Children under the age of seven with diabetes are increasing their cardiovascular risk by their food choices

Sundberg, Frida; Augustsson, Mirja; Forsander, Gun; Cederholm, U.; Axelsen, Mette

doi:10.1111/apa.12533

Cited by 15 publications

(22 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18 Available data show that preschool children with type 1 diabetes have a significantly lower intake of carbohydrate than a healthy control group (47 vs 54%), in spite of having received advice from a dietitian on the recommended intake being the same as for the general pediatric population. 19 It may be that parents voluntarily, although not recommended by diabetes teams, restrict the amount of carbohydrate in the food, thereby increasing the fat content and increasing the gastric empting time. Further studies are needed to shed light on this issue.…”

Section: Discussionmentioning

confidence: 99%

Bolus Calculator Settings in Well-Controlled Prepubertal Children Using Insulin Pumps Are Characterized by Low Insulin to Carbohydrate Ratios and Short Duration of Insulin Action Time

Hanås

Adolfsson

2016

J Diabetes Sci Technol

View full text Add to dashboard Cite

The use of continuous subcutaneous insulin infusion (CSII) in young children is increasing in many countries, and is in Sweden currently 60% in preschool children. 1 An international consensus group has recommended CSII in the young age group. 2 The bolus calculator in the pump gives the individual the opportunity to use features that simplify the calculation of bolus doses, correcting for the current glucose level. Although a meta-analysis from 2013 found limited evidence for the use of carbohydrate counting in adults, 3 recent pediatric studies have found possible beneficial effects in decreasing HbA1c, both with CSII 4,5 and multiple daily injections (MDI), 6 and increasing the percentage of postmeal glucose readings within target. 7 Furthermore, learning about carbohydrates and carbohydrate counting can also result in overall increased knowledge regarding other components of the diet, which can lead to other benefits. The pharmacodynamic effect of 0.2 U/kg of subcutaneously injected insulin aspart was found to last approximately 4 hours in pubertal and 5 hours in prepubertal children in 1 study, 8 and similar results were found in another study using 0.15 U/kg. 9 If anything, these clamp studies lengthen the duration of insulin action, since the patient is resting in a bed, and the given dose will often have supplied both the basal 1348D STXXX10.

show abstract

Section: Discussionmentioning

confidence: 99%

Bolus Calculator Settings in Well-Controlled Prepubertal Children Using Insulin Pumps Are Characterized by Low Insulin to Carbohydrate Ratios and Short Duration of Insulin Action Time

Hanås

Adolfsson

2016

J Diabetes Sci Technol

View full text Add to dashboard Cite

show abstract

“…In our own work with parents of young children with T1D, more frequent child feeding problems were similarly associated with a lower percentage of daily BG levels in range and poorer glycemic control [31]. Dietary quality of young children with T1D is also poorer than their healthy peers, as recent studies indicate that young children with T1D have diets lower in fruits/vegetables and higher in saturated fats, placing them at higher risk for cardiovascular disease [32]. Pickiness and dietary neophobia also impact dietary quality and variety (although not glycemic control directly) in older children with T1D [33].…”

Section: Challenges To T1d Management and Glycemic Controlmentioning

confidence: 99%

Young Children with Type 1 Diabetes: Challenges, Research, and Future Directions

2014

View full text Add to dashboard Cite

The incidence of type 1 diabetes (T1D) in young children (age <6 years) is rising. Diabetes management guidelines offered by the American Diabetes Association and health care teams understandably place a high burden of responsibility on caregivers to check young children's blood glucose levels, administer insulin, and monitor diet and physical activity with the ultimate goal of maintaining tight glycemic control. Unfortunately, this tight control is needed during a vulnerable developmental period when behavior is unpredictable, T1D can be physiologically difficult to control, parenting stress can be elevated, and caregivers are strained by normal child caretaking routines. Despite the potentially different management needs, specific education and clinical services for managing diabetes in young children are rarely offered, and behavioral research with this young child age group has been limited in scope and quantity. Research findings pertinent to young children with T1D are reviewed, and potential clinical implications, as well as areas for future research, are discussed.

show abstract

“…In the NCDQ cohort, almost all study subjects had higher fat intake and lower fibre intake than recommended [Margeirsdottir et al 2008]. Similar dietary pattern was observed in children aged under seven with T1D (n=24) in a small Swedish study [Sundberg et al 2014]. In the EURODIAB study, European T1D patients consumed a high atherogenic diet, and very few patients achieved the recommended intake of dietary fibre (2%) and saturated fat (13%) [Soedamah-Muthu et al 2013].…”

Section: Achieving a Healthy Diet In T1dmentioning

confidence: 71%

Cardiovascular disease and type 1 diabetes: prevalence, prediction and management in an ageing population

Lee

Patel

Jones

et al. 2015

Therapeutic Advances in Chronic Disease

View full text Add to dashboard Cite

Cardiovascular disease (CVD) is a major cause of mortality in type 1 diabetes mellitus (T1D). However, evidence of its risks and management is often extrapolated from studies in type 2 diabetic (T2D) patients or the general population. This approach is unsatisfactory given that the underlying pathology, demographics and natural history of the disease differ between T1D and T2D. Furthermore, with a rising life expectancy, a greater number of T1D patients are exposed to the cardiovascular (CV) risk factors associated with an ageing population. The aim of this review is to examine the existing literature around CVD in T1D. We pay particular attention to CVD prevalence, how well we manage risk, potential biomarkers, and whether the studies included the older aged patients (defined as aged over 65). We also discuss approaches to the management of CV risk in the older aged. The available data suggest a significant CVD burden in patients with T1D and poor management of CV risk factors. This is underpinned by a poor evidence base for therapeutic management of CV risk specifically for patients with T1D, and in the most relevant population -the older aged patients. We would suggest that important areas remain to be addressed, particularly exploring the risks and benefits of therapeutic approaches to CVD management in the older aged.

show abstract

Children under the age of seven with diabetes are increasing their cardiovascular risk by their food choices

Abstract: Children under 7 years of age with type 1 diabetes eat too much saturated fat and not enough fruit and vegetables. Their diet should be improved to reduce their cardiovascular risk.

Cited by 15 publications

References 27 publications

Bolus Calculator Settings in Well-Controlled Prepubertal Children Using Insulin Pumps Are Characterized by Low Insulin to Carbohydrate Ratios and Short Duration of Insulin Action Time

Bolus Calculator Settings in Well-Controlled Prepubertal Children Using Insulin Pumps Are Characterized by Low Insulin to Carbohydrate Ratios and Short Duration of Insulin Action Time

Young Children with Type 1 Diabetes: Challenges, Research, and Future Directions

Cardiovascular disease and type 1 diabetes: prevalence, prediction and management in an ageing population

Contact Info

Product

Resources

About