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An audit of diabetes control, dietary management and quality of life in adults with type 1 diabetes mellitus, and a comparison with nondiabetic subjects

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Abstract Objectives 

The study's objective was to audit current diet and disease management in a community-based sample of people with type 1 diabetes. Methods 

The study involved adults with type 1 diabetes and control subjects. Reported amounts of dietary intake were collected. Indices of diabetes control were determined by standard methods. Quality of life of both groups was assessed with appropriate measures. Results were compared between two groups. Results 

Mean HbA1c concentration was 8.5% (SD 2.21%) for women with diabetes and 8.6% (SD 1.91%) for men. There was no significant difference between the diabetic and control subjects in self-reported energy intake and macronutrient intake, with the exception that the contribution of saturated fatty acid to energy intake was higher in male controls than in male diabetics.

There was no association between dietary intakes and glycemic control in diabetic subjects. Anthropometric measurements, blood pressure and plasma lipids in patients were within normal range and not significantly different from the controls. Plasma fibrinogen concentration was higher in patients. Diabetic subjects did not have a diminished quality of life. Conclusions 

Dietary management in these patients was generally focused on controlling carbohydrate intake. Most had suboptimal diabetes control.

Keywords: diabetes management; diabetes mellitus type 1; dietary survey; quality of life

Document Type: Research Article


Affiliations: 1: Graduate School of Public Health, University of Wollongong, Wollongong, NSW, Australia 2: School of Nutrition and Food Technology, Shaheed Beheshti University of Medical Sciences, Tehran, Iran

Publication date: February 1, 2006


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