Are the nutritional recommendations for insulin-dependent diabetic patients being achieved?
Dietary intake was assessed, using a 3-day recorded food diary, in 122 patients with insulin-dependent diabetes. Subjects were selected randomly from patients attending a diabetic clinic and stratified for age, sex, and duration of diabetes. The findings were compared to the dietary recommendations of the European Association for the Study of Diabetes (EASD) and to the findings in a recent Irish National Nutrition Survey. The average daily protein intake among diabetic patients was 18% of the total calories, significantly higher than recommended by EASD and significantly higher than in the age-matched general population. Dietary fat intake was on average 37% of total calorie intake, again significantly higher than recommended and greater than in the general population among older patients. Saturated fat intake was higher than recommended and polyunsaturated fat intake was low. The average carbohydrate intake was 42% of total calories, significantly lower than recommended and similar to that in the general population. Sugar intake was lower and starch intake was higher among patients than in the general population, however. Fibre intake was also lower than recommended, but was higher than in the general population. We conclude that the present dietary targets for diabetic patients are not being fully achieved.
Humphreys
M
M
Department of Nutrition and Dietetics, Regional Hospital, Cork, Ireland.
Cronin
C C
CC
Barry
D G
DG
Ferriss
J B
JB
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000428:Alcohol Drinking; D003922:Diabetes Mellitus, Type 1 / Q000178:diet therapy* / Q000534:rehabilitation; D003927:Diet, Diabetic; D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004043:Dietary Fiber; D004044:Dietary Proteins; D004734:Energy Metabolism; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009751:Nutritional Requirements; D010353:Patient Education as Topic; D012016:Reference Values; D012737:Sex Factors
D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004043:Dietary Fiber; D004044:Dietary Proteins