T1DM: Carbohydrate Management Strategies (2023)

Intervention
In children and adolescents (6-19 years old) living with type 1 diabetes, what is the effect of carbohydrate management strategies (e.g.: carbohydrate counting alone; carbohydrate counting using insulin-to-carbohydrate ratios; carbohydrate consistency; plate method; exchange lists/food lists/carbohydrate choices) compared to usual care on A1C and quality of life scores?
- Conclusion
  In children and adolescents (6-19 years old) living with type 1 diabetes, evidence suggests that carbohydrate counting (using insulin-to-carbohydrate ratio) can be an effective strategy to help reduce and provide continued maintenance of A1C goals. Small improvements in quality-of-life scores and overall confidence in prescribed dietary advice compared to other carbohydrate management strategies like carbohydrate consistency, plate method or exchange lists/food lists/carbohydrate choices were identified.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In children and adolescents (6-19 years old) living with type 1 diabetes, what is the effect of carbohydrate management strategies (e.g.: carbohydrate counting alone; carbohydrate counting using insulin-to-carbohydrate ratios; carbohydrate consistency; plate method; exchange lists/food lists/carbohydrate choices) compared to usual care on A1C and quality of life scores?
- Search Plan and Results: T1DM: Interventions 2023