T1DM: Medical Nutrition Therapy (2023)
In children and adolescents (6-19 years old) living with type 1 diabetes, what is the effect of medical nutrition therapy provided by registered dietitian nutritionists compared to no standard care on A1C?
In children and adolescents (6-19 years old) living with type 1 diabetes mellitus, limited evidence reported that weekly medical nutrition therapy sessions for the first month after diagnosis and monthly sessions thereafter achieved significant reductions in A1C. For those receiving less frequent encounters with registered dietitian nutritionists, limited evidence reports mixed findings on the effectiveness of medical nutrition therapy.
Grade: Low (C)
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
Evidence Summary: In children and adolescents (6-19 years old) living with type 1 diabetes, what is the effect of medical nutrition therapy provided by registered dietitian nutritionists compared to no standard care on A1C?
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Bakir E, Çavusoglu H, Mengen E. Effects of the Information-Motivation-Behavioral Skills Model on Metabolic Control of Adolescents with Type 1 Diabetes in Turkey: Randomized Controlled Study. Journal of Pediatric Nursing 2021; 58:e19-e27
- Dluzniak-Golaska K, Panczyk M, Szypowska A, Sinska B, Szostak-Wegierek D. Influence of two different methods of nutrition education on the quality of life in children and adolescents with type 1 diabetes mellitus - a randomized study. Roczniki Panstwowego Zakladu Higieny 2020; 71:197-206
- Donzeau A, Bonnemaison E, Vautier V, Menut V, Houdon L, Bendelac N, Bismuth E, Bouhours-Nouet N, Quemener E, Baron S, Nicolino M, Faure N, Pochelu S, Barat P, Coutant R. Effects of advanced carbohydrate counting on glucose control and quality of life in children with type 1 diabetes. Pediatric Diabetes 2020; 21:1240-1248
- Kostopoulou E, Livada I, Partsalaki I, Lamari F, Skiadopoulos S, Rojas Gil A, Spiliotis B. The role of carbohydrate counting in glycemic control and oxidative stress in patients with type 1 diabetes mellitus (T1DM). Hormones (Athens, Greece) 2020; 19:433-438
- Majumdar I, Bethin K, Quattrin T. Weight trajectory of youth with new-onset type 1 diabetes comparing standard and enhanced dietary education. Endocrine 2014; 49:155-162
- Spiegel G, Bortsov A, Bishop F, Owen D, Klingensmith G, Mayer-Davis E, Maahs D. Randomized nutrition education intervention to improve carbohydrate counting in adolescents with type 1 diabetes study: is more intensive education needed?. Journal of the Academy of Nutrition and Dietetics 2012; 112:1736-1746
Search Plan and Results: T1DM: Interventions 2023