Dietary strategies to manage diabetes and glycemic control in youth and young adults with youth-onset type 1 and type 2 diabetes: The SEARCH for diabetes in youth study.

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  • Additional Information
    • Corporate Authors:
      SEARCH for Diabetes in Youth Study Group
    • Source:
      Publisher: Munksgaard Country of Publication: Denmark NLM ID: 100939345 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-5448 (Electronic) Linking ISSN: 1399543X NLM ISO Abbreviation: Pediatr Diabetes Subsets: MEDLINE
    • Publication Information:
      Original Publication: Copenhagen : Munksgaard, c2000-
    • Subject Terms:
      Diet* ; Glycemic Control*; Diabetes Mellitus, Type 1/*therapy ; Diabetes Mellitus, Type 2/*therapy; Adolescent ; Age Factors ; Blood Glucose ; Child ; Diabetes Mellitus, Type 1/blood ; Diabetes Mellitus, Type 2/blood ; Feeding Behavior ; Glycated Hemoglobin/metabolism ; Humans ; Self Report ; Time Factors ; United States ; Young Adult
    • Abstract:
      Aims: Examine associations of dietary strategies used to manage diabetes over time with hemoglobin A1c in youth-onset type 1 or type 2 diabetes.
      Methods: The SEARCH for Diabetes in Youth observational study assessed dietary strategies used by 1814 participants with diabetes (n = 1558 type 1, n = 256 type 2) at two to three research visits over 5.5 years (range 1.7-12.2). Participants reported often, sometimes, or never using 10 different dietary strategies, and use over time was categorized into five mutually exclusive groups: often using across visits; started using at later visits; sometimes using across visits; stopped using at later visits; or never using across visits. General multivariable linear models evaluated most recent A1c by use category for each strategy.
      Results: In type 1 diabetes, A1c was lower among those who starting tracking calories (-0.4%, Tukey P < .05), often counted carbs (-0.8%, Tukey P < .001), or sometimes chose low glycemic index foods (-0.5%, Tukey P = .02) vs those with less use, while participants who never drank more milk had the lowest A1c (-0.5%, Tukey P = .04). In type 2 diabetes, A1c was lower among those who often limited high fat foods (-2.0%, Tukey P = .02) or started counting carbohydrates (-1.7%, Tukey P = .07) than those who did so less.
      Conclusions: For several dietary strategies, more frequent use over time was related to lower A1c in youth-onset type 1 and type 2 diabetes, suggesting these strategies can likely support diabetes management for this population. Investigation into factors predicting receipt of advice for specific strategies and corresponding impact on intake might be considered.
      (© 2020 John Wiley & Sons A/S . Published by John Wiley & Sons Ltd.)
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    • Grant Information:
      U18 DP002710 United States DP NCCDPHP CDC HHS; U18 DP006134 United States DP NCCDPHP CDC HHS; U18 DP006138 United States DP NCCDPHP CDC HHS; U18DP006138 United States ACL ACL HHS; UL1 TR000154 United States TR NCATS NIH HHS; UL1 RR033184 United States RR NCRR NIH HHS; U18 DP002714 United States DP NCCDPHP CDC HHS; U01 DP000248 United States DP NCCDPHP CDC HHS; U01 DP000244 United States DP NCCDPHP CDC HHS; UL1 TR000062 United States TR NCATS NIH HHS; U18DP006134 United States ACL ACL HHS; U18DP006131 United States ACL ACL HHS; P30 DK056350 United States DK NIDDK NIH HHS; 1UC4DK108173 United States DK NIDDK NIH HHS; P30 DK057516 United States DK NIDDK NIH HHS; HIR 10-001 United States HX HSRD VA; U18DP006139 United States ACL ACL HHS; UC4 DK108173 United States DK NIDDK NIH HHS; U01 DP000247 United States DP NCCDPHP CDC HHS; U18 DP006131 United States DP NCCDPHP CDC HHS; U18 DP006136 United States DP NCCDPHP CDC HHS; U18 DP002709 United States DP NCCDPHP CDC HHS; U18 DP006133 United States DP NCCDPHP CDC HHS; UL1 TR002014 United States TR NCATS NIH HHS; UL1 TR001425 United States TR NCATS NIH HHS; U18 DP006139 United States DP NCCDPHP CDC HHS; UL1 TR000077 United States TR NCATS NIH HHS; R01 DK127208 United States DK NIDDK NIH HHS; UL1 TR000423 United States TR NCATS NIH HHS; U18DP006136 United States ACL ACL HHS; U01 DP000250 United States DP NCCDPHP CDC HHS; U01 DP000246 United States DP NCCDPHP CDC HHS; U01 DP000254 United States DP NCCDPHP CDC HHS; U18DP006133 United States ACL ACL HHS; U18 DP002708 United States DP NCCDPHP CDC HHS
    • Contributed Indexing:
      Keywords: diet; hemoglobin A1c; youth-onset diabetes
    • Accession Number:
      0 (Blood Glucose)
      0 (Glycated Hemoglobin A)
    • Publication Date:
      Date Created: 20200802 Date Completed: 20211118 Latest Revision: 20240615
    • Publication Date:
      20240615
    • Accession Number:
      PMC7855046
    • Accession Number:
      10.1111/pedi.13091
    • Accession Number:
      32737919