Abstract
ABSTRACT OBJECTIVE: The literature indicates that adolescents with type 1 diabetes consume a diet high in fat, saturated fat and cholesterol, and low in fruit, vegetables and fibre. Information describing the relationship between insulin regimen and dietary intake is scarce. This study aimed to investigate and compare the impact of 3 insulin therapies— 3 times daily insulin (tid), multiple daily injections (MDI) and continuous subcutaneous insulin infusion (CSII)—on dietary intake of teens with type 1 diabetes. METHOD: Ninety-seven subjects aged 14 to 18 years were recruited during outpatient diabetes clinics at SickKids Hospital. Group distribution was as follows: tid (n=34), MDI (n=29) and CSII (n=34). Dietary intake information was collected using the validated Youth/Adolescent Food Frequency Questionnaire and analyzed for energy, carbohydrate, sucrose, fibre, protein, total fat and saturated fat. RESULTS: Using analysis of variance, no significant differences were found in any of the nutrients studied. Univariate and multiregression analyses also failed to reveal significant differences. All groups fell within the acceptable distribution ranges for all macronutrients, above the recommendation for saturated fat according to the 2008 Canadian Diabetes Association clinical practice guidelines and below the adequate intake for fibre. CONCLUSION: These data indicate that the choice of insulin regimen is not a major factor in predicting dietary intake.
Published Version
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