碳水化合物计数与碳水化合物计数对比 印度1型糖尿病儿童的固定饮食计划:一项随机对照试验
Rajni Sharma1, Babita Upadhyay1, Nitika Lal1
1Division of Pediatric Endocrinology, Department of Pediatrics, Mother and Child Block, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India.
Indian journal of pediatrics
|October 3, 2023
概括
1型糖尿病 (T1DM) 儿童的碳水化合物计数与固定餐饮计划相比,减少了糖尿病困扰和情绪疲劳. 在六个月的时间里,血糖控制在两组之间是相似的.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 代谢障碍 代谢障碍 代谢障碍
- 糖尿病管理 糖尿病管理
背景情况:
- 1型糖尿病 (T1DM) 需要谨慎管理饮食和胰岛素.
- 饮食方法包括碳水化合物计数和固定餐饮计划.
- 评估对心理社会方面的影响对于儿科T1DM护理至关重要.
研究的目的:
- 为了比较T1DM儿童的碳水化合物计数与固定餐饮计划.
- 评估对血糖控制 (HbA1c) 的影响.
- 评估生活质量 (QoL) 的变化和与糖尿病相关的情绪困扰.
主要方法:
- 一项涉及6至18岁儿童的T1DM多次每日胰岛素注射的研究.
- 干预组接受了有关碳水化合物定量和胰岛素调整的教育.
- 对照组遵循规定的饮食;经过验证的问卷评估了QOL和痛苦.
主要成果:
- 在6个月后,两组之间HbA1c降低没有统计学上显著的差异.
- 碳水化合物计数组显示,糖尿病应急评分 (PAID) 的显著降低.
- 与对照组相比,干预组报告的情绪倦怠程度较低.
结论:
- 在儿科T1DM中计数碳水化合物可以减少糖尿病困扰和情绪倦怠.
- 在碳水化合物计数和固定餐饮计划之间,血糖控制仍然可比.
- 饮食策略应在T1DM管理中考虑心理社会福祉.
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