T1DM: Medical Nutrition Therapy (2023)

Author and Year:
Donzeau A, Bonnemaison E, et al. 2020
PubMed ID:
Article Title:
Effects of advanced carbohydrate counting on glucose control and quality of life in children with type 1 diabetes.
Authors:
Donzeau A, Bonnemaison E, Vautier V, Menut V, Houdon L, Bendelac N, Bismuth E, Bouhours-Nouet N, Quemener E, Baron S, Nicolino M, Faure N, Pochelu S, Barat P, Coutant R
Journal:
Pediatric Diabetes
Year of publication:
2020
Volume:
21
Issue:
7
Page numbers:
1240-1248
Study Design:
Randomized Controlled Trial
Risk of Bias Assessment Rating:
Low risk
Inclusion Criteria:
Children aged between 1 and 17 years old; diagnosis of type 1 diabetes > 1 year before study entry; treatment with an insulin pump for at least 6 months; HbA1C was < 9%; patients were not in the remission phase, defined as < 0.5 U insulin/kg/24 h; used a bolus calculator; naive of carbohydrate counting.
Exclusion Criteria:
Previously practiced ACC (advanced carbohydrate counting); in real time or intermittently scanned glucose monitoring.
Research Purpose:
Our aim was to determine whether ACC (advanced carbohydrate counting) would improve HbA1C and QOL (quality of living) scores as compared with standard nutrition in children with Type 1 diabetes.
Blinding efforts:
The main outcome was the change in HbA1c, which was not concealed from the patients and physicians.
Study Location:
University Hospital; Angers, Tours, Bordeaux, Nantes, St. Pierre de Reunion, Lyon, France
Source(s) of Funding:
Government
Please specify names of funders:
French Ministry of Health Grant