title: Nutrition interventions for intensive therapy in the Diabetes Control and Complications Trial. The DCCT Research Group.
abstract: As part of an intensive treatment regimen that had as its goal achieving and maintaining blood glucose levels in the normal range in individuals with insulin-dependent diabetes mellitus, dietitians in the Diabetes Control and Complications Trial implemented varying nutrition intervention strategies to counsel patients to attain normoglycemia. Dietary management encompassed recommendations on altering insulin dosages for varying food intake. Nutrition intervention was tailored to best meet a participant's life-style, motivation, ability to grasp information, diet history, and specific intensive insulin therapy. Dietitians were integral participants in the team management of individuals in the intensive treatment group. Selected nutrition interventions--Healthy Food Choices, exchange systems, carbohydrate counting, and total available glucose--and behavior management approaches were coupled with intensive insulin therapy. Case presentations illustrate each nutrition intervention in the attainment of normoglycemia.
authors.affiliation: Diabetes Research Center, Massachusetts General Hospital, Boston 02114.
authors.forename: E J
authors.initials: EJ
authors.lastname: Anderson
authors.forename: M
authors.initials: M
authors.lastname: Richardson
authors.forename: G
authors.initials: G
authors.lastname: Castle
authors.forename: S
authors.initials: S
authors.lastname: Cercone
authors.forename: L
authors.initials: L
authors.lastname: Delahanty
authors.forename: R
authors.initials: R
authors.lastname: Lyon
authors.forename: D
authors.initials: D
authors.lastname: Mueller
authors.forename: L
authors.initials: L
authors.lastname: Snetselaar
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D003922:Diabetes Mellitus, Type 1 / Q000178:diet therapy* / Q000188:drug therapy; D003927:Diet, Diabetic; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D005260:Female; D005947:Glucose / Q000008:administration & dosage; D006441:Hemoglobin A / Q000032:analysis; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D052756:Nutritional Sciences / Q000193:education; D010353:Patient Education as Topic
chemical_list: D001786:Blood Glucose; D004040:Dietary Carbohydrates; D004041:Dietary Fats; D007328:Insulin; D006441:Hemoglobin A; D005947:Glucose