Carbohydrate counting is the most effective meal-planning strategy in type 1 diabetes (T1DM) to optimize insulin therapy. However, it may lead to weight gain and unhealthy eating habits. This study aims to compare glycemic control parameters, anthropometric measurements and dietary lifestyle in T1DM patients who practice CHO-counting, after attending a structured course to learn how to manage this tecnique, vs a control Group, in a follow up period of 2 years.
patients with type 1 DM will be enrolled in the study. patients in the intervention group will attend a 5-lessons training to learn how to manage insulin therapy depending on the amount of carbohydrates in their meals, patients in the control group will be follow according to the the standard care. after the follow up period glycometabolic, anthropometric parameters and dietary lifestyle changes will be compared between the two groups.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
50
patients will attend a 5 meetings-structured training to learn how to manage their insulin therapy depending on the amount of carbohydrates contained in foods
patients will not manage their insulin therapy depending on the amount of carbohydrates contained in foods, but will follow a fix basal bolus scheme
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, Italy
RECRUITINGglycemic control
HbA1c
Time frame: 2 years
anthropometric parameters: BMI
variations in body mass index (BMI: units kg/m2), weight and height will be combined to report BMI in kg/m\^2
Time frame: 2 years
anthropometric parameters: WAIST AND HIP CIRCUMFERENCE
variations in waist and hip circumference (units: cm)
Time frame: 2 years
anthropometric parameters: BIOIMPEDENTIOMETRIC PARAMETERS
fat mass and free fat mass (units: % of total mass)
Time frame: 2 years
dietary lifestyle
variations in intake of simple sugars, animal protein rich foods, saturated fats and cholesterol, UDM: grams/die. All the informations will be collected using 5days food diaries, completed by the patients.
Time frame: 2 years
glucose variability: mean and standard deviation of self monitoring blood glucose (SMBG)
mean and standard deviation of self monitoring blood glucose (SMBG), data collected from glucometers, units: mg/dl
Time frame: 2 YEARS
glucose variability: incidence of hypoglycaemia
incidence of hypoglycaemia (SMBG \< 70 mg/dl), units: n° episodes/week
Time frame: 2 YEARS
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