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Assessment of dietary intake by self-report in adult patients with type 1 diabetes treated with a personal insulin pump Cover

Assessment of dietary intake by self-report in adult patients with type 1 diabetes treated with a personal insulin pump

Open Access
|Aug 2022

Figures & Tables

Consumption of various nutrients in two groups of patients (with optimal and above-optimal metabolic control)

VariableWhole group (N=48)Mean ± SD / Median [Q1–Q3]HbA1<6.5% (N=20)Mean ± SD / Median [Q1–Q3]HbA1≥6.5% (N=28)Mean ± SD / Median [Q1–Q3]p-value
Sodium [mg/day]2081.5 [1554.1–2732.2]1899.1 [1469.7–2316.1]2331.2 [1743.3–3123.0]0.046
Potassium [mg/day]2833.8 ± 903.32636.5 ± 961.02974.7 ± 849.10.204
Calcium [mg/day]780.5 ± 345.5661.9 ± 289.3865.1 ± 362.10.043
Phosphorus [mg/day]1387.1 [984.7–1577.8]1087.3 [902.9–1518.6]1491.5 [1007.6–1754.1]0.140
Magnesium [mg/day]295.2 ± 97.7278.1 ± 102.6307.3 ± 94.00.312
Iron [mg/day]10.5 [8.2–12.9]9.5 [8.2–12.0]11.5 [8.2–14.6]0.221
Zinc [mg/day]9.9 [7.6–11.7]9.0 [7.2–11.3]10.0 [7.6–13.1]0.291
Copper [mg/day]1.1 [0.8–1.6]1.0 [0.7–1.4]1.3 [0.9–1.6]0.158
Iodine [μg/day]31.9 ± 16.025.1 [18.8–40.1]34.1 [21.1–46.1]0.281
Manganese [mg/day]4.0 ± 1.84.0 ± 1.64.1 ± 2.00.857
Vitamin A [μg/day]752.8 [502.7–1156.2]806.4 [566.2–912.3]691.6 [426.9–1224.2]0.843
Retinol [μg/day]356.5 [239.7–528.0]352.0 [276.7–539.9]361.4 [214.4–510.5]0.524
ß-Carotene [μg/day]1840.5 [1012.8–3629.2]1840.5 [925.2–3140.7]1839.0 [1136.7–4186.6]0.579
Vitamin D [μg/day]1.7 [1.0–2.5]1.9 [1.0–2.5]1.4 [1.0–2.4]0.369
Vitamin E [mg/day]8.4 [5.5–12.6]7.2 [4.8–9.6]9.6 [6.0–13.8]0.119
Thiamine [mg/day]1.0 [0.8–1.4]1.0 [0.8–1.2]1.1 [0.9–1.5]0.171
Riboflavin [mg/day]1.6 [1.2–2.0]1.3 [1.2–1.9]1.7 [1.4–2.0]0.124
Niacin [mg/day]17.7 [14.2–25.0]15.3 [12.6–19.1]21.9 [15.6–30.4]0.023
Vitamin B6 [mg/day]1.6 [1.3–2.2]1.5 [1.1–2.2]1.7 [1.4–2.3]0.268
Folate [μg/day]268.8 [204.5–370.1]283.5 ± 112.4306.6 ± 128.30.521
Vitamin B12 [μg/day]3.3 [2.2–4.7]2.6 [1.9–3.8]3.8 [2.8–5.1]0.058
Vitamin C [mg/day]78.0 [48.8–145.8]78.5 [49.3–146.3]75.3 [48.3–145.8]0.762

Percentage of patients with nutrient consumption below EAR/AI

VariableWhole group (N=48)% below EAR/AIHbA1<6,5% (N=20)% below EAR/AIHbA1≥6,5% (N=28)% below EAR/AITest Chi2 PersonaP-value
Sodium intake in regard to AI [%]20.830.014.3.186
Potassium intake in regard to AI [%]75.080.071.4.499
Calcium intake in regard to EAR [%]54.260.050.0.493
Phosphorus intake in regard to EAR [%]0.00.00.01.000
Magnesium intake in regard to EAR [%]58.365.053.6.428
Iron intake in regard to EAR [%]14.615.014.3.944
Zinc intake in regard to EAR [%]29.235.025.0.452
Copper intake in regard to EAR [%]12.520.07.1.184
Iodine intake in regard to EAR [%]100.0100.0100.01.000
Manganese intake in regard to AI [%]10.415.07.1.380
Vitamin A intake in regard to EAR [%]39.630.046.4.251
Vitamin D intake in regard to AI [%]100.0100.0100.01.000
Vitamin E intake in regard to AI [%]58.370.050.0.166
Thiamine intake in regard to EAR [%]52.165.042.9.130
Riboflavin intake in regard to EAR [%]14.620.010.7.369
Niacin intake in regard to EAR [%]14.620.010.7.369
Vitamin B6 intake in regard to EAR [%]14.620.010.7.369
Folate intake in regard to EAR [%]62.570.057.1.364
Vitamin B12 intake in regard to EAR [%]22.930.017.9.324
Vitamin C intake in regard to EAR [%]45.840.050.0.493

Participants’ characteristics

VariableWhole group (N=48)HbA1<6.5% (N=20)Mean ± SD / Median [Q1–Q3]/nHbA1≥ 6.5% (N=28)Mean ± SD / Median [Q1–Q3]/np-value
Sex, female/male; n15/33, 487/138/20-
Age [year]25.6 [22.2–28.3]23.0 [26.0–29.4]21.1 [24.7–28.2]0.254
BMI [kg/m2]23.7 ± 3.022.7 ± 2.425.6 ± 6.20.037
Height [cm]175.0 ± 9.5174.5 ± 9.8175.4 ± 9.60.738
Weight [kg]73.1 ± 13.369.3 ± 11.475.8 ± 14.10.098
Duration of type 1 diabetes [year]13.2 ± 6.415.0 ± 6.611.9 ± 6.00.098
Time on continuous subcutaneous insulin infusion (CSII) [year]7.5 ± 4.14.5 [8.0–11.0]4.0 [6.0–10.0]0.391

Calorie sources in two groups of patients (with optimal and above-optimal metabolic control)

VariableWhole group (N=48)Mean ± SD / Median [Q1–Q3]HbA1<6,5% (N=20)Mean ± SD / Median [Q1–Q3]HbA1≥6,5% (N=28)Mean ± SD / Median [Q1–Q3]p-value
Total energy per day [kcal]2011.8 ± 684.01819.0 ± 506.72149.6 ± 765.90.099
Protein [kcal]338.4 ± 128.3248.8 [289.8–335.1]270.7 [359.0–442.0]0.081
Carbohydrate [kcal]1006.5 ± 310.7937.7 ± 223.91055.70 ± 356.00.198
Fat [kcal]635.7 [468.0–902.5]604.1 ± 223.1750.1 ± 382.60.132
Saturated fat (SFA) [kcal]263.7 ± 115.7251.8 ± 105.4272.1 ± 123.70.555
Monounsaturated fatty acids (MUFA) [kcal]213.2 [162.2–342.5]189.7 [163.7–267.7]234.5 [162.2–354.5]0.397
Polyunsaturated fatty acids (PUFA) [kcal]85.7 [58.0–114.0]67.2 [51.3–94.9]96.5 [70.0–147.3]0.029
Percentage of calories from protein [%]16.1 [14.2–19.1]17.7 [13.2–19.1]15.7 [14.3–19.4]0.778
Percentage of calories from carbohydrates [%]51.1 ± 7.052.3 ± 5.050.2 ± 8.20.322
Percentage of calories from fat [%]33.2 ± 7.232.7 ± 5.633.5 ± 8.20.691
Percentage of calories from SFA [%]13.0±3.613.6 ± 3.912.5 ± 3.40.290
Percentage of calories from MUFA [%]11.7 [10.0–14.2]11.2 [10.7–13.8]12.1 [9.2–14.3]0.875
Percentage of calories from PUFA [%]4.7 ± 1.73.9 [3.4–4.7]4.9 [4.0–6.2]0.037
Total carbohydrates [g/day]251.6 ± 77.7234.4 ± 56.0263.9 ± 89.00.198
Digestible carbohydrates [g/day]223.9 ± 72.9211.5 ± 51.2232.8 ± 85.00.324
Starch [g/day]128.4 ± 49.2135.0 [101.4–154.7]122.1 [85.4–158.3]0.810
Fiber [g/day]18.1 [14.1–24.9]19.1 ± 7.319.90 ± 7,350.716
Total protein [g/day]84.6 ± 32.172.5 [62.2–83.8]89.8 [67.7–110.5]0.081
Animal protein [g/day]42.3 [28.2–55.2]35.0 [28.2–54.2]44.0 [32.1–55.2]0.510
Plant protein [g/day]24.8 ± 8.224.5 ± 7.324.9 ± 8.90.857
Fat [g/day]70.6 [52.0–100.3]67.1 ± 24.883.4 ± 42.50.132
SFA [mg/day]29.3 ± 12.928.0 ± 11.730.2 ± 13.80.555
MUFA [mg/day]23.7 [18.0–38.1]21.1 [18.2–29.8]26.1 [18.0–39.4]0.397
PUFA [mg/day]9.5 [6.4–12.7]7.5 [5.7–10.5]7.8 [10.7–16.4]0.029
Cholesterol [mg/day]287.6 [228.0–395.4]263.9 [221.1–427.6]307.9 [235.8–378.0]0.975
Language: English
Page range: 315 - 323
Submitted on: Dec 2, 2021
Accepted on: Apr 7, 2022
Published on: Aug 9, 2022
Published by: Hirszfeld Institute of Immunology and Experimental Therapy
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Katarzyna Zięba, Magdalena Płonka, Albert Wróbel, Tomasz Klupa, Bartłomiej Matejko, published by Hirszfeld Institute of Immunology and Experimental Therapy
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.