Usefulness of Carbohydrate Counting in Japanese Children with Type 1 Diabetes Mellitus

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  • Hirose Masakazu
    Department of Pediatrics, Osaka City University Graduate School of Medicine

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  • 日本人小児1型糖尿病患者におけるカーボカウント法の有用性の検討
  • ニホンジン ショウニ 1ガタ トウニョウビョウ カンジャ ニ オケル カーボ カウントホウ ノ ユウヨウセイ ノ ケントウ

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In Japan, carbohydrate counting (CC) is not a popular dietary practice among those with type 1 diabetes (T1D). We evaluated CC among those with Japanese T1D. 1) In 31 T1D, noncarbohydrate food did not induce a rise in blood glucose over a 3-hour period. 2) In 25 T1D, a preprandial bolus dose of insulin, calculated based on CC, successfully controlled postprandial blood glucose levels. 3) We determined the insulin/carbohydrate ratio from data on 34 T1D attending a summer camp. The ratio was higher than that calculated by the 500 rule. 4) Among adolescent and young adult T1D, we compared 14 patients using CC daily and 14 controls not using CC who were matched for age, gender, and treatment. No significant difference was seen in HbA1c and BMI between the two groups. 5) We compared 13 T1D who took an educational program on CC only with 17 patients with food exchange only at disease onset. No significant differences was seen in HbA1c and BMI between the two groups at 6, 9, and 12 months after onset. We concluded that carbohydrate counting is useful in Japanese patients with type 1 diabetes, and that it does not induce adverse effects on diabetes control or obesity.

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