Carbohydrate Counting Works Regardless of Amount of Carbohydrate Eaten
In the May 5, 1999 issue of Diabetes Care, researchers from Canada published results of a study designed to evaluate the effects of high and low carbohydrate meals on the insulin requirements of nine patients with Type 1 diabetes. The patients used Ultralente as a basal insulin, and Regular insulin before each meal based on the carbohydrate content of the meal.
During the study, patients were randomized into a high-carbohydrate meal plan or low-carbohydrate meal plan, then switched after 14 days. Patients also kept a detailed diary for three days of all food consumed.
The results of the study indicate that, for patients with Type 1 diabetes,
- The amount of carbohydrates eaten doesn't influence control as long as premeal Regular insulin is adjusted accordingly;
- Algorithms based on determining the number of units of insulin per 10 g of carbohydrate consumed are effective and sage, regardless of the amount of carbohydrates consumed;
- Glycemic index, fiber content, and lipid content do not affect premeal insulin requirements;
- Basal insulin is unaffected by carbohydrates consumed; and
- The Ultralente-Regular regimen allows premeal and basal insulin rates to be adjusted independently.
[Diabetes Care 22:667-673,1999]
Posted April 16, 1999
|Return to the Top of This Page|
Last Updated: (none)
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.