Intake of Three Major Nutrients, Body Weight, and Glycemic Control in Type I Diabetes

Shibasaki Chieri, Uchigata Yasuko, Takaike Hiroko, Tomonaga Osamu, Iwamoto Yasuhiko

doi:10.11213/tonyobyo.55.6

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Other Title

1型糖尿病患者における三大栄養素エネルギー比率と血糖コントロール
疫学 1型糖尿病患者における三大栄養素エネルギー比率と血糖コントロール
エキガク 1ガタトウニョウビョウカンジャニオケルサンダイエイヨウソエネルギーヒリツトケットウコントロール

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Abstract

A 1-week diet was administered to subjects with type 1 diabetes to clarify the relationship of total energy intake, the % intake of three major nutrients-lipids, carbohydrates, and proteins-insulin dosage, body weight, and hemoglobin (Hb)A1c level. Subjects numbered 120 and were between 20 and 49 years old. Their mean HbA1c was 6.9±0.8 %. No correlation was seen between total energy intake and HbA1c level. Subjects with a higher % lipid intake had a higher HbA1c level, and those with lower % carbohydrate intake had a higher HbA1c level. Data were subjected to stepwise multiple-regression analysis using the HbA1c level as a dependent variable and body mass index (BMI), insulin injection dosage, and % intake of the three major nutrients as independent variables. Results showed that HbA1c level correlated positively with insulin injection dosage (β=0.329, p<0.01) and negatively with % carbohydrate intake (β=-0.234, p<0.01). Better glycemic control may thus be achieved by diet therapy focusing on % intake of the three major nutrients, especially lipids and carbohydrates.<br>

Journal

Journal of the Japan Diabetes Society

Journal of the Japan Diabetes Society 55 (1), 6-11, 2012

THE JAPAN DIABETES SOCIETY

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