Abstract
ABSTRACT OBJECTIVE: To document body mass index and food intake in relation to level of carbohydrate counting in children with type 1 diabetes. METHODS: Weight, height, glycated hemoglobin and two 24-hour dietary recalls were recorded in 70 children with type 1 diabetes (age 6 to 12 years) on intensive insulin therapy, with a meal plan based on basic (n=21) or advanced (n=49) carbohydrate counting. RESULTS: The distribution of weight status (not overweight, overweight, obese) was similar in both meal plan groups, and the overall prevalence of overweight (15.7%) and obesity (5.7%) was similar to that of the general Quebec youth population. Mean intake of fibre and potassium was lower than adequate intake, regardless of sex and age. Vitamin C was the nutrient with the highest prevalence of inadequate intake. Children using advanced carbohydrate counting drank less milk (p CONCLUSION: Meal plans based on carbohydrate counting do not appear to expose school-aged children with type 1 diabetes to a greater risk of obesity or overweight. Contrary to what is sometimes assumed, advanced carbohydrate counting did not lead to higher energy or sugar intake in this sample. Although their diet is similar to that of children without diabetes, children with type 1 diabetes should receive education about adequate food choices to increase their intake of fibre and micronutrients.
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