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Does minimed 780GTM insulin pump system affect energy and nutrient intake?: long-term follow-up study.
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- Author(s): Atik-Altinok, Yasemin (AUTHOR); Mansuroglu, Yelda (AUTHOR); Demir, Gunay (AUTHOR); Balki, Hanife Gul (AUTHOR); Ozen, Samim (AUTHOR); Darcan, Sukran (AUTHOR); Goksen, Damla (AUTHOR)
- Source:
European Journal of Clinical Nutrition. Jul2024, Vol. 78 Issue 7, p615-621. 7p. - Source:
- Additional Information
- Subject Terms: TYPE 1 diabetes; STATISTICAL correlation; FOOD consumption; GLYCOSYLATED hemoglobin; GLYCEMIC control; CLINICAL trials; INSULIN pumps; NUTRITIONAL requirements; INSULIN; EVALUATION of medical care; DESCRIPTIVE statistics; DIETARY fats; LONGITUDINAL method; PRE-tests & post-tests; DIETARY fiber; AUTOMATION; FOOD diaries; DIETARY carbohydrates; DIETARY proteins; COMPARATIVE studies; SATURATED fatty acids; ADOLESCENCE; CHILDREN; ADULTS
- Subject Terms:
- Abstract: Objective: We evaluate the energy and nutrient intake of children, adolescents, and young adults with type 1 diabetes (T1D) who started to use automated insulin delivery (AID) systems before the transition and during follow-up for 6 months in a real-world setting. Research design and methods: Twenty-nine people with T1D (PwD) who started to use MiniMed 780GTM participated in the study. Participants' 3-day food diaries and glycemic outcomes were analyzed at baseline and after (the 3rd and 6th month) switching to an advanced hybrid closed-loop system (a-HCL). Results: Mean carbohydrate, protein, and fat intake (energy %) at baseline were 49.1 ± 4.5, 17.8 ± 2.3, and 33.0 ± 3.9, respectively, and there were no statistically significant differences during the follow-up period. However, low fiber (<14 g/1000 kcal) and high saturated fat (>10 energy %) intake in PwD, both baseline and follow-up period. The median auto-correction bolus ratio was 14.0 (9.5)% at auto mode after 14 days, 18.0 (11.0)% at the 3rd month, and 19.0 (7.5)% at the 6th month (p < 0.05). A negative correlation was present between auto-correction boluses with TIR in both the 3rd (r:-0.747, p < 0.01) and 6th month (r:-0.395, p < 0.05). A negative correlation was present between auto-correction boluses with TIR in both the 3rd (r:-0.747, p < 0.01) and 6th month (r:-0.395, p < 0.05). Conclusions: a-HCLS systems offer better glycemic control. Using the Minimed 780 GTM insulin pump system didn't change the energy and nutrient intake of PwD. This real-world follow-up study suggests that children, adolescents, and young adults with T1D consume saturated fat above and fiber intake lower than recommendations independent of the use of a-HCLS. Clinical trials registration number: NCT05666596. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of European Journal of Clinical Nutrition is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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