Comprehensive Analysis of the Real Lifestyles of T1D Patients for the Purpose of Designing a Personalized Counselor for Prandial Insulin Dosing

Nutrients

卷:11

Pavlina Pithova¹  Katerina Stechova¹  Petr Cikl²  Lenka Lhotska³  Jan Hlubik³ 

[1] Department of Internal Medicine, University Hospital Motol, V Uvalu 84, 15006 Prague 5—Motol, Czech Republic;

[2] Fitsport Complex Inc., Polní 1006/11, 664 91 Ivancice, Czech Republic;

[3] The Czech Institute of Informatics, Robotics and Cybernetics, Czech Technical University in Prague, Jugoslavskych partyzanu 1580/3, 160 00 Prague, Czech Republic;

关键词: carbohydrate counting;    diet;    mobile application;    obesity;    overweight;    postprandial glycaemia;    prandial insulin bolus;    type 1 diabetes;   

DOI  :  10.3390/nu11051148

来源: DOAJ

【 摘 要 】

Post-prandial hyperglycemia is still a challenging issue in intensified insulin therapy. Data of 35 T1D patients during a four-week period were analyzed: RT-CGM (real time continuous glucose monitoring) record, insulin doses, diet (including meal photos), energy expenditure, and other relevant conditions. Patients made significant errors in carbohydrate counting (in 56% of cooked and 44% of noncooked meals), which resulted in inadequate insulin doses. Subsequently, a mobile application was programmed to provide individualized advice on prandial insulin dose. When using the application, a patient chooses only the type of categorized situation (e.g., meals with other relevant data) without carbohydrates counting. The application significantly improved postprandial glycemia as normoglycemia was reached in 95/105 testing sessions. Other important findings of the study include: A high intake of saturated fat (median: 162% of recommended intake); a low intake of fiber and vitamin C (median: 42% and 37%, respectively, of recommended intake); an increase in overweight/obesity status (according to body fat measurement), especially in women (median of body fat: 30%); and low physical activity (in 16/35 patients). The proposed individualized approach without carbohydrate counting may help reach postprandial normoglycemia but it is necessary to pay attention to the lifestyle habits of T1D patients too.

【 授权许可】

Unknown