Title

Effect of varying glycemic index meals on blood glucose control assessed with continuous glucose monitoring in youth with type 1 diabetes on basal-bolus insulin regimens

UMMS Affiliation

Graduate School of Biomedical Sciences, Clinical and Population Health Research Program

Date

1-19-2008

Document Type

Article

Medical Subject Headings

Adolescent; Blood Glucose; Child; Diabetes Mellitus, Type 1; *Diabetic Diet; *Dietary Carbohydrates; Glycemic Index; Humans; Hypoglycemic Agents; Insulin; Monitoring, Ambulatory

Abstract

OBJECTIVE: The purpose of this study was to test the effect of high glycemic index (HGI) and low glycemic index (LGI) meals on blood glucose levels using continuous blood glucose monitoring in youths with type 1 diabetes.

RESEARCH DESIGN AND METHODS: A total of 20 youths on basal-bolus regimens consumed macronutrient-matched HGI and LGI meals 1 day each in a controlled setting in varying order following consumption of a standardized evening meal. Medtronic MiniMed Continuous Glucose Monitoring Systems were used to assess blood glucose (BG) profiles. RESULTS: Participants demonstrated significantly lower daytime mean BG, BG area >180 mg/dl, and high BG index when consuming LGI meals but no differences for daytime BG area <70 mg/dl, daytime low BG index, or any nighttime values. Significantly more BG values <80 mg/dl were treated on LGI days.

CONCLUSIONS: Findings indicate that consumption of an LGI diet may reduce glucose excursions, improving glycemic control.

Rights and Permissions

Citation: Diabetes Care. 2008 Apr;31(4):695-7. Epub 2008 Jan 17. Link to article on publisher's site

Related Resources

Link to Article in PubMed

PubMed ID

18202243