Effect of carbohydrate counting using bolus calculators on glycemic control in type 1 diabetes patients during continuous subcutaneous insulin infusion.

Abstract

The present study examined the long-term efficacy of insulin pump therapy for type 1 diabetes patients when carried out using carbohydrate counting with bolus calculators for 1 year. A total of 22 type 1 diabetes patients who had just started continuous subcutaneous insulin infusion were examined and divided into two groups: one that was educated about carbohydrate counting using bolus calculators (n = 14); and another that did not use bolus calculators (n = 8). After 1 year, the hemoglobin A1c levels of the patient group that used bolus calculators decreased persistently and significantly (P = 0.0297), whereas those of the other group did not. The bodyweight, total daily dose of insulin and bolus percentage of both groups did not change. Carbohydrate counting using bolus calculators is necessary to achieve optimal and persistent glycemic control in patients undergoing continuous subcutaneous insulin infusion.

• Authors: Eijiro Yamada, Shuichi Okada, Yasuyo Nakajima, Claire C Bastie, Yuko Tagaya, Aya Osaki, Yoko Shimoda, Ryo Shibusawa, Tsugumichi Saito, Atsushi Ozawa, Masanobu Yamada
• Journal: Journal of diabetes investigation (J Diabetes Investig) Vol. 8 Issue 4 Pg. 496-500 (Jul 2017) ISSN: 2040-1124 [Electronic] Japan
• PMID: 27896954 (Publication Type: Journal Article)
• Copyright: © 2016 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.

Chemical References

• Dietary Carbohydrates
• Hypoglycemic Agents
• Insulin

Topics

• Adult
• Diabetes Mellitus, Type 1 (drug therapy)
• Dietary Carbohydrates (analysis)
• Female
• Humans
• Hypoglycemic Agents (administration & dosage)
• Insulin (administration & dosage)
• Insulin Infusion Systems
• Male
• Middle Aged