Nutritional Guidelines for Patients with Type 1 Diabetes Mellitus and its Adherence- A Narrative Review

Nutritional guidelines are of importance in directing food choices of T1D patients. The objective is to summarise existing nutritional recommendations and examine its adherence by T1D patients. Literature was searched on dietary guidelines in T1D using electronic databases PubMed, Science Direct, Sc...

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Main Authors: Anu Kaushik, Tejmeet K. Rekhi, Seema Puri, Nikhil Tandon
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:https://journals.lww.com/10.4103/ijem.ijem_104_24
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author Anu Kaushik
Tejmeet K. Rekhi
Seema Puri
Nikhil Tandon
author_facet Anu Kaushik
Tejmeet K. Rekhi
Seema Puri
Nikhil Tandon
author_sort Anu Kaushik
collection DOAJ
description Nutritional guidelines are of importance in directing food choices of T1D patients. The objective is to summarise existing nutritional recommendations and examine its adherence by T1D patients. Literature was searched on dietary guidelines in T1D using electronic databases PubMed, Science Direct, Scopus, Google Scholar, in English and 29 papers were selected. As per ADA, EASD, ISPAD, and ICMR guidelines, energy recommendations for T1D are based on ideal body weight to prevent overweight and obesity. The safe amounts of carbohydrates, protein and fat includes 50–55%, 15–20% and 25–30% of total energy respectively with fiber intake recommended at 20–30 g/day. Vitamin and mineral supplementation are beneficial in the presence of deficiency. Adherence to nutritional recommendations was suboptimal but better in those who were frequently consulting a dietician. As suboptimal dietary adherence leads to poor glycaemic control, nutritional guidelines must be followed to manage T1D and prevent or delay diabetic complications.
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spelling doaj-art-400e17ba77b5440fb6a0bcf58e6c71c22025-08-20T01:59:26ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002024-11-0128546146910.4103/ijem.ijem_104_24Nutritional Guidelines for Patients with Type 1 Diabetes Mellitus and its Adherence- A Narrative ReviewAnu KaushikTejmeet K. RekhiSeema PuriNikhil TandonNutritional guidelines are of importance in directing food choices of T1D patients. The objective is to summarise existing nutritional recommendations and examine its adherence by T1D patients. Literature was searched on dietary guidelines in T1D using electronic databases PubMed, Science Direct, Scopus, Google Scholar, in English and 29 papers were selected. As per ADA, EASD, ISPAD, and ICMR guidelines, energy recommendations for T1D are based on ideal body weight to prevent overweight and obesity. The safe amounts of carbohydrates, protein and fat includes 50–55%, 15–20% and 25–30% of total energy respectively with fiber intake recommended at 20–30 g/day. Vitamin and mineral supplementation are beneficial in the presence of deficiency. Adherence to nutritional recommendations was suboptimal but better in those who were frequently consulting a dietician. As suboptimal dietary adherence leads to poor glycaemic control, nutritional guidelines must be followed to manage T1D and prevent or delay diabetic complications.https://journals.lww.com/10.4103/ijem.ijem_104_24dietary adherencenutrient intakenutrient recommendationsnutritional guidelinestype 1 diabetes (t1d)
spellingShingle Anu Kaushik
Tejmeet K. Rekhi
Seema Puri
Nikhil Tandon
Nutritional Guidelines for Patients with Type 1 Diabetes Mellitus and its Adherence- A Narrative Review
Indian Journal of Endocrinology and Metabolism
dietary adherence
nutrient intake
nutrient recommendations
nutritional guidelines
type 1 diabetes (t1d)
title Nutritional Guidelines for Patients with Type 1 Diabetes Mellitus and its Adherence- A Narrative Review
title_full Nutritional Guidelines for Patients with Type 1 Diabetes Mellitus and its Adherence- A Narrative Review
title_fullStr Nutritional Guidelines for Patients with Type 1 Diabetes Mellitus and its Adherence- A Narrative Review
title_full_unstemmed Nutritional Guidelines for Patients with Type 1 Diabetes Mellitus and its Adherence- A Narrative Review
title_short Nutritional Guidelines for Patients with Type 1 Diabetes Mellitus and its Adherence- A Narrative Review
title_sort nutritional guidelines for patients with type 1 diabetes mellitus and its adherence a narrative review
topic dietary adherence
nutrient intake
nutrient recommendations
nutritional guidelines
type 1 diabetes (t1d)
url https://journals.lww.com/10.4103/ijem.ijem_104_24
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