Margaret A Powers1, Robin L Gal2, Crystal G Connor3, Meg Mangan4, David M Maahs5, Mark A Clements6, Elizabeth J Mayer-Davis7. 1. International Diabetes Center at Park Nicollet, United States. 2. Jaeb Center for Health Research, United States. 3. Jaeb Center for Health Research, United States. Electronic address: t1dstats4@jaeb.org. 4. University of North Carolina, REX Healthcare, United States. 5. Department of Pediatrics, Division of Endocrinology, Stanford University, United States. 6. Children's Mercy Hospital, United States. 7. Department of Nutrition and Medicine, University of North Carolina, United States.
Abstract
AIMS: To identify dietary intake and eating patterns of people with type 1 diabetes from childhood to later adulthood in relation to HbA1c. METHODS: Trained interviewers conducted 24-hour recalls via phone utilizing a multiple pass approach and administered two nutrition questionnaires; 463 participants (or parents of participants) within the T1D Exchange clinic registry were included. Participants were 5 to 81 years with 80-101 participants in five age groups; 56% were female, and 92% were white, with a median diabetes duration of 11.1 years and a median HbA1c of 7.4% [57 mmol/mol]). RESULTS: Those with type 1 diabetes consumed less calories from carbohydrates and more from fats and protein than those in the general population, based on the National Health and Nutrition Examination Survey data. Carbohydrate intake was not correlated with HbA1c levels. Increased fiber intake, more eating occasions, higher Healthy Eating Index scores, and higher nutrition knowledge scores were each associated with lower HbA1c levels. CONCLUSIONS: Food intake, eating patterns and nutrition knowledge are associated with glycemic control across a registry-based cohort of adults and children with type 1 diabetes. Additionally, these data can inform the design of future studies to advance our understanding of nutritional influences on type 1 diabetes self-care and control.
AIMS: To identify dietary intake and eating patterns of people with type 1 diabetes from childhood to later adulthood in relation to HbA1c. METHODS: Trained interviewers conducted 24-hour recalls via phone utilizing a multiple pass approach and administered two nutrition questionnaires; 463 participants (or parents of participants) within the T1D Exchange clinic registry were included. Participants were 5 to 81 years with 80-101 participants in five age groups; 56% were female, and 92% were white, with a median diabetes duration of 11.1 years and a median HbA1c of 7.4% [57 mmol/mol]). RESULTS: Those with type 1 diabetes consumed less calories from carbohydrates and more from fats and protein than those in the general population, based on the National Health and Nutrition Examination Survey data. Carbohydrate intake was not correlated with HbA1c levels. Increased fiber intake, more eating occasions, higher Healthy Eating Index scores, and higher nutrition knowledge scores were each associated with lower HbA1c levels. CONCLUSIONS: Food intake, eating patterns and nutrition knowledge are associated with glycemic control across a registry-based cohort of adults and children with type 1 diabetes. Additionally, these data can inform the design of future studies to advance our understanding of nutritional influences on type 1 diabetes self-care and control.
Authors: Kellee M Miller; Nicole C Foster; Roy W Beck; Richard M Bergenstal; Stephanie N DuBose; Linda A DiMeglio; David M Maahs; William V Tamborlane Journal: Diabetes Care Date: 2015-06 Impact factor: 19.112
Authors: Frank M Sacks; Alice H Lichtenstein; Jason H Y Wu; Lawrence J Appel; Mark A Creager; Penny M Kris-Etherton; Michael Miller; Eric B Rimm; Lawrence L Rudel; Jennifer G Robinson; Neil J Stone; Linda V Van Horn Journal: Circulation Date: 2017-06-15 Impact factor: 29.690
Authors: Yanping Li; Adela Hruby; Adam M Bernstein; Sylvia H Ley; Dong D Wang; Stephanie E Chiuve; Laura Sampson; Kathryn M Rexrode; Eric B Rimm; Walter C Willett; Frank B Hu Journal: J Am Coll Cardiol Date: 2015-10-06 Impact factor: 24.094
Authors: Madelyn L Wheeler; Stephanie A Dunbar; Lindsay M Jaacks; Wahida Karmally; Elizabeth J Mayer-Davis; Judith Wylie-Rosett; William S Yancy Journal: Diabetes Care Date: 2012-02 Impact factor: 19.112
Authors: Daria Igudesman; Jamie Crandell; Victor W Zhong; Angelica Cristello Sarteau; Anna R Kahkoska; Karen Corbin; Richard Pratley; Michael R Kosorok; David M Maahs; Elizabeth J Mayer-Davis Journal: Pediatr Diabetes Date: 2020-10-05 Impact factor: 3.409
Authors: Christopher D Morrison; Cristal M Hill; Marina A DuVall; Carolyn E Coulter; Jasmin L Gosey; Matthew J Herrera; Lauren E Maisano; Hunter X Sikaffy; David H McDougal Journal: J Diabetes Complications Date: 2020-02-08 Impact factor: 2.852
Authors: Alison B Evert; Michelle Dennison; Christopher D Gardner; W Timothy Garvey; Ka Hei Karen Lau; Janice MacLeod; Joanna Mitri; Raquel F Pereira; Kelly Rawlings; Shamera Robinson; Laura Saslow; Sacha Uelmen; Patricia B Urbanski; William S Yancy Journal: Diabetes Care Date: 2019-04-18 Impact factor: 19.112