Assessment of dietary intake by self-report in adult patients with type 1 diabetes treated with a personal insulin pump
Katarzyna Zięba
Profil Orcid, Magdalena Płonka
Profil Orcid, Albert Wróbel
Profil Orcid, Tomasz Klupa
Profil Orcid et Bartłomiej Matejko
- Department of Metabolic Diseases, University Hospital in KrakowKrakow, Poland
- Jagiellonian University Medical CollegeKrakow, Poland
Profil Orcid 
Catégorie d'article: Original Study
Publié en ligne: 09 août 2022
Pages: 315 - 323
Reçu: 02 déc. 2021
Accepté: 07 avr. 2022
DOI: https://doi.org/10.2478/ahem-2022-0040
Mots clés
© 2022 Katarzyna Zięba et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Introduction
Appropriate nutrition is an element affecting the metabolic control of patients with diabetes. There are only a few studies assessing the implementation of dietary recommendations in adult patients with type 1 diabetes; none of them assessed the implementation of nutritional standards. Our study aimed to assess the implementation of dietary recommendations and their relation to metabolic control in adults with T1DM treated with personal insulin pumps.
Materials and Methods
The study included 48 adult patients who were divided into two subgroups and compared, based on HbA1c above and below 6.5%. Each patient's nutrient, vitamin, and mineral intake was assessed on self-reported 3-day 24-hour surveys of food consumption. Records were introduced into the dietetic software DietaPro, (source:
Results
The studied population was characterized by insufficient consumption of most nutrients and vitamins: sodium, potassium, calcium, magnesium, iron, zinc, copper, iodine, manganese, vitamin A, vitamin D, vitamin E, thiamine, riboflavin, niacin, vitamin B6, folate, vitamin B12, vitamin C. Patients’ diet did supply correct amounts of phosphorus, and too much fatty acid and cholesterol. There were no statistically significant differences in most of the nutrient intakes across the two groups. Nevertheless, we observed a significant difference in the polyunsaturated fatty acids, sodium, niacin, and calcium intakes.
Conclusions
The studied patients consumed too much saturated fatty acid and dietary cholesterol. The consumption amounts of most nutrients and vitamins were associated with the risk of deficiency. The obtained results indicate the need for further dietary education for patients with T1DM.