DM1, Effects of Carbo-Counting on Glycemic Control

Effectiveness of Carbohydrate Counting on Glycaemic Control in T1DM Patients

Carbohydrate counting is the most effective meal-planning strategy in type 1 diabetes (T1DM) to optimize insulin therapy. However, it may lead to weight gain and unhealthy eating habits. This study aims to compare glycemic control parameters, anthropometric measurements and dietary lifestyle in T1DM patients who practice CHO-counting, after attending a structured course to learn how to manage this tecnique, vs a control Group, in a follow up period of 2 years.

patients with type 1 DM will be enrolled in the study. patients in the intervention group will attend a 5-lessons training to learn how to manage insulin therapy depending on the amount of carbohydrates in their meals, patients in the control group will be follow according to the the standard care. after the follow up period glycometabolic, anthropometric parameters and dietary lifestyle changes will be compared between the two groups.

Inclusion Criteria:

• type 1 diabetes mellitus
• insulin therapy
• HbA1c from 5.5 to 10%

Exclusion Criteria:

• pregnancy
• celiac disease
• hepatic impairment
• chronic renal failure