The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes

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Standard

The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes. / Asbjörnsdóttir, Björg; Akueson, Cecelia E.; Ronneby, Helle; Rytter, Ane; Andersen, Jens Rikardt; Damm, Peter; Mathiesen, Elisabeth.

I: Diabetes Research and Clinical Practice, Bind 127, 2017, s. 97-104.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Asbjörnsdóttir, B, Akueson, CE, Ronneby, H, Rytter, A, Andersen, JR, Damm, P & Mathiesen, E 2017, 'The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes', Diabetes Research and Clinical Practice, bind 127, s. 97-104. https://doi.org/10.1016/j.diabres.2016.12.012

APA

Asbjörnsdóttir, B., Akueson, C. E., Ronneby, H., Rytter, A., Andersen, J. R., Damm, P., & Mathiesen, E. (2017). The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes. Diabetes Research and Clinical Practice, 127, 97-104. https://doi.org/10.1016/j.diabres.2016.12.012

Vancouver

Asbjörnsdóttir B, Akueson CE, Ronneby H, Rytter A, Andersen JR, Damm P o.a. The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes. Diabetes Research and Clinical Practice. 2017;127:97-104. https://doi.org/10.1016/j.diabres.2016.12.012

Author

Asbjörnsdóttir, Björg ; Akueson, Cecelia E. ; Ronneby, Helle ; Rytter, Ane ; Andersen, Jens Rikardt ; Damm, Peter ; Mathiesen, Elisabeth. / The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes. I: Diabetes Research and Clinical Practice. 2017 ; Bind 127. s. 97-104.

Bibtex

@article{76b283c138384e8fb192486ad1631fa4,
title = "The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes",
abstract = "Aims To study the influence of the quantity and the quality of carbohydrate consumption on glycemic control in early pregnancy among women with type 1 diabetes. Methods A retrospective study of 107 women with type 1 diabetes who completed 1–3 days of diet recording before first antenatal visit, as a part of routine care. The total daily carbohydrate consumption from the major sources (e.g. bread, potatoes, rice, pasta, dairy products, fruits, candy) was calculated. A dietician estimated the overall glycemic index score (scale 0–7). Results At least two days of diet recording were available in 75% of the 107 women at mean 64 (SD ± 14) gestational days. The quantity of carbohydrate consumption from major sources was 180 (±51) g/day. HbA1c was positively associated with the quantity of carbohydrate consumption (β = 0.41; 95% CI 0.13–0.70, P = 0.005), corresponding to an increase of 0.4% in HbA1c per 100 g carbohydrates consumed daily, when adjusted for insulin dose/bodyweight and use of insulin pump treatment. The median (IQR) glycemic index score was 2 (0–3). An adjusted association between HbA1c and glycemic index score was not demonstrated. The women using carbohydrate counting daily (45%) had lower HbA1c compared to the remaining women (6.4 (±0.5) vs. 6.8 (±0.9)% (47 ± 6 vs. 51 ± 10 mmol/mol), P = 0.01). Conclusions HbA1c in early pregnancy was positively associated with the quantity of carbohydrate consumption regardless of insulin treatment. Carbohydrate counting is probably important for glycemic control in pregnant women with type 1 diabetes.",
keywords = "Carbohydrate counting, Carbohydrates, Glycemic control, Pregnancy, Type 1 diabetes",
author = "Bj{\"o}rg Asbj{\"o}rnsd{\'o}ttir and Akueson, {Cecelia E.} and Helle Ronneby and Ane Rytter and Andersen, {Jens Rikardt} and Peter Damm and Elisabeth Mathiesen",
note = "CURIS 2017 NEXS 173",
year = "2017",
doi = "10.1016/j.diabres.2016.12.012",
language = "English",
volume = "127",
pages = "97--104",
journal = "Diabetes Research and Clinical Practice",
issn = "0168-8227",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes

AU - Asbjörnsdóttir, Björg

AU - Akueson, Cecelia E.

AU - Ronneby, Helle

AU - Rytter, Ane

AU - Andersen, Jens Rikardt

AU - Damm, Peter

AU - Mathiesen, Elisabeth

N1 - CURIS 2017 NEXS 173

PY - 2017

Y1 - 2017

N2 - Aims To study the influence of the quantity and the quality of carbohydrate consumption on glycemic control in early pregnancy among women with type 1 diabetes. Methods A retrospective study of 107 women with type 1 diabetes who completed 1–3 days of diet recording before first antenatal visit, as a part of routine care. The total daily carbohydrate consumption from the major sources (e.g. bread, potatoes, rice, pasta, dairy products, fruits, candy) was calculated. A dietician estimated the overall glycemic index score (scale 0–7). Results At least two days of diet recording were available in 75% of the 107 women at mean 64 (SD ± 14) gestational days. The quantity of carbohydrate consumption from major sources was 180 (±51) g/day. HbA1c was positively associated with the quantity of carbohydrate consumption (β = 0.41; 95% CI 0.13–0.70, P = 0.005), corresponding to an increase of 0.4% in HbA1c per 100 g carbohydrates consumed daily, when adjusted for insulin dose/bodyweight and use of insulin pump treatment. The median (IQR) glycemic index score was 2 (0–3). An adjusted association between HbA1c and glycemic index score was not demonstrated. The women using carbohydrate counting daily (45%) had lower HbA1c compared to the remaining women (6.4 (±0.5) vs. 6.8 (±0.9)% (47 ± 6 vs. 51 ± 10 mmol/mol), P = 0.01). Conclusions HbA1c in early pregnancy was positively associated with the quantity of carbohydrate consumption regardless of insulin treatment. Carbohydrate counting is probably important for glycemic control in pregnant women with type 1 diabetes.

AB - Aims To study the influence of the quantity and the quality of carbohydrate consumption on glycemic control in early pregnancy among women with type 1 diabetes. Methods A retrospective study of 107 women with type 1 diabetes who completed 1–3 days of diet recording before first antenatal visit, as a part of routine care. The total daily carbohydrate consumption from the major sources (e.g. bread, potatoes, rice, pasta, dairy products, fruits, candy) was calculated. A dietician estimated the overall glycemic index score (scale 0–7). Results At least two days of diet recording were available in 75% of the 107 women at mean 64 (SD ± 14) gestational days. The quantity of carbohydrate consumption from major sources was 180 (±51) g/day. HbA1c was positively associated with the quantity of carbohydrate consumption (β = 0.41; 95% CI 0.13–0.70, P = 0.005), corresponding to an increase of 0.4% in HbA1c per 100 g carbohydrates consumed daily, when adjusted for insulin dose/bodyweight and use of insulin pump treatment. The median (IQR) glycemic index score was 2 (0–3). An adjusted association between HbA1c and glycemic index score was not demonstrated. The women using carbohydrate counting daily (45%) had lower HbA1c compared to the remaining women (6.4 (±0.5) vs. 6.8 (±0.9)% (47 ± 6 vs. 51 ± 10 mmol/mol), P = 0.01). Conclusions HbA1c in early pregnancy was positively associated with the quantity of carbohydrate consumption regardless of insulin treatment. Carbohydrate counting is probably important for glycemic control in pregnant women with type 1 diabetes.

KW - Carbohydrate counting

KW - Carbohydrates

KW - Glycemic control

KW - Pregnancy

KW - Type 1 diabetes

U2 - 10.1016/j.diabres.2016.12.012

DO - 10.1016/j.diabres.2016.12.012

M3 - Journal article

C2 - 28340360

AN - SCOPUS:85015821416

VL - 127

SP - 97

EP - 104

JO - Diabetes Research and Clinical Practice

JF - Diabetes Research and Clinical Practice

SN - 0168-8227

ER -

ID: 179560787