Characteristics of carbohydrate counting practice associated with adequacy of glycated hemoglobin in adults with type 1 diabetes mellitus in Brazil

Frontiers in Endocrinology

Endocrinology

Juliana Carvalho da Costa¹  Lediane Nunes Camara¹  Carla Cristina Paiva Paracampo²  Gabriela Correia Uliana²  Daniela Lopes Gomes³ 

[1]Faculty of Nutrition, Federal University of Pará, Belém, Brazil

[2]Nucleus of Behavior Theory Research, Federal University of Pará, Belém, Brazil

[3]Nucleus of Behavior Theory Research, Federal University of Pará, Belém, Brazil

[4]Faculty of Nutrition, Federal University of Pará, Belém, Brazil

关键词: diabetes mellitus;    carbohydrates;    glycated hemoglobin;    treatment adherence;    adults;   

DOI  :  10.3389/fendo.2023.1215792

 received in 2023-05-02, accepted in 2023-08-22,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundThe Carbohydrate Counting (CC) is directly associated with achieving glycemic control by people with Type 1 Diabetes Mellitus (T1DM). Therefore, this study aims to analyze characteristics of the CC practice associated with the adequacy of glycated hemoglobin (HbA1c) in adults with T1DM in Brazil.MethodsThe study was cross-sectional, carried out using an online form with questions about knowledge of CC, clinical, anthropometric, sociodemographic data, follow-up with health professionals and understanding of the concepts of CC. Pearson’s chi-square test and binomial logistic regression analysis (p<0.05) were applied.Results173 adults participated, of which 57.2% had increased HbA1c (≥7%). Having the diabetes duration <10 years (p=0.006), performing the CC at lunch (p=0.040) and dinner (p=0.018), using specific applications to perform the CC (p=0.001), having learned to perform CC with a nutritionist (p=0.037) and knowing how to correctly define the concepts of food bolus (p=0.001), correction bolus (p<0.001) and insulin/carbohydrate ratio (p<0.001) was associated with having adequate HbA1c (<7%). Participants who were undergoing CC practice were 3.273 times more likely to have adequate HbA1c and participants with diabetes duration <10 years were 2.686 times more likely to have adequate HbA1c.ConclusionIt was concluded that variables transversal to CC favor adequate HbA1c values in adults with T1DM and that practicing CC and having a diabetes duration of less than 10 years are predictive factors of having adequate HbA1c.

【 授权许可】

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Copyright © 2023 Uliana, Camara, Paracampo, da Costa and Gomes