- Email: [email protected]
Underestimation of actual insulin needs among people with diabetes type 1 on insulin pump therapy
e62
Abstracts / Clinical Nutrition ESPEN 13 (2016) e55ee74
Zeimbekis 5, Vassiliki Bountziouka 1, Efthimios Gotsis 1, George Metallinos 1, Dimitra Tyrovola 1, Antonia-Leda Matalas 1, Christos Lionis 4, Evangelos Polychronopoulos 1. 1 Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece; 2 Health Center of Areopolis, General Hospital of Sparta, Sant Joan de eu, Fundacio Areopolis, Greece; 3 Parc Sanitari Sant Joan de D D eu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain; 4 Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Greece; 5 Health Center of Kalloni, General Hospital of Mitilini, Mitilini, Greece Introduction: The changes in life expectancy, living conditions and nutritional habits in the modern era require a thorough search for a recipe of successful aging. Aim: The evaluation of geography's role -differences between continental and insular Mediterranean- in successful aging among their elderly inhabitants. Materials and methods: 2963 people, aged between 65 and 100 years old, residing on 21 Mediterranean islands (Greece, Italy, Spain, Cyprus, Malta) and 295 of them living in the rural area of Mani, were voluntarily recruited. Anthropometric, socioeconomic, psychological and mostly nutritional characteristics have been taken into account, along with the way of living and medical history of the questioned people, through valid and weighted questionnaires. Successful aging has been measured through a weighted scale which was developed. Results: After accounting for age, sex, body mass index (BMI), physical activity, smoking habits, MedDietScore and access to health care services, the older inhabitants of islands were found to have a higher level of the successful aging index when compared to their counterparts in Mani (Beta¼0.174, p<0.001). Engaging in physical activities and healthy dietary habits were the major determinants of healthy aging, among islanders as compared to their counterparts of continental Mani region. Moreover, islanders exhibited a similar year-average of “good” health as compared with Mani residents (68.7 vs 68.4 years, (p¼0.99)). However, compared to the residents of Mani, islanders had 1.64 times higher odds (95%CI, 1.082.48) for having hypertension, 2.4-times higher odds (95%CI, 1.34-4.21) for having diabetes and 1.52 times higher odds (95%CI, 0.97e2.38) for having hypercholesterolemia. Conclusion: Even though elder residents of the continental Mani area enjoyed a lower morbidity rate, elder islanders had a higher level of successful aging; a finding which could be attributed to differences in lifestyle among elders.
Conclusions: The contribution of dietician should not be limited only in adults with pathological BMI but also in healthy adults, because the alimentary behavior modification could cause significant reduction of visceral fat level in healthy adults, which is also comparable with the reduction of visceral fat level in overweight and obese adults. In this way future morbidity could be prevented. The necessity in modern diet centre to evaluate all parameters of body constitution in order the dietician to provide the appropriate consultative dietary intervention. UNDERESTIMATION OF ACTUAL INSULIN NEEDS AMONG PEOPLE WITH DIABETES TYPE 1 ON INSULIN PUMP THERAPY Parthena Giannoulaki 1, Iro Gounitsioti 2, Fotis Iliadis 2, Apostolos Hatzitolios 2, Aggelos Pappas 3, Despoina Daskalaki 3, Triantafillos Didangelos 2. 1 Department of Nutrition and Dietetics, AHEPA University General Hospital of Thessaloniki, Greece; 2 Diabetes Center, First Propeudetic Department of Internal Medicine, Aristotle University of Thessaloniki, AHEPA University General Hospital of Thessaloniki, Greece; 3 Diabetes Center, Venizeleio-Pananeio General Hospital of Heraclion, Crete, Greece
THE EFFECT OF EATING BEHAVIOR MODIFICATION ON VISCERAL FAT LEVEL IN INDIVIDUALS WITH NORMAL BODY MASS INDEX (BMI)
Introduction: People with Diabetes Mellitus type 1 (DM1) who use an insulin pump improve their glycemic control and their quality life. Aim: To investigate glycemic control among people with DM1 who are using an insulin pump, according to a therapy management software. Materials and methods: 24 individuals with DM1 (male¼ 9, age ¼ 40.2 ± 13.6 years). Anthropometric measurements and the insulin pump’s data of the last month were recorded and downloaded using the software CareLink Pro-Medtronic. The glycemic target was set at HbA1c7% and hypoglycemic events2/week. Results: Individuals with good glycemic control had significantly more blood glucose (BG) readings per day compared to those without (mean BG Readings 6.12 ± 1.59 versus 4.12 ± 2.32, p ¼ 0.025). The people using bolus wizard (N¼ 19) had a significant difference between the actual ratio of carbohydrate (grams) to 1 unit of insulin (CIR) and the insulin pump’s setting ratio (8.11 CIR versus 11.41 CIR, p<0.001). Similarly, individuals with good glycemic control (N¼ 10) had a significantly lower actual CIR compared to the insulin pump’s setting ratio (9.83 CIR versus 12.1CIR, p¼0.002). There was no significant difference of the basal (%) / bolus (%) balance between the people with good and poor glycemic control (0.97 ± 0.3 versus 1.47 ± 0.83 respectively, p¼ 0.073). Conclusion: Good glycemic control is associated with at least four BG readings daily. Moreover, the underestimation of actual insulin needs (bolus), clarifies the need to retrain accurate carbohydrate counting and/or of testing and adjusting the CIRs of each individual with DM1.
Angeliki Morari, Emmanouil Moraris, Alkistis Adramerina, Charalambos Neocleous. Dietology Center Diatrofiki Pyramida, Rhodes, Greece
BOLUS WIZARD USE HAS A BENEFICIAL EFFECT IN GLYCEMIC CONTROL AMONG PEOPLE WITH DIABETES TYPE 1 ON INSULIN PUMP THERAPY
Introduction: Recent studies show that the accumulation of visceral fat in apparently healthy overweight and obese adults contributes to increased morbidity and mortality. Aim: The study of the effect of eating behavior modification on visceral fat level in healthy adults with normal BMI(<25). Materials and methods: We studied the visceral fat level in three patient groups 12 weeks before and after a dietary intervention. An alimentary behavior modification was applied in 40 women with ВМІ<25. In 40 patients with BMI 25-30 and in 40 patients with BMI>30 a combination of hypocaloric diet and alimentary behavior modification was applied. Tanita MC180MA device was used for our measurements of visceral fat level. Results:
Parthena Giannoulaki 1, Iro Gounitsioti 2, Fotios Iliadis 2, Apostolos Hatzitolios 2, Aggelos Pappas 3, Despoina Daskalaki 3, Triantafyllos Didangelos 3. 1 Department of Nutrition and Dietetics, AHEPA University General Hospital of Thessaloniki, Greece; 2 Diabetes Center, First Propeudetic Department of Internal Medicine, Aristotle University of Thessaloniki, AHEPA University General Hospital of Thessaloniki, Greece; 3 Diabetes Center, Venizeleio-Pananeio General Hospital of Heraclion, Crete, Greece
Group
Percentage of patients with change (decreased) visceral fat level
Average change in visceral fat level
ВМІ<25 ВМІ 25-30 ВМІ>30
56.6% 73.91% 93.33%
0.8 1.2 1.7
Introduction: People with Diabetes Mellitus type 1 (DM1) who use an insulin pump improve their glycemic control and their quality life. Aim: To investigate the glycemic control among people with diabetes type 1 (DM1) who are using an insulin pump, according to a therapy management software. Materials and methods: 24 individuals with DM1 (male/female¼ 9/15, age ¼ 40.2 ± 13.6 years). Data of anthropometric measurements and medical history concerning the use of insulin pump, were recorded. Additionally, the insulin pump’s data of the last month were downloaded using the software CareLink Pro-Medtronic. Results: Individuals with good glycemic control had significantly more blood glucose (BG) readings per day compared to those without (mean BG Readings 6.12 ± 1.59 versus 4.12 ± 2.32, p¼ 0.025). There was no
Abstracts / Clinical Nutrition ESPEN 13 (2016) e55ee74
Zeimbekis 5, Vassiliki Bountziouka 1, Efthimios Gotsis 1, George Metallinos 1, Dimitra Tyrovola 1, Antonia-Leda Matalas 1, Christos Lionis 4, Evangelos Polychronopoulos 1. 1 Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece; 2 Health Center of Areopolis, General Hospital of Sparta, Sant Joan de eu, Fundacio Areopolis, Greece; 3 Parc Sanitari Sant Joan de D D eu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain; 4 Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Greece; 5 Health Center of Kalloni, General Hospital of Mitilini, Mitilini, Greece Introduction: The changes in life expectancy, living conditions and nutritional habits in the modern era require a thorough search for a recipe of successful aging. Aim: The evaluation of geography's role -differences between continental and insular Mediterranean- in successful aging among their elderly inhabitants. Materials and methods: 2963 people, aged between 65 and 100 years old, residing on 21 Mediterranean islands (Greece, Italy, Spain, Cyprus, Malta) and 295 of them living in the rural area of Mani, were voluntarily recruited. Anthropometric, socioeconomic, psychological and mostly nutritional characteristics have been taken into account, along with the way of living and medical history of the questioned people, through valid and weighted questionnaires. Successful aging has been measured through a weighted scale which was developed. Results: After accounting for age, sex, body mass index (BMI), physical activity, smoking habits, MedDietScore and access to health care services, the older inhabitants of islands were found to have a higher level of the successful aging index when compared to their counterparts in Mani (Beta¼0.174, p<0.001). Engaging in physical activities and healthy dietary habits were the major determinants of healthy aging, among islanders as compared to their counterparts of continental Mani region. Moreover, islanders exhibited a similar year-average of “good” health as compared with Mani residents (68.7 vs 68.4 years, (p¼0.99)). However, compared to the residents of Mani, islanders had 1.64 times higher odds (95%CI, 1.082.48) for having hypertension, 2.4-times higher odds (95%CI, 1.34-4.21) for having diabetes and 1.52 times higher odds (95%CI, 0.97e2.38) for having hypercholesterolemia. Conclusion: Even though elder residents of the continental Mani area enjoyed a lower morbidity rate, elder islanders had a higher level of successful aging; a finding which could be attributed to differences in lifestyle among elders.
Conclusions: The contribution of dietician should not be limited only in adults with pathological BMI but also in healthy adults, because the alimentary behavior modification could cause significant reduction of visceral fat level in healthy adults, which is also comparable with the reduction of visceral fat level in overweight and obese adults. In this way future morbidity could be prevented. The necessity in modern diet centre to evaluate all parameters of body constitution in order the dietician to provide the appropriate consultative dietary intervention. UNDERESTIMATION OF ACTUAL INSULIN NEEDS AMONG PEOPLE WITH DIABETES TYPE 1 ON INSULIN PUMP THERAPY Parthena Giannoulaki 1, Iro Gounitsioti 2, Fotis Iliadis 2, Apostolos Hatzitolios 2, Aggelos Pappas 3, Despoina Daskalaki 3, Triantafillos Didangelos 2. 1 Department of Nutrition and Dietetics, AHEPA University General Hospital of Thessaloniki, Greece; 2 Diabetes Center, First Propeudetic Department of Internal Medicine, Aristotle University of Thessaloniki, AHEPA University General Hospital of Thessaloniki, Greece; 3 Diabetes Center, Venizeleio-Pananeio General Hospital of Heraclion, Crete, Greece
THE EFFECT OF EATING BEHAVIOR MODIFICATION ON VISCERAL FAT LEVEL IN INDIVIDUALS WITH NORMAL BODY MASS INDEX (BMI)
Introduction: People with Diabetes Mellitus type 1 (DM1) who use an insulin pump improve their glycemic control and their quality life. Aim: To investigate glycemic control among people with DM1 who are using an insulin pump, according to a therapy management software. Materials and methods: 24 individuals with DM1 (male¼ 9, age ¼ 40.2 ± 13.6 years). Anthropometric measurements and the insulin pump’s data of the last month were recorded and downloaded using the software CareLink Pro-Medtronic. The glycemic target was set at HbA1c7% and hypoglycemic events2/week. Results: Individuals with good glycemic control had significantly more blood glucose (BG) readings per day compared to those without (mean BG Readings 6.12 ± 1.59 versus 4.12 ± 2.32, p ¼ 0.025). The people using bolus wizard (N¼ 19) had a significant difference between the actual ratio of carbohydrate (grams) to 1 unit of insulin (CIR) and the insulin pump’s setting ratio (8.11 CIR versus 11.41 CIR, p<0.001). Similarly, individuals with good glycemic control (N¼ 10) had a significantly lower actual CIR compared to the insulin pump’s setting ratio (9.83 CIR versus 12.1CIR, p¼0.002). There was no significant difference of the basal (%) / bolus (%) balance between the people with good and poor glycemic control (0.97 ± 0.3 versus 1.47 ± 0.83 respectively, p¼ 0.073). Conclusion: Good glycemic control is associated with at least four BG readings daily. Moreover, the underestimation of actual insulin needs (bolus), clarifies the need to retrain accurate carbohydrate counting and/or of testing and adjusting the CIRs of each individual with DM1.
Angeliki Morari, Emmanouil Moraris, Alkistis Adramerina, Charalambos Neocleous. Dietology Center Diatrofiki Pyramida, Rhodes, Greece
BOLUS WIZARD USE HAS A BENEFICIAL EFFECT IN GLYCEMIC CONTROL AMONG PEOPLE WITH DIABETES TYPE 1 ON INSULIN PUMP THERAPY
Introduction: Recent studies show that the accumulation of visceral fat in apparently healthy overweight and obese adults contributes to increased morbidity and mortality. Aim: The study of the effect of eating behavior modification on visceral fat level in healthy adults with normal BMI(<25). Materials and methods: We studied the visceral fat level in three patient groups 12 weeks before and after a dietary intervention. An alimentary behavior modification was applied in 40 women with ВМІ<25. In 40 patients with BMI 25-30 and in 40 patients with BMI>30 a combination of hypocaloric diet and alimentary behavior modification was applied. Tanita MC180MA device was used for our measurements of visceral fat level. Results:
Parthena Giannoulaki 1, Iro Gounitsioti 2, Fotios Iliadis 2, Apostolos Hatzitolios 2, Aggelos Pappas 3, Despoina Daskalaki 3, Triantafyllos Didangelos 3. 1 Department of Nutrition and Dietetics, AHEPA University General Hospital of Thessaloniki, Greece; 2 Diabetes Center, First Propeudetic Department of Internal Medicine, Aristotle University of Thessaloniki, AHEPA University General Hospital of Thessaloniki, Greece; 3 Diabetes Center, Venizeleio-Pananeio General Hospital of Heraclion, Crete, Greece
Group
Percentage of patients with change (decreased) visceral fat level
Average change in visceral fat level
ВМІ<25 ВМІ 25-30 ВМІ>30
56.6% 73.91% 93.33%
0.8 1.2 1.7
Introduction: People with Diabetes Mellitus type 1 (DM1) who use an insulin pump improve their glycemic control and their quality life. Aim: To investigate the glycemic control among people with diabetes type 1 (DM1) who are using an insulin pump, according to a therapy management software. Materials and methods: 24 individuals with DM1 (male/female¼ 9/15, age ¼ 40.2 ± 13.6 years). Data of anthropometric measurements and medical history concerning the use of insulin pump, were recorded. Additionally, the insulin pump’s data of the last month were downloaded using the software CareLink Pro-Medtronic. Results: Individuals with good glycemic control had significantly more blood glucose (BG) readings per day compared to those without (mean BG Readings 6.12 ± 1.59 versus 4.12 ± 2.32, p¼ 0.025). There was no