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Dietary variation in diabetics.

A F Hackett1, S Court, C McCowen

  • 1Department of Child Health, University of Newcastle upon Tyne.

Archives of Disease in Childhood
|July 1, 1988
PubMed
Summary

Children with diabetes showed less daily variation in carbohydrate intake than their non-diabetic peers, but significant fluctuations persisted. Dietary compliance decreased throughout the day, suggesting a need for flexible diabetes management strategies.

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Area of Science:

  • Pediatric Endocrinology
  • Nutritional Science
  • Diabetes Management

Background:

  • Understanding daily dietary intake variations is crucial for managing childhood diabetes.
  • Previous research indicates potential challenges in maintaining consistent nutritional intake among diabetic children.

Purpose of the Study:

  • To assess the day-to-day variability in energy and carbohydrate intake in children with diabetes.
  • To investigate the relationship between dietary intake variation, diabetic control, and family knowledge.
  • To evaluate compliance with dietary prescriptions over the course of a day.

Main Methods:

  • A comparative study involving 168 children with diabetes and 405 non-diabetic children.
  • Analysis of daily energy and carbohydrate intake over a three-day period.
  • Assessment of diabetic control and parental knowledge regarding diabetes management.

Main Results:

  • Children with diabetes exhibited less day-to-day variation in intake compared to non-diabetic children, though considerable variation (average 51g carbohydrate range) was still observed.
  • Dietary intake variability was not correlated with diabetic control or family knowledge of diabetes.
  • Compliance with prescribed diets declined as the day progressed.

Conclusions:

  • Significant day-to-day fluctuations in carbohydrate intake occur even in diabetic children.
  • Dietary adherence wanes throughout the day, irrespective of diabetic control or family education.
  • A qualitative, flexible approach to dietary recommendations may be more effective for managing childhood diabetes.

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