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Relationship between nutrition factors and glycemic control in children and adolescents with type 1 diabetes mellitus

OBJECTIVE: To identify nutritional factors that affected the glycemic control of the studied population. SUBJECTS AND METHODS: One hundred forty-six children and adolescents, aged 7 to 19 years, followed-up at the Division of Pediatric Endocrinology of the Hospital das Clínicas da Universidade Federal de Minas Gerais participated in the study.The diet of each participant was evaluated by means of a Quantitative Food Frequency Questionnaire, previously validated in a pilot-project. Glycemic control was assessed through the average of HbA1c results obtained six months prior to date of diet evaluation. RESULTS: Diets with high protein content, less saturated fats, and lower glycemic index (GI)/glycemic load (GL) had a positive effect on glycemic control. The consumption of sucrose and of free snacks provided by the school had a negative influence on glycemic control. CONCLUSION: The consumption of nutritionally adequate and low GI/GL diets favored glycemic control of the studied population.

Diabetes mellitus type 1; food consumption; diabetic diet; blood glucose


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