[Do Type-I diabetics eat a diet in accordance with recommendations?].
The nutritional habits regarding intake of calories, carbohydrates, fat and protein of 25 nonobese type-I diabetic subjects were compared with the recommendations given at onset of diabetes by a dietician and with the official recommendations of the American Diabetes Association. Food questionnaires indicated that the subjects currently ate 39% more calories than originally recommended by the dietician. The carbohydrate part of total energy was 4 +/- 7% and thereby lower than recommended by the dietician and officially by the professional society (55%). Fat consumption was 38 +/- 7% of total energy and therefore higher than recommended (30%). 17.2% of total energy was fat with saturated fatty acids (recommendation: maximum 8 to 10%). Protein consumption was 1.25 +/- 0.35 g/kg BW/d and thereby above the recommended amounts (0.8 g/kg BW/d). Thus, dietary counseling of type-I diabetic subjects at disease onset is frequently hypocaloric, probably because of lack of appetite. Patients show a tendency to add fat and protein calories thereafter, instead of increasing carbohydrate intake. Dietary habits of type I diabetic subjects should therefore be re-evaluated periodically by a dietician and adjusted to the individual requirements and to the official guidelines.
Renggli
K
K
Abteilung für Endokrinologie und Stoffwechsel, Kantonsspital Basel.
Keller
U
U
D000328:Adult; D003376:Counseling; D003922:Diabetes Mellitus, Type 1 / Q000178:diet therapy* / Q000523:psychology; D004041:Dietary Fats; D002149:Energy Intake; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic
D004041:Dietary Fats
Ernähren sich Typ-I-Diabetiker entsprechend den Empfehlungen?