Macronutrient Intake in Children and Adolescents with Type 1 Diabetes and Its Association with Glycemic Outcomes
Authors' conclusion
Children with T1D frequently consume quantities of fat and protein at dinner that have been shown to cause delayed postprandial hyperglycemia. HFHP dinners were associated with the reduced %TIR over 8 hr, presenting an opportunity for insulin-dose adjustments. Future research that explores the meal dietary variability with postprandial glycemia in this population is needed. Excessive intake of the saturated fat highlights the need for dietary interventions to reduce CVD risk. This trial is
Study context
- Population
- Children 6–18 years with T1D attending pediatric diabetes service in Australia; aged 11.7 ± 2.9, 63% male, HbA1c 6.7 ± 1.1%63% male
- Participants
- 48 children
- Exposure
- High-fat, high-protein (HFHP) dinner vs non-HFHP dinner
- Outcome
- Quantity and range of protein, fat and carbohydrate consumed in meals and snacks
Methodological detailsdietary study, 3-day weighed food records
- Dietary study
- 3-day weighed food records
Main finding
As reported in the abstract
- Breakfast: carbohydrate, protein, fat
- 47-g, 15-g, 12-g
- Lunch: carbohydrate, protein, fat
- 49-g, 19-g, 19-g
- Dinner: carbohydrate, protein, fat
- 57-g, 33-g, 26-g
- Dinner meals meeting HFHP criteria
- 55% (n = 80)
- Participants aged 12-18 y whose dinner intake varied by >20-g fat or >25-g protein
- 78%
- Saturated fat share of energy intake
- 14.7% (±3.0)
Observational data: associations, not effects.
Further findings
%TIR in 8 hr after dinner · trend of reduced %TIR with HFHP dinner · exploratory analysis
P = 0.05
- %TIR in 8 hr after dinner: subset (n = 16)
Variability in fat and protein intake at dinner and HbA1c
- No association between variability in fat and protein intake at dinner and HbA1c
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →