scholarly journals Dietary Intake and Adherence to the Recommendations for Healthy Eating in Patients With Type 1 Diabetes: A Narrative Review

2021 ◽  
Vol 8 ◽  
Author(s):  
Rouzha Pancheva ◽  
Desislava Zhelyazkova ◽  
Fatme Ahmed ◽  
Michal Gillon-Keren ◽  
Nataliya Usheva ◽  
...  

Background: Medical nutrition therapy is essential for all people with diabetes, of any type or severity. Compliance with the recommended nutrition is an integral part of the treatment of type 1 diabetes (T1D). It remains unclear to what extent the dietary intake of patients with type 1 diabetes adheres to the recommendations for healthy eating.Objective: The primary aim of our study is to collect and analyze published articles on the nutrition of T1D patients in comparison with the general population and recommendations.Research Strategy and Methods: A literature search for articles, published between January 2006 and July 2021 was conducted, using electronic databases (PubMed and Google Scholar) for all available publications in English and Bulgarian. The process of study selection, identification, screening, eligibility and inclusion followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) recommendations for a flowchart. Based on the keywords search, 425 titles were retrieved, of which 27 were selected based on title and abstract. All papers were crosschecked and reviewed for selection by 3 independent reviewers. As a result, 19 titles were eligible and met inclusion criteria for a full review.Results: Energy intake tends to be lower in T1D patients or comparable to controls and in most cases within the general recommendations. The percentage of calories from protein is within the recommendations for children, adolescents and adults. Only two studies showed that T1D patients consume significantly less than the recommendation for total fat intake (<35E%). The median intake of carbohydrates is in the lower end of the recommended 45 to 60E%. The median intake of dietary fiber adjusted for total energy is too low for T1D patients and the general population.Conclusion: Study findings suggested a lack of knowledge or misunderstanding of diabetes dietary management. Patients with T1D, who are being consulted with a dietician as a part of their treatment plan may have better compliance to their recommended diet and as a result, are likely to have better health outcomes. Nutritional therapy should focus not only on glycemic control and pure carbohydrate counting but also on healthy eating and complication prevention.

2014 ◽  
Vol 32 (3) ◽  
pp. 399-406 ◽  
Author(s):  
L. M. Jaacks ◽  
W. Liu ◽  
L. Ji ◽  
M. A. Mendez ◽  
S. Du ◽  
...  

2018 ◽  
Author(s):  
Daniel Tudor Cosma ◽  
Cristina Alina Silaghi ◽  
Horatiu Silaghi ◽  
Carmen Emanuela Georgescu ◽  
Ioan Andrei Veresiu ◽  
...  

HLA ◽  
2015 ◽  
Vol 87 (1) ◽  
pp. 25-30 ◽  
Author(s):  
A. R. Hamzeh ◽  
P. Nair ◽  
M. T. Al Ali

2020 ◽  
pp. 135910452098077
Author(s):  
Melissa Hart ◽  
Kirrilly Pursey ◽  
Carmel Smart

Dietary intake requires attention in the treatment of both eating disorders and type 1 diabetes (T1D) to achieve optimal outcomes. Nutritional management of both conditions involves encouraging a wide variety of healthful foods in the context of usual cultural and family traditions. In recent times, low carbohydrate diets have seen a rise in popularity, both in T1D and in the general population. Low carbohydrate diets involve dietary restriction, although the extent depends on the level of carbohydrate prescription. Although dietary restriction is a known risk factor for eating disorders, there is limited literature on the impact of following a low carbohydrate diet on the development and maintenance of eating disorders in T1D. The aim of this review is to discuss the impact of dietary restriction on the development and treatment of eating disorders and propose considerations to enable optimum health outcomes in individuals with T1D, an at risk group. In order to achieve this, clarity regarding strategies that allow both flexibility in dietary intake and facilitate healthy eating behaviours, whilst achieving glycaemic targets, are required.


Author(s):  
Evan J.H. Lewis ◽  
Leif E. Lovblom ◽  
Giulia Cisbani ◽  
Daniel K. Chen ◽  
Richard P. Bazinet ◽  
...  

2015 ◽  
Vol 4 (2) ◽  
pp. 83-89
Author(s):  
Fatima Al-Haddad ◽  
◽  
Abdulrahman Musaiger ◽  
S. Mahmood Al-Qallaf ◽  
Kathryn Hart

2013 ◽  
Vol 45 (6) ◽  
pp. 661-668 ◽  
Author(s):  
Natalie S. The ◽  
Jamie L. Crandell ◽  
Joan Thomas ◽  
Sarah C. Couch ◽  
Amy S. Shah ◽  
...  

2013 ◽  
Vol 57 (5) ◽  
pp. 388-392 ◽  
Author(s):  
Barbara Piccini ◽  
Sonia Toni ◽  
Lorenzo Lenzi ◽  
Federica Barni ◽  
Monica Guasti ◽  
...  

The management of insulin therapy in diabetic patients who have comorbidities that involve nutritional aspects, is a major challenge for diabetes care teams. In diabetic patients with compromised nutritional status, artificial nutrition, both enteral or parenteral, may help in the treatment of chronic and acute diseases, leading to better and faster recover of the health status but, if not adequately associated with insulin therapy, it may negatively affect blood glucose levels and lead to poorer metabolic control. In particular, evidence-based recommendations for the treatment of diabetic patients during enteral nutrition therapy are not currently available and, therefore, medical practices are often based on case reports, rather than outcomes of research. We report our experience with a diabetic patient receiving nocturnal enteral feeding due to comorbidities and malnutrition, who was followed up at our centre and precociously treated with continuous subcutaneous insulin infusion after the onset of type 1 diabetes. There is great need for adequately powered randomized controlled trials to provide scientific evidence for the insulin treatment of diabetic patients undergoing enteral feeding.


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Heather R. Gilbertson ◽  
Kristen Reed ◽  
Sarah Clark ◽  
Kate L. Francis ◽  
Fergus J. Cameron

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