Investigation on Carbohydrate Counting Method in Type 1 Diabetic Patients

Abstract

Objective. The results from Diabetes Control and Complications Trial (DCCT) have propounded the importance of the approach of treatment by medical nutrition when treating diabetes mellitus (DM). During this study, we tried to inquire carbohydrate (Kh) count method's positive effects on the type 1 DM treatment's success as well as on the life quality of the patients. Methods. 22 of 37 type 1 DM patients who applied to Eskişehir Osmangazi University, Faculty of Medicine Hospital, Department of Endocrinology and Metabolism, had been treated by Kh count method and 15 of them are treated by multiple dosage intensive insulin treatment with applying standard diabetic diet as a control group and both of groups were under close follow-up for 6 months. Required approval was taken from the Ethical Committee of Eskişehir Osmangazi University, Medical Faculty, as well as informed consent from the patients. The body weight of patients who are treated by carbohydrate count method and multiple dosage intensive insulin treatment during the study beginning and after 6-month term, body mass index, and body compositions are analyzed. A short life quality and medical research survey applied. At statistical analysis, t-test, chi-squared test, and Mann-Whitney U test were used. Results. There had been no significant change determined at glycemic control indicators between the Kh counting group and the standard diabetic diet and multiple dosage insulin treatment group in our study. Conclusion. As a result, Kh counting method which offers a flexible nutrition plan to diabetic individuals is a functional method.

Assessment of Carbohydrate Count Method Knowledge Levels and Insulin Types of Individuals with Type 1 DM

“…In this study, the most frequently used insulin type was rapidlong-acting insülin similar to the some other researchers (17,18,20). This can be explained by the fact that individuals with T1DM who performed CHO counting method are concerned about the sudden rise and fall in insulin and prefer rapidlong-acting insulin to reduce risk.…”

The relationship between carbohydrate and the mealtime insulin dose in type 1 diabetes

“…However, not all studies reporting a benefit with carbohydrate counting included a control group making interpretation difficult (Dias et al, 2010;Lowe et al, 2008;Marigliano et al, 2013;Rossi et al, 2010;Samann, Muhlhauser, Bender, Kloos, & Muller, 2005). Conversely, other studies have shown no significant improvement in HbA1c with carbohydrate counting (Gilbertson et al, 2001;Laurenzi et al, 2011;Mitchell, Nowakowska, & Hurstt, 1990;Son, Efe, Son, Akalin, & Kebapci, 2014).…”

Influence of Flexible Insulin Dosing with Carbohydrate Counting Method on Metabolic and Clinical Parameters in Type 1 Diabetes Patients

“…Studies have shown that the A1c level was lower in patients who used flexible insulin dosing with carbohydrate counting [ 12 ]. Prandial insulin dose was shown to lead to 1-1.5 units of a decrease in A1c value, as it is performed according to total insulin dose [ 13 ]. The appearance of chronic complications is delayed when glycemic control and A1c control are achieved with intensive insulin treatment.…”

“…This impaired lipid profile may improve with active insulin treatment [ 16 ]. Studies have shown that while triglyceride, HDL-cholesterol decrease, LDL-cholesterol was shown to increase in patients using flexible insulin dosing [ 13 ]. In our study, triglyceride level was seen to increase 11.7% (P = 0.863), HDL-cholesterol level was seen to increase 19.8% (P = 0.039), LDL-cholesterol level was seen to decrease 8.1% (P = 0.036) when treatment was switched to flexible eating, flexible insulin dosing from conventional eating.…”