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Food consumption and metabolic control in children and adolescents with type 1 diabetes mellitus

OBJECTIVE: To evaluate the relationship between dietary intake and metabolic control in children and adolescents with type 1 diabetes mellitus (DM1). METHODS: Cross-sectional study with 11 children and 39 adolescents with DM1. The following variabes were collected: meals data (habits, three 24-hour recall - R24h), therapeutic (insulin) and biochemical data (index of glycated hemoglobin - inHbA, casual glucose - GLC, post-prandial glucose - GLPP, and lipid profile). Student's t-test and Pearson correlation were applied, being significant p<0.05. RESULTS: Among the studied subjects, consumption of food out of time was identified in 64% and consumption of sugary products in 6%. The parameters included in the lipid profile were adequate in 88% for serum total cholesterol (sCT), in 92% for LDL, in 100% of children and 69% of adolescents for TG and in 82% of children and 84.6% of adolescents for HDL. InHbA was adequate in 64% and GLPP in 18% of the studied population. There was a negative correlation between sCT and carbohydrate intake (r=-0.324; p=0.022) and a positive correlation with lipids intake (r=0.315; p=0.026). CONCLUSIONS: The increased consumption of lipids and the lower carbohydrate intake are correlated with higher levels of sCT.

adolescent; food consumption; child; diabetes mellitus; type 1; dyslipidemias; blood glucose


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