Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Pediatri, cilt.27, sa.2, ss.59-69, 2018 (Scopus)
Objective: Adequate and balanced nutrition of children and adolescents with Type 1 diabetes could reduce diabetes complications and help to achieve glycemic control. This study was conducted to determine the nutritional status of children and adolescents with Type 1 diabetes and to investigate the effects of nutrients on glycated hemoglobin (HbA1c) levels and other biochemical findings. Material and Methods: The research was designed to asses nutritional status of children and adolescents with type 1 diabetes and examine the effects on HbA1c levels. Fifty two children and adolescents (18 boys, 34 girls) have participated to this study. Length and weight of participants measured and then Body Mass Index (BMI) of children and adolescents was calculated. Children’s and adolescent’s demographic statuses, HbA1c levels, plasma lipids profiles was obtained and assessed by SPSS v20.0. Results: According to the BMI levels of 37.7% of children and adolescents, 25-75. in percentages. Children and adolescents were divided into 3 groups according to HbA1c levels; 7,5% and less is good glycemic control, the 7,5% to 9% is intermediate glycemic control, and 9% more than have poor glycemic control. 40,4% of children and adolescents have poor glycemic control. Children and adolescents’ AMDR (Acceptable Macronutrients Distribution Ranges) of macronutrients are 46% for carbohydrates, 17% for proteins, 37% for lipids. As for the other nutrients; 71,2% of the population take insufficient vitamin A, 86,5% of the population take insufficient vitamin E, 76,9% of the population take insufficient folate, 32% of the population take insufficient vitamin C, 100% of the population take insufficient potassium, 84,6% of the population take insufficient fiber. HbA1c levels of patients according to their energy, carbohydrate, protein and fat intake on average did not show a statistically significant difference. Conclusion: Dietary consumption of patients should be provided to have adequate and balanced nutrition for metabolic control. Metabolic control requires that nutrients and nutrients be taken at the recommended intake levels. The long-term inadequate intake of nutrients should not be missed and regular monitoring should be made to ensure adequate intake.