Low glycaemic index (GI) foods improve glucose control in children with type I diabetes.
Author
Summary, in English
Aim: Does metabolic control improve in children with insulin dependent diabetes mellitus (IDDM), when modifying the quality of carbohydrates by introducing low glycaemic index (GI) foods?
Methods: The inclusion criteria for the study was children with diabetes mellitus type 1, age from 7 to 11 years old, they should have a moderate glucose control with HbA1c between 7,5 to 8,5 and no allergy to cereals nor coeliac disease. Seventeen children were enrolled in the study. The design of the study was a blind cross-over
study, each study period was 6 weeks with a wash-out period forthree weeks in between. One study period they got regular diabetic foods, during the other period they got foods with a lower glycaemic index (GI). A diet record was done prior to the start of the study, and
one diet record in each period to see that the macro nutrient composition was the same. HbA1c, total cholesterol and triglyceridewere checked at the beginning and at the end of each period.
Results: For each study person we calculated a delta value for HbA1c by subtracting the HbA1c at the start of the period from the HbA1c at the end of the same period. During the period with regular diabetic foods, the change of HbA1c was (mean±SD) −0,06±0,4, while the change of HbA1c was (mean±SD) -0,34±0,4 during the low GI period. By using Wilcoxon Signed Rank test we found out that there was a significant improvement, ie lowering of HbA1c
during the period with low GI foods (p0,039). Regarding serum lipids, there were no significant changes.
Conclusion: The concept of low GI foods is relevant for children with insulin dependent diabetes mellitus, it may be one way of optimizing the glucose control for those who have a slightly elevated HbA1c.
Methods: The inclusion criteria for the study was children with diabetes mellitus type 1, age from 7 to 11 years old, they should have a moderate glucose control with HbA1c between 7,5 to 8,5 and no allergy to cereals nor coeliac disease. Seventeen children were enrolled in the study. The design of the study was a blind cross-over
study, each study period was 6 weeks with a wash-out period forthree weeks in between. One study period they got regular diabetic foods, during the other period they got foods with a lower glycaemic index (GI). A diet record was done prior to the start of the study, and
one diet record in each period to see that the macro nutrient composition was the same. HbA1c, total cholesterol and triglyceridewere checked at the beginning and at the end of each period.
Results: For each study person we calculated a delta value for HbA1c by subtracting the HbA1c at the start of the period from the HbA1c at the end of the same period. During the period with regular diabetic foods, the change of HbA1c was (mean±SD) −0,06±0,4, while the change of HbA1c was (mean±SD) -0,34±0,4 during the low GI period. By using Wilcoxon Signed Rank test we found out that there was a significant improvement, ie lowering of HbA1c
during the period with low GI foods (p0,039). Regarding serum lipids, there were no significant changes.
Conclusion: The concept of low GI foods is relevant for children with insulin dependent diabetes mellitus, it may be one way of optimizing the glucose control for those who have a slightly elevated HbA1c.
Department/s
Publishing year
2003
Language
English
Pages
576-576
Publication/Series
ESPGHAN (European Society for Pediatric Gastroenterology, Hepatology and Nutrition) 36th annual meeting, Prag 4-7 June 2003, Abstract: Journal of Pediatric, Gastroenterology and Nutriton 36,4
Volume
36
Issue
4
Document type
Conference paper
Publisher
Lippincott Williams & Wilkins
Topic
- Pediatrics
Status
Published
Research group
- Preventive Paediatrics
- Paediatric Endocrinology
ISBN/ISSN/Other
- ISSN: 0277-2116
- ISSN: 1536-4801