínas de baja densidad (cLDL) y HbA1c. El desarrollo de DM1 antes de los 10 años de edad se asocia con un riesgo 90 veces mayor de IAM en mujeres. En la DM1 habría una mayor contribución de un estado de inflamación sistémica de bajo de grado.La combinación de electrocardiograma de ejercicio y una técnica de imagen proporciona valor diagnóstico para la detección de isquemia miocárdica y pronóstico. La evaluación del riesgo CV en el adulto mayor debe ser individualizado y categorizarlo según funcionalidad y comorbilidades a fin de fijar objetivos de control de factores glucémicos y no glucémicos personalizados.

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Effectiveness and safety of carbohydrate counting in the management of adult patients with type 1 diabetes mellitus: a systematic review and meta-analysis

Abstract: The meta-analysis showed evidence favoring the use of CHOC in the management of DM1. However, this benefit was limited to final HbA1c, which was significantly lower in the CHOC than in the control group.

Cited by 26 publications

References 35 publications

9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2021

9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2021

A Practical Guide to Delivering Nutritional Advice to People with Diabetes

Mesa 1: Diabetes mellitus tipo 1 y enfermedad cardiovascular

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