Does Carbohydrate Counting from Diabetes Onset Make a Difference to Glycemic Outcomes? A Swedish Registry Study
Authors' conclusion
The results suggest that CC can be effective in achieving target glycemic outcomes over time and support its introduction at any time in the life course to improve metabolic outcomes.
Study context
- Population
- Children with T1D onset 2011–2013, Swedish Diabetes Registry (NDR)
- Participants
- 253 vs 221
- Exposure
- Carbohydrate counting taught from diagnosis vs fixed insulin doses
- Carbohydrate counting (CC)n = 253
- Fixed dosesn = 221reference
- Outcome
- HbA1c over time
- Follow-up
- First year of diabetes up to 8 years
Methodological detailsSwedish Diabetes Registry (NDR), pediatric, cross-sectional analysis at 8 years diabetes duration
- Swedish Diabetes Registry (NDR)
- Pediatric
- Cross-sectional analysis at 8 years diabetes duration
Main finding
As reported in the abstract
up to 8 years
Difference
1.0
95% CI −0.8 to 2.9
P = 0.27
Between Fixed doses and CC
difference 1.0 (95% CI −0.8 to 2.9); P = 0.27
Observational data: associations, not effects.
Further findings
HbA1c by CC use, cross-sectional · 8 years diabetes duration · significantly lower HbA1c with CC use
P = <0.001
Original publication
Does Carbohydrate Counting from Diabetes Onset Make a Difference to Glycemic Outcomes? A Swedish Registry Study. Horm Res Paediatr. Published 28 April 2026. doi:10.
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