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Background <p>Carbohydrate counting is a vital meal-planning approach to manage patients with Type 1 Diabetes Mellitus (T1DM) treated with a basal-bolus insulin regimen. This method involves identifying the amount of carbohydrates in meals and its impact on blood sugar levels in T1DM patients. Objective&#xa0;To assess the impact of carbohydrate counting and a standard diabetic diet on the glycemic control of children and adolescents with T1DM.Please provide objective separately after&#xa0;the background.</p> Objective <p>To assess the impact of carbohydrate counting and a standard diabetic diet on the glycemic control of children and adolescents with T1DM.</p> Methods <p>A Randomized Controlled Trial was conducted with 100 subjects (CG <i>n</i> = 50, IG <i>n</i> = 50) aged 6 to 18&#xa0;years. The control group followed a standard diet pattern, while the intervention group adopted the carbohydrate-counting method for six months. Anthropometric measurements, biochemical profiles (FBS and PPBS, HbA1c), and daily insulin requirements were recorded at baseline and after the intervention for both groups. Descriptive statistics and parametric tests were utilized for data analysis and interpretation.</p> Results <p>The demographic variables of both groups exhibited similar distributions. The intervention group demonstrated a significant reduction in mean HbA1c levels [Baseline-(10.6 ± 3.0), end of 6&#xa0;months- (8.4 ± 1.5), <i>P</i> &lt; 0.00001] compared to the control group. Mean values of bolus insulin were lower in the intervention group, whereas in the control group, it remained the same. While both groups exhibited decreasing trends in mean FBS and PPBS levels, the intervention group showed a more pronounced reduction; however, statistical significance was not achieved.</p> Conclusion <p>The intervention group showed a significant improvement in HbA1c levels, indicating improved glycemic control. These findings highlight the importance of individualised nutrition therapy in managing Type 1 diabetes in paediatric populations.</p>

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Evaluating the effect of carbohydrate counting method and standard diabetic diet on glycemic control of children and adolescents with Type 1 Diabetes Mellitus: A randomized controlled trial

  • 期刊论文

  • 发表日期：

    2026年5月1日

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  • Ayesha T. Pendhari,
  • Sudha Reddy V. R.,
  • Ganapathi Bantwal,
  • K. M. Prasanna Kumar,
  • Sanjay Reddy,
  • Subramanian Kannan,
  • Madhavi M. Reddy

摘要

Background

Carbohydrate counting is a vital meal-planning approach to manage patients with Type 1 Diabetes Mellitus (T1DM) treated with a basal-bolus insulin regimen. This method involves identifying the amount of carbohydrates in meals and its impact on blood sugar levels in T1DM patients. Objective To assess the impact of carbohydrate counting and a standard diabetic diet on the glycemic control of children and adolescents with T1DM.Please provide objective separately after the background.

Objective

To assess the impact of carbohydrate counting and a standard diabetic diet on the glycemic control of children and adolescents with T1DM.

Methods

A Randomized Controlled Trial was conducted with 100 subjects (CG n = 50, IG n = 50) aged 6 to 18 years. The control group followed a standard diet pattern, while the intervention group adopted the carbohydrate-counting method for six months. Anthropometric measurements, biochemical profiles (FBS and PPBS, HbA1c), and daily insulin requirements were recorded at baseline and after the intervention for both groups. Descriptive statistics and parametric tests were utilized for data analysis and interpretation.

Results

The demographic variables of both groups exhibited similar distributions. The intervention group demonstrated a significant reduction in mean HbA1c levels [Baseline-(10.6 ± 3.0), end of 6 months- (8.4 ± 1.5), P < 0.00001] compared to the control group. Mean values of bolus insulin were lower in the intervention group, whereas in the control group, it remained the same. While both groups exhibited decreasing trends in mean FBS and PPBS levels, the intervention group showed a more pronounced reduction; however, statistical significance was not achieved.

Conclusion

The intervention group showed a significant improvement in HbA1c levels, indicating improved glycemic control. These findings highlight the importance of individualised nutrition therapy in managing Type 1 diabetes in paediatric populations.