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最小的780GTM胰岛素系统是否会影响能量和营养摄入量? :长期后续研究研究

Yasemin Atik-Altinok¹, Yelda Mansuroglu², Gunay Demir²

¹Division of Pediatric Endocrinology, Department of Pediatrics, Faculty of Medicine, Ege University, İzmir, Turkey. yaseminatik@yahoo.com.tr.

European journal of clinical nutrition

|March 8, 2024

概括

自动注射胰岛素 (AID) 系统没有改变1型糖尿病 (T1D) 的儿童和青少年的营养摄入量. 然而,参与者始终摄入高和脂肪和低纤维,这表明需要与AID使用一起进行饮食干预.

科学领域:

内分泌学在内分泌学.
代谢过程中的代谢.
儿童糖尿病管理管理

背景情况:

1型糖尿病 (T1D) 的管理需要对饮食和胰岛素治疗给予密切关注.
自动化胰岛素输送系统 (AID) 是T1D护理的重大进步.
关于AID对T1D年轻人营养摄入量影响的真实数据至关重要.

研究的目的:

用AID系统评估儿童,青少年和患有T1D的年轻人的能量和营养摄入量.
在AID开始后,在6个月的随访期间评估营养摄入量的变化.
为了将血糖结果与AID系统性能和饮食模式相关联.

主要方法:

一项现实研究涉及29名T1D患者使用MiniMed 780GTM AID系统.
在基线和系统启动后的3个月和6个月内分析3天的食物日记.
对血糖结果的评估,包括范围内的时间 (TIR) 和自动校正玻尿酸比率.

主要成果:

在6个月的随访期间,平均碳水化合物,蛋白质或脂肪摄入量没有显著变化.
参与者始终表现出低纤维摄入量 (<14 g/1000 kcal) 和高和脂肪摄入量 (>10%的能量).
随着时间的推移,自动校正玻尿酸比率显著增加,与TIR负相关.

结论:

在T1D患者中,MiniMed 780GTM AID系统没有改变T1D患者的总体能量和营养摄入量.
尽管使用AID,但饮食模式仍然不理想,过多的和脂肪和不足的纤维摄入量.
这些发现凸显了对患有T1D的年轻人营养指导的持续需求,即使使用先进的AID技术.

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