Type 1 diabetes

A scoping review exploring research investigating the influence of carbohydrate counting on eating behaviour and/or disordered eating in type 1 diabetes

Diabetes Res Clin PractPublished Scoping review

Authors' conclusion

Measures of CC practise and adherence currently do not 1) consider the possible impact of the spectrum of CC strategies used within this cohort, which are often modified and personalised over time or, 2) consider that disordered eating in type 1 diabetes patients is often characterised by binge eating, restricted eating or insulin dose manipulation with inappropriate insulin-to-food calculations or the rejection of CC. Further research considering the range of insulin-to-food strategies practised and varying methods of CC education (particularly in early childhood), would be valuable in ascertaining associations between CC adherence and DEB.

Study context

Population
Studies of carbohydrate counting (CC) in T1D and eating behaviour and/or disordered eating behaviour (DEB)37 articles
Outcome
Association between CC and eating behaviour or disordered eating
Methodological detailsSearches of MEDLINE, Embase, PsycINFO, Web of Science, Scopus and Cochrane Central Register of Controlled Trials
  • Searches of MEDLINE, Embase, PsycINFO, Web of Science, Scopus and Cochrane Central Register of Controlled Trials

Main finding

As reported in the abstract

Articles eligible for review

37

Articles that measured CC

28

Articles with evidence of an association between CC and eating behaviours or relationship to food

26

Articles with evidence of an association between CC and disordered eating

4

Original publication

A scoping review exploring research investigating the influence of carbohydrate counting on eating behaviour and/or disordered eating in type 1 diabetes. Diabetes Res Clin Pract. Published 25 February 2025. doi:10.1016/j.diabres.2025.112068

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