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Master Thesis

Analyse des variations des apports glucidiques des enfants et adolescents diabétiques pratiquant l’insulinothérapie fonctionnelle

Abstract : Aim:Carbohydrate counting (CC) is a diabetes management technique based on the counting of carbohydrates. It allows diabetic patients to vary their amount of carbohydrate from one meal to another by adjusting their insulin dose. There is no study of how children and adolescents with diabetes use this possibility. The main objective of this study was to determine the variation in carbohydrate intake in children practicing CC.
Methods:It was a monocentric prospective study conducted between Novembre 2014 and June 2016. We collected the amount of carbohydrates ingested at each meal in 77 children over a 28 days period. We analyzed the number and percentage of significant carbohydrate variation rates from one day to the next, over the whole day as well as for each meal. The rate of carbohydrate variation was considered significant if it was greater than or equal to 30%. We also analyzed these two variables according to several parameters.
Results: Over 28 days, the mean percentage of significant carbohydrate variation rate was 30% at the daily level, 34% at breakfasts, 44% at lunches and dinners and 53% at snacks. The percentage of significant carbohydrate variation rates was different according to the age, treatment and occurrence of events. This percentage did not differ according to body mass index, HbA1c or daily insulin doses. The daily carbohydrate distribution of our population was close to the French recommendations.
Conclusion: About one third of children varied their amount of carbohydrate significantly from one meal to another. The CC offers flexibility and a better quality of life for patients using this method. CC seems particularly relevant in pediatric population.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02326644
Contributor : Bibliothèque Universitaire de Médecine Nice <>
Submitted on : Tuesday, October 22, 2019 - 3:31:04 PM
Last modification on : Wednesday, October 14, 2020 - 4:23:01 AM

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Élise Robart. Analyse des variations des apports glucidiques des enfants et adolescents diabétiques pratiquant l’insulinothérapie fonctionnelle. Médecine humaine et pathologie. 2018. ⟨dumas-02326644⟩

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