Dose Adjustment for Normal Eating: A qualitative longitudinal exploration of the food and eating practices of type 1 diabetes patients converted to flexible intensive insulin therapy in the UK

Lawton, Julia; Rankin, David; Cooke, Dennis; Clark, Marie; Elliot, J. R.; Heller, Simon

doi:10.1016/j.diabres.2010.11.007

Cited by 48 publications

(66 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…10 Participants have reported making limited dietary changes after the education programme because of factors such as the need for routine, the increased intellectual burden, and the disruption of continually calculating ratios, along with more numerous insulin injections. 7 Some participants reduced their carbohydrate intake partly to avoid injections and partly because they felt anxious about the possibility of insulin miscalculations. 7 Concern was expressed by some participants about unpredictable blood glucose results resulting from eating unfamiliar food, in terms of the carbohydrate content, coupled with large insulin doses.…”

Section: Original Scientific Papermentioning

confidence: 99%

“…7 Some participants reduced their carbohydrate intake partly to avoid injections and partly because they felt anxious about the possibility of insulin miscalculations. 7 Concern was expressed by some participants about unpredictable blood glucose results resulting from eating unfamiliar food, in terms of the carbohydrate content, coupled with large insulin doses. The ability to limit carbohydrates, rather than having to eat fixed amounts linked to fixed insulin dosages, had beneficial aspects for some in terms of weight loss, increased mealtime flexibility, and feelings of more predictability and control over blood glucose readings.…”

Section: Original Scientific Papermentioning

confidence: 99%

“…The ability to limit carbohydrates, rather than having to eat fixed amounts linked to fixed insulin dosages, had beneficial aspects for some in terms of weight loss, increased mealtime flexibility, and feelings of more predictability and control over blood glucose readings. 7 Low-carbohydrate diets for people with Type 2 diabetes have been the subject of research interest, [13][14][15] with findings of improvements in glycaemic control and weight loss. There are fewer studies of this dietary choice in people with Type 1 diabetes.…”

Section: Original Scientific Papermentioning

confidence: 99%

“…2,3,7 People with diabetes are taught about carbohydrate counting and adjusting their insulin dosage to match carbohydrate intake. 9 Research on the impact of the programme has found improved glycaemic control and reduced episodes of hypoglycaemia, along with weight reduction over one year, in an audit of 145 Australian 10 and 639 UK participants.…”

Section: Original Scientific Papermentioning

confidence: 99%

“…Carbohydrate counting requires skill in assessing the carbohydrate content of food and in calculating the appropriate mealtime rapid-acting insulin dose, using a personalised insulin:carbohydrate ratio. 7,8 The insulin:carbohydrate ratio represents how many grams of carbohydrate one unit of insulin can provide coverage for. Dose Adjustment for QUALITATIVE RESEARCH…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

From 'pleasure to chemistry': the experience of carbohydrate counting with and without carbohydrate restriction for people with Type 1 diabetes

Cresswell¹,

Krebs²,

Gilmour³

et al. 2015

J Prim Health Care

View full text Add to dashboard Cite

INTRODUCTION:Matching carbohydrate intake with insulin dosage is recommended management for people with Type 1 diabetes. However, international interest in restricted carbohydrate diets is growing. General practitioners and practice nurses need to know how to advise people with Type 1 diabetes regarding low-carbohydrate diets. This study aimed to explore the carbohydrate counting experiences of people with Type 1 diabetes in a trial with and without a diet restricted to 75 g of carbohydrate per day.

show abstract

Section: Original Scientific Papermentioning

confidence: 99%

Section: Original Scientific Papermentioning

confidence: 99%

Section: Original Scientific Papermentioning

confidence: 99%

Section: Original Scientific Papermentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

From 'pleasure to chemistry': the experience of carbohydrate counting with and without carbohydrate restriction for people with Type 1 diabetes

Cresswell¹,

Krebs²,

Gilmour³

et al. 2015

J Prim Health Care

View full text Add to dashboard Cite

show abstract

Education, technology and psycho‐technological approaches to type 1 diabetes

Murphy

2012

Practical Diabetes

View full text Add to dashboard Cite

A gap exists between our expectations of tight blood glucose control for type 1 diabetes and the reality of safely achieving it, particularly during adolescence and pregnancy. Technological and pharmaceutical advances will not alone achieve near‐normal blood glucose control and optimal health outcomes without recognising the social, cultural and behavioural context of those living with diabetes. Neither will educational programmes completely overcome the fundamentally disordered metabolic pathways and/or the additional physiological challenges of adolescence and pregnancy. Improved integration of the technological, behavioural and educational aspects of care will pave the way for truly personalised, diabetes self‐management and improved health outcomes for women and children with type 1 diabetes. Copyright © 2012 John Wiley & Sons. Practical Diabetes 2012; 29(6): 247–251 This paper was presented as the 2012 Janet Kinson lecture at the 2012 Diabetes UK Annual Professional Conference held in Glasgow

show abstract

Glycaemic streaming in type 1 diabetes: implications for intervention?

Gill

Wallymahmed

et al. 2013

Practical Diabetes

View full text Add to dashboard Cite

Evidence exists that mean glycaemia in individuals with type 1 diabetes may remain remarkably constant (glycaemic ‘streaming’ or ‘tracking’). We have re‐examined this in a group of type 1 patients, to explore whether any subgroups may be more or less amenable to glycaemic improvement.We made a retrospective analysis between 2003 and 2007 of 181 people with type 1 diabetes. Basic demographic information, and sequential glycated haemoglobin (HbA1c) levels during the five‐year follow‐up period (2003–2007), were recorded. First (2003) and last HbA1c levels were recorded, and mean HbA1c for the whole period. These were analysed as a total group, by gender, and by glycaemic control (initial HbA1c over or below 64mmol/mol [8.0%]).Mean age was 41±8 years, diabetes duration 19±9 years, 58% were male, and mean HbA1c was 75±17mmol/mol (9.0±1.6%). Over the study period there was a small improvement in total population mean HbA1c (75±17 to 72±16mmol/mol [9.0±1.6 to 8.7±1.5%], p=0.003). This was accounted for by improvements in male (74±17 to 70±15mmol/mol [8.9±1.6 to 8.6±1.4%], p=0.005) and poorly‐controlled (HbA1c ≥65mmol/mol [8.1%]) patients (79±15 to 75±15mmol/mol [9.4±1.4 to 9.0±1.4%], p=0.002). Female and well‐controlled (HbA1c ≤64mmol/mol [8.0%]) patients showed no change in mean glycaemia.Most patients maintained closely similar HbA1c levels over time. Interventions in type 1 diabetes may be more usefully aimed at risk factors rather than glycaemia. Copyright © 2013 John Wiley & Sons.

show abstract

Dose Adjustment for Normal Eating: A qualitative longitudinal exploration of the food and eating practices of type 1 diabetes patients converted to flexible intensive insulin therapy in the UK

Cited by 48 publications

References 18 publications

From 'pleasure to chemistry': the experience of carbohydrate counting with and without carbohydrate restriction for people with Type 1 diabetes

From 'pleasure to chemistry': the experience of carbohydrate counting with and without carbohydrate restriction for people with Type 1 diabetes

Education, technology and psycho‐technological approaches to type 1 diabetes

Glycaemic streaming in type 1 diabetes: implications for intervention?

Contact Info

Product

Resources

About