The Association between the Parents’ Knowledge of Carbohydrate Counting and the Glycaemic Control of the Children with Type 1 Diabetes
Background. Medical nutritional therapy is an important component of type 1 diabetes (T1D) care in children and carbohydrate counting is one such method. We aimed to evaluate the knowledge of carbohydrate counting among parents of children with T1D from Sri Lanka and study its association with the c...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2018/1036214 |
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| author | Priyanga Ranasinghe Vidarsha Rajini Senadeera Rashmi Senarathna Uththara Sapurnika Vindhya Ramanayake Ranil Jayawardena |
| author_facet | Priyanga Ranasinghe Vidarsha Rajini Senadeera Rashmi Senarathna Uththara Sapurnika Vindhya Ramanayake Ranil Jayawardena |
| author_sort | Priyanga Ranasinghe |
| collection | DOAJ |
| description | Background. Medical nutritional therapy is an important component of type 1 diabetes (T1D) care in children and carbohydrate counting is one such method. We aimed to evaluate the knowledge of carbohydrate counting among parents of children with T1D from Sri Lanka and study its association with the child’s glycaemic control. Methods. A descriptive cross-sectional study was conducted among parents of children with T1D. HbA1c measurement was used to assess glycaemic control. Knowledge of parent regarding carbohydrate counting was assessed based on a 24-hour dietary recall. Carbohydrate counting knowledge was defined using ratio of carbohydrate content estimated by parents to actual carbohydrate content calculated by researchers (Total, Breakfast, Lunch, Dinner, and Snacks). Ratios obtained were also divided into three groups, underestimation (<0.9), accurate estimation (0.9-1.1), and overestimation (>1.1). A multivariate regression analysis was performed to determine contribution of carbohydrate counting accuracy to glycaemic control (HbA1c). Results. Sample size was 181 and mean age of the parents was 38.8±5.9 years. Mean duration of diabetes in the children was 3.7±2.6 years and mean HbA1c level was 8.3±0.9%. On average, parents estimates of carbohydrate count for the total meal were 0.88±0.27 (88%) (range 0.38-1.47) of the actual carbohydrate count. Only 30.5% (n=55) of parents were grouped in the “accurate” estimation category for the total carbohydrate count. Parents of children with diabetes for ≤3 years estimated total carbohydrate count more accurately than the counterparts (p<0.05). Mean HbA1c value of those who “underestimated” was significantly higher than those with “accurate” estimation. In the multivariate analysis accuracy of carbohydrate estimation was associated with a lower HbA1c (β = −0.36; p=0.03). Conclusions. Overall knowledge of carbohydrate counting among parents was inadequate. Better knowledge was associated with improved glycaemic control in children and lower incidence of hypoglycaemic episodes. An inverse association was observed between knowledge and duration of diabetes. |
| format | Article |
| id | doaj-art-668c1c4792244102a1d67e513b44cef7 |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-668c1c4792244102a1d67e513b44cef72025-02-03T05:48:16ZengWileyInternational Journal of Pediatrics1687-97401687-97592018-01-01201810.1155/2018/10362141036214The Association between the Parents’ Knowledge of Carbohydrate Counting and the Glycaemic Control of the Children with Type 1 DiabetesPriyanga Ranasinghe0Vidarsha Rajini Senadeera1Rashmi Senarathna2Uththara Sapurnika3Vindhya Ramanayake4Ranil Jayawardena5Faculty of Medicine, University of Colombo, Colombo, Sri LankaFaculty of Medicine, University of Colombo, Colombo, Sri LankaFaculty of Medicine, University of Colombo, Colombo, Sri LankaFaculty of Medicine, University of Colombo, Colombo, Sri LankaFaculty of Medicine, University of Colombo, Colombo, Sri LankaFaculty of Medicine, University of Colombo, Colombo, Sri LankaBackground. Medical nutritional therapy is an important component of type 1 diabetes (T1D) care in children and carbohydrate counting is one such method. We aimed to evaluate the knowledge of carbohydrate counting among parents of children with T1D from Sri Lanka and study its association with the child’s glycaemic control. Methods. A descriptive cross-sectional study was conducted among parents of children with T1D. HbA1c measurement was used to assess glycaemic control. Knowledge of parent regarding carbohydrate counting was assessed based on a 24-hour dietary recall. Carbohydrate counting knowledge was defined using ratio of carbohydrate content estimated by parents to actual carbohydrate content calculated by researchers (Total, Breakfast, Lunch, Dinner, and Snacks). Ratios obtained were also divided into three groups, underestimation (<0.9), accurate estimation (0.9-1.1), and overestimation (>1.1). A multivariate regression analysis was performed to determine contribution of carbohydrate counting accuracy to glycaemic control (HbA1c). Results. Sample size was 181 and mean age of the parents was 38.8±5.9 years. Mean duration of diabetes in the children was 3.7±2.6 years and mean HbA1c level was 8.3±0.9%. On average, parents estimates of carbohydrate count for the total meal were 0.88±0.27 (88%) (range 0.38-1.47) of the actual carbohydrate count. Only 30.5% (n=55) of parents were grouped in the “accurate” estimation category for the total carbohydrate count. Parents of children with diabetes for ≤3 years estimated total carbohydrate count more accurately than the counterparts (p<0.05). Mean HbA1c value of those who “underestimated” was significantly higher than those with “accurate” estimation. In the multivariate analysis accuracy of carbohydrate estimation was associated with a lower HbA1c (β = −0.36; p=0.03). Conclusions. Overall knowledge of carbohydrate counting among parents was inadequate. Better knowledge was associated with improved glycaemic control in children and lower incidence of hypoglycaemic episodes. An inverse association was observed between knowledge and duration of diabetes.http://dx.doi.org/10.1155/2018/1036214 |
| spellingShingle | Priyanga Ranasinghe Vidarsha Rajini Senadeera Rashmi Senarathna Uththara Sapurnika Vindhya Ramanayake Ranil Jayawardena The Association between the Parents’ Knowledge of Carbohydrate Counting and the Glycaemic Control of the Children with Type 1 Diabetes International Journal of Pediatrics |
| title | The Association between the Parents’ Knowledge of Carbohydrate Counting and the Glycaemic Control of the Children with Type 1 Diabetes |
| title_full | The Association between the Parents’ Knowledge of Carbohydrate Counting and the Glycaemic Control of the Children with Type 1 Diabetes |
| title_fullStr | The Association between the Parents’ Knowledge of Carbohydrate Counting and the Glycaemic Control of the Children with Type 1 Diabetes |
| title_full_unstemmed | The Association between the Parents’ Knowledge of Carbohydrate Counting and the Glycaemic Control of the Children with Type 1 Diabetes |
| title_short | The Association between the Parents’ Knowledge of Carbohydrate Counting and the Glycaemic Control of the Children with Type 1 Diabetes |
| title_sort | association between the parents knowledge of carbohydrate counting and the glycaemic control of the children with type 1 diabetes |
| url | http://dx.doi.org/10.1155/2018/1036214 |
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