THU286 Role Of Carb Counting For Glycemic Control In People With Type 1 Diabetes During The Month Of Ramadan

Abstract

Abstract Disclosure: R. Naseem: None. AbstractTitle: Role of carb counting for glycemic control in people with type 1 diabetes during the month of RamadanPresenting Author: Raheela NaseemCo-authors: Rabia Imtiaz, Musarrat Riaz, Muhammad Yakoob AhmedaniBackground: Carbohydrate counting is a part of meal planning for individuals with type 1 diabetes (T1D), although not widely used in Asian countries like Pakistan.Aim: To evaluate the effect of carbohydrate counting in individuals with type 1 diabetes mellitus who intended to fast during the month of Ramadan.Methodology: This prospective case-control study was conducted in the Diet& Education Department of Baqai Institute of Diabetology and Endocrinology from April to May 2021. Thirty already registered individuals with T1D, aged ≥ 15 years (who intended to fast), were equally divided into case and control groups. The control group was educated on Ramadan-specific management and a T1D general diet plan, followed by the advised insulin regimen protocol. The case group attended carbohydrate counting sessions for better glycemic control and was provided with the book “Matching Carbs with Insulin” for insulin dosage guidance for different daily meals. A 24/7 telephonic support was provided, along with individual WhatsApp groups; managed by a clinical dietitian and a trained diabetes educator, under the supervision of their physicians. Results: A total of 25 individuals (5 being drop out) with a mean age of 22.56±6.5 years participated. A significant mean glucose level before iftar was found in the case and control groups as 149.78±41.4 mg/dl and 206.05 ± 65.43 mg/dl, respectively. Whereas, the mean glucose levels for non-fasting hours were also significant at 158.45±25.31 mg/dl (case) and 194.87±54.23 mg/dl (control). Overall, 257 episodes of hyperglycemia in the control group while, only 177 in the case group were observed. No hospitalization was needed in both groups. Conclusion: By implementing the carbohydrate counting method, safe fasting was feasible with significant improvement in overall glycemic control without significant major complications. Table 1. Baseline characteristics of subjects Table 2. Comparison of SMBGs at different timings Fig. 1- Mean self-monitoring of blood glucose (SMBG) profile of people with type 1 diabetes Fig. 2- Frequency of hyperglycemia Presentation: Thursday, June 15, 2023