title: The Cost of a Healthier Diet for Young Children With Type 1 Diabetes Mellitus.
abstract: OBJECTIVE
  This study used a market-basket approach to examine the availability and cost of a standard food shopping list (R-TFP) vs a healthier food shopping list (H-TFP) in the grocery stores used by a sample of 23 families of young children with type 1 diabetes mellitus (T1DM).
  
  
  METHODS
  The researchers used frequency counts to measure availability. The average cost of the R-TFP and H-TFP was compared using paired t test.
  
  
  RESULTS
  Small or independent markets had the highest percentage of missing foods (14%), followed by chain supermarkets (3%) and big box stores (2%). There was a significant difference in average cost for the R-TFP vs the H-TFP ($324.71 and $380.07, respectively; P < .001).
  
  
  CONCLUSIONS
  Families may encounter problems finding healthier foods and/or incur greater costs for healthier foods. Nutrition education programs for T1DM need to teach problem solving to help families overcome these barriers.
authors.affiliation: Department of Pediatrics, University of Kansas Medical Center, Kansas City, KS. Electronic address: spatton2@kumc.edu.
authors.forename: Susana R
authors.initials: SR
authors.lastname: Patton
authors.affiliation: Health Outcomes Research, Children's Mercy Hospital and Clinics, Kansas City, MO.
authors.forename: Kathy
authors.initials: K
authors.lastname: Goggin
authors.affiliation: Division of Endocrinology, Children's Mercy Hospital and Clinics, Kansas City, MO.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Clements
mesh_terms: D000328:Adult; D002648:Child; D053198:Child Nutrition Sciences; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000178:diet therapy / Q000191:economics*; D003927:Diet, Diabetic / Q000191:economics*; D005260:Female; D005502:Food / Q000191:economics*; D005523:Food Supply / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007615:Kansas; D008297:Male; D010290:Parents
keywords: behavior; child; diabetes; food costs; nutrition