Evaluation of carbohydrate count in metabolic control and anthropometric variables in diabetic individuals: a literature review

Authors

DOI:

https://doi.org/10.62827/nb.v22i6.6n27

Keywords:

nutritional therapy; diabetes mellitus; nutritional assessment.

Abstract

Objective: To evaluate the effectiveness of carbohydrate counting as a nutritional strategy in the treatment of diabetes mellitus, as well as its effects on metabolic control and anthropometric variables. Methods: This is an integrative review of the literature, carried out in March and April 2021, in which the Scielo, BVS and PubMed databases were used, considering studies published in English, Portuguese and Spanish, in the period 2011 to 2021. Results: Of the total of 180 articles found, 6 met the established criteria. The main results found were the reduction in glycated hemoglobin levels, reduction in Body Mass Index (BMI) and Waist Circumference (WC) values, greater quality of life and satisfaction with treatment and increase in total cholesterol (TC) and low-density lipoprotein (LDL). -w). Conclusions: Studies show improvements in glycemic and metabolic control, as well as quality of life related to dietary restrictions. However, more studies are needed to prove its effects on anthropometric and biochemical variables in adults.

Author Biographies

  • Ana Carolina Cavalcante Viana, (CH-UFC/ EBSERH)

    Mestre em Nutrição e Saúde, Nutricionista do Complexo Hospitalar da Universidade Federal do Ceará (CH-UFC), Empresa Brasileira de Serviços Hospitalares (EBSERH), Fortaleza, CE, Brasil

  • Anna Clarice Nogueira, UNIFAMETRO

    Formada em Nutrição pelo Centro Universitário Fametro (UNIFAMETRO), Fortaleza, CE, Brasil

  • Alane Nogueira Bezerra, UNIFAMETRO

    Doutoranda do Programa de Pós-Graduação em Saúde Coletiva pela Universidade Estadual do Ceará (UECE), Fortaleza, CE, Brasil

  • Suelyne Rodrigues de Morais, (CH-UFC/EBSERH)

    Mestre em Nutrição e Saúde, Nutricionista do Complexo Hospitalar da Universidade Federal do Ceará (CH-UFC), Empresa Brasileira de Serviços Hospitalares (EBSERH), Fortaleza, CE, Brasil

  • Moema de Souza Santana, (CH-UFC/EBSERH)

    Doutora em Alimentos e Nutrição, Nutricionista do Complexo Hospitalar da Universidade Federal do Ceará (CH-UFC), Empresa Brasileira de Serviços Hospitalares (EBSERH), Fortaleza, CE, Brasil

  • Nathália Bernardo Marinho, (CH-UFC/EBSERH)

    Graduada em Nutrição pela Universidade Estácio do Ceará (ESTÁCIO), Fortaleza, CE, Nutricionista do Complexo Hospitalar da Universidade Federal do Ceará (CH-UFC), Empresa Brasileira de Serviços Hospitalares (EBSERH), Fortaleza, CE, Brasil

  • Lília Teixeira Eufrásio Leite, (CH-UFC/EBSERH)

    Especialista em Nutrição em Pediatria: da Concepção a Adolescência, Nutricionista do Complexo Hospitalar da Universidade Federal do Ceará (CH-UFC), Empresa Brasileira de Serviços Hospitalares (EBSERH), Fortaleza, CE, Brasil

  • Mileda Lima Torres Portugal, (CH-UFC/EBSERH)

    Mestre em Nutrição e Saúde, Nutricionista do Complexo Hospitalar da Universidade Federal do Ceará (CH-UFC), Empresa Brasileira de Serviços Hospitalares (EBSERH), Fortaleza, CE, Brasil

References

Forti AC, Pires AC, Pittito BA, Gerchman F, Oliveira JEP, & Zajdenverg L. Diretrizes da Sociedade Brasileira de Diabetes (SBD). Diretrizes da Sociedade Brasileira de Diabetes. 2020: 491

American Diabetes Association. Diabetes care in the hospital: standards of medical care in diabetes- 2020. Diabetes Care. 2020; 43(1): 193-202

Brasil. Monitoramento dos casos de arboviroses urbanas transmitidas pelo Aedes Aegypti (dengue, chikungunya e zika), Semanas Epidemiológicas 1 a 26. Boletim Epidemiológico| Secretaria de Vigilância em Saúde| Ministério da Saúde. 2020;51(28)

Sinclair A, Saeedi P, Kaundal A, Karuranga S, Malanda B, & Williams R. Diabetes and global ageing among 65–99-year-old adults: Findings from the International Diabetes Federation Diabetes Atlas. Diabetes research and clinical practice. 2020; 162: 108078

Bowen ME, Cavanaugh KL, Wolff K, Davis D, Gregory RP, Shintani A, & Rothman RL. The diabetes nutrition education study randomized controlled trial: a comparative effectiveness study of approaches to nutrition in diabetes self-management education. Patient education and counseling. 2016; 99(8):1368-1376

Albuquerque IZ, Stringhini MLF, Marques RDMB, Mundim CA, Rodrigues MLD, & Campos MRH. Contagem de carboidratos, estado nutricional e perfil metabólico em adolescentes com diabetes mellitus tipo 1. Scientia Medica. 2014; 24(4): 343-352

Gökşen D, Altınok YA, Özen S, Demir G, & Darcan Ş. Effects of carbohydrate counting method on metabolic control in children with type 1 diabetes mellitus. Journal of clinical research in pediatric endocrinology. 2014; 6(2): 74.

Son O, Efe B, Son NE, Akalin A, & Kebapçi N. Investigation on carbohydrate counting method in type 1 diabetic patients. BioMed research international; 2014.

Dungan KM, Sagrilla C, Abdel-Rasoul M, & Osei K. Prandial insulin dosing using the carbohydrate counting technique in hospitalized patients with type 2 diabetes. Diabetes Care. 2013;36(11): 3476-3482.

Laurenzi A, Bolla AM, Panigoni G, Doria V, Uccellatore A, Peretti E, & Scavini M. Effects of carbohydrate counting on glucose control and quality of life over 24 weeks in adult patients with type 1 diabetes on continuous subcutaneous insulin infusion: a randomized, prospective clinical trial (GIOCAR). Diabetes care. 2011;34(4): 823-827.

Petersmann A, Nauck M, Müller-Wieland D, Kerner W, Müller UA, Landgraf R, & Heinemann L. Definition, classification and diagnosis of diabetes mellitus. Experimental and clinical endocrinology & diabetes. 2018;126 (07): 406-410.

Carvalho FS, Pimazoni N A, Zach P, Sachs A, & Zanella MT. Importância da orientação nutricional e do teor de fibras da dieta no controle glicêmico de pacientes diabéticos tipo 2 sob intervenção educacional intensiva. Arquivos Brasileiros de Endocrinologia & Metabologia. 2012;56: 110-119.

Boas LCGV, Foss MC, Foss-Freitas MC., Torres HDC, Monteiro LZ, & Pace AE. Adesão à dieta e ao exercício físico das pessoas com diabetes mellitus. Texto & Contexto-Enfermagem. 2011;20: 272-279.

Bell KJ, Barclay AW, Petocz P, Colagiuri S, & Brand-Miller JC. Efficacy of carbohydrate counting in type 1 diabetes: a systematic review and meta-analysis. The Lancet Diabetes & Endocrinology. 2014;2(2): 133-140.

Costa PCAD, & Franco LJ. Introdução da sacarose no plano alimentar de portadores de diabetes mellitus tipo 1: sua influência no controle glicêmico.Arquivos Brasileiros de Endocrinologia & Metabologia. 2005;49: 403-409.

Silva AC, & Adan LFF. Crescimento em meninos e meninas com puberdade precoce. Arquivos Brasileiros de Endocrinologia & Metabologia. 2003;47: 422-431.

Schimidt S, Schelde B, & NØrgaard K. Effects of advanced carbohydrate counting in patients with type 1 diabetes: a systematic review. Diabetic medicine. 2014;31(8): 886-896.

Gellar LA, Schrader K, & Nansel TR. Healthy eating practices. The Diabetes Educator. 2007;33(4): 671-679.

Souto DL, Zajdenverg L, Rodacki M, & Rosado EL. Impact of advanced and basic carbohydrate counting methods on metabolic control in patients with type 1 diabetes. Nutrition; 2014:30(3), 286-290.

Published

2024-06-03

How to Cite

Evaluation of carbohydrate count in metabolic control and anthropometric variables in diabetic individuals: a literature review. (2024). Nutrição Brasil, 22(6), 660-674. https://doi.org/10.62827/nb.v22i6.6n27

Most read articles by the same author(s)