MEDLINE Journals

    Insulin therapy and carbohydrate counting.

    Authors

    Chiesa G, Piscopo MA, Rigamonti A, et al. 

    Institution

    Department of Pediatrics, Endocrine Unit, Scientific Institute Hospital San Raffaele, Vita-Salute University, Milan, Italy.

    Source

    Acta Biomed 2005.:44-8.

    Abstract

    Nutritional management is one of the cornerstones of diabetes care. Many studies have been performed on the correlation between nature and amount of carbohydrate in meal intake and insulin delivery by artificial pancreas in Type 1 diabetic patients. In fact consistency in the amount and source of carbohydrate intake from day to day is associated with improved blood glucose control in people with Type 1 diabetes. Many methods of counting carbohydrate have been used and many are still commonly used in paediatric practice (exchange, portion/serving, grams, glycemic index, carbohydrate/insulin ratio). Carbohydrate counting is a meal planning approach with patients with Type 1 diabetes mellitus that focuses on carbohydrate as the primary nutrient affecting postprandial glycemic response. The aim of this paper is to review published data on the significance of carbohydrate counting on meeting outcome goals and allowing flexibility in food choices.

    Mesh

    Blood Glucose
    Combined Modality Therapy
    Diabetes Mellitus, Type 1
    Dietary Carbohydrates
    Dose-Response Relationship, Drug
    Glycemic Index
    Humans
    Insulin
    Pancreas, Artificial
    Postprandial Period
    Practice Guidelines as Topic
    Societies, Medical
    Time Factors

    Language

    eng

    Pub Type(s)

    Journal Article

    PubMed ID

    16915796

    Content Manager
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