Association between factors related to food and treatment, with glycemic control and the nutritional status of patients with type 1 diabetes mellitus users of continuous insulin infusion pump
DOI:
https://doi.org/10.12873/421machadoKeywords:
Diabetes mellitus, type 1, Glycemic control, Insulin infusion systems, Nutritional statusAbstract
Introduction: Adequate glycemic control and nutritional status are allies in the treatment and health promotion of patients with type 1 diabetes mellitus (T1DM). Objective: To investigate the association between factors related to food and T1DM treatment with glycemic control and nutritional status in patients using insulin pumps. Materials and Methods: Cross-sectional study with 61 patients from Ceará. Through the REDCap tool, socioeconomic, glycemic control, anthropometric and diabetes-related data, treatment and diet were collected. Data from SICI's and glucose sensors were also uploaded. Pearson's Chi-Square, Fisher's Exact and Spearman's correlation tests were applied, with a significance level of 5%. Results: Overweight was associated with difficulty to waiting for the insulin action time before feeding (p=0.048) and less difficulty with lack of supply of inputs (p=0.040). Not being overweight was associated with physical exercise (p<0.001), less belief that insulin contributes to weight gain (p<0.001), and less concern about it (p=0.024). Those with adequate glycated hemoglobin and glucose standard deviation (SD) attended the nutritionist more often (p=0.041; p=0.007), those with an adequate coefficient of variation (CV) had more than 10 years of disease (p=0.001) and those with an adequate PD and VC, had less difficulty in performing bolus in public (p=0.044; p=0.001) and measured blood glucose four or more times daily (p=0.033; p=0.030). Conclusion: Nutritional status and glycemic control are associated with individual patient factors, highlighting the importance of health professionals' understanding and management of these factors.
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