Download PDF
Exp Clin Endocrinol Diabetes 2023; 131(01/02): 33-50
DOI: 10.1055/a-1946-3753
German Diabetes Association: Clinical Practice Guidelines

Nutritional Recommendations for People with Type 1 Diabetes Mellitus

Diana Rubin
1   Vivantes Hospital Spandau, Berlin, Germany
2   Vivantes Humboldt Hospital, Berlin, Germany
,
Anja Bosy-Westphal
3   Institute of Human Nutrition, Faculty of Agriculture and Nutritional Sciences, Christian-Albrechts University of Kiel, Kiel, Germany
,
Stefan Kabisch
4   Department of Endocrinology, Diabetes and Nutritional Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany
5   German Center for Diabetes Research (DZD), Munich, Germany
,
Peter Kronsbein
6   Faculty of Nutrition and Food Sciences, Niederrhein University of Applied Sciences, Mönchengladbach, Germany
,
Marie-Christine Simon
7   Institute of Nutrition and Food Sciences, Rhenish Friedrich Wilhelm University of Bonn, Bonn, Germany
,
Astrid Tombek
8   Diabetes Center Bad Mergentheim, Bad Mergentheim, Germany
,
Katharina S. Weber
9   Institute for Epidemiology, Christian-Albrechts University of Kiel, Kiel, Germany
,
Thomas Skurk
10   ZIEL – Institute for Food & Health, Technical University Munich, Freising, Germany
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints
Notice of update

The DDG practice recommendations are updated regularly during the second half of the calendar year. Please ensure that you read and cite the respective current version.

Updates To Content And Different Recommendations Compared To The Previous Year’s Version

Recommendation 1: Statement on the Use of Automatic Insulin Dosing (AID) Systems

Reason: How to proceed in case of system failure

Recommendation 2: Notice on dose adjustment for evening protein-rich food

Reason: Risk of hypoglycemia

Abbreviations

ADI Acceptable Daily Intake

CGM Continuous glucose monitoring

EFSA European Food Safety Authority

EN% Energy percent

GI Glycemic index

MNA Mini Nutritional Assessment

n-9RCFA Red cell phospholipid fatty acids

rtCGM Real-time CGM

iscCGM Intermittent-scanning CGM

T1Dm Type 1 diabetes mellitus



Publication History

Article published online:
13 January 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Toeller M. Evidence of Nutrition in the Treatment and Prevention of Diabetes Mellitus. Aktuelle Ernährungsmedizin 2005; 30: 197-203
    PubMedGoogle Scholar
  • 2 Beck J, Greenwood DA, Blanton L. et al. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ 2020; 46: 46-61
    CrossrefPubMedGoogle Scholar
  • 3 Beck J, Greenwood DA, Blanton L. et al. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Care 2017; 40: 1409-1419
    Google Scholar
  • 4 Evert AB, Dennison M, Gardner CD. et al. Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report. Diabetes Care 2019; 42: 731-754
    PubMedGoogle Scholar
  • 5 German Diabetes Association. https://www.deutsche-diabetes-gesellschaft.de/fileadmin/user_upload/06_Gesundheitspolitik/01_Stellungnahmen/2019/20190927_Ausschuss_Ernaehrung_DDG_Stellungnahme_zu_den_ADA_Ernaehrungsempfehlungen.pdf
    PubMed
  • 6 American Diabetes Association. 5 Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes-2020. Diabetes Care 2020; 43: S48-S65
    Google Scholar
  • 7 Dyson PA, Twenefour D, Breen C. et al. Diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes. Diabet Med 2018; 35: 541-547
    Google Scholar
  • 8 Dworatzek PD, Arcudi K, Gougeon R. et al. Nutrition therapy. Can J Diabetes 2013; 37: S45-S55
    Google Scholar
  • 9 Kröger J, Siegmund T, Schubert-Olesen O. et al. AGP-Fibel Ernährung. Mit CGM postprandiale Glukoseverläufe analysieren. Mainz: Kirchheim & Co; 2020
    Google Scholar
  • 10 Scavone G, Manto A, Pitocco D. et al. Effect of Carbohydrate Counting and Medical Nutritional Therapy on Glycaemic Control in Type 1 Diabetic Subjects: A Pilot Study. Diabet Med 2010; 27: 477-479
    CrossrefPubMedGoogle Scholar
  • 11 Smart CE, King BR, McElduff P. et al. In children using intensive insulin therapy, a 20 g variation in carbohydrate amount signigicantly impacts on postprandial glycaemia. Diabet Med 2012; 29: e21-e24
    CrossrefPubMedGoogle Scholar
  • 12 Bell KJ, King BR, Shafat A. et al. The Relationship Between Carbohydrate and the Mealtime Insulin Dose in Type 1 Diabetes. J Diabetes Complicat 2015; 29: 1323-1329
    CrossrefPubMedGoogle Scholar
  • 13 Smart CE, Ross K, Edge JA. et al. Can children with Type 1 diabetes and their caregivers estimate the carbohydrate conent of meals and snacks. Diabet Med 2010; 27: 348-353
    CrossrefPubMedGoogle Scholar
  • 14 Atkinson FS, Foster-Powell K, Brand-Miller JC. International tables of glycemic index and glycemic load values: 2008. Diabetes Care 2008; 31: 2281-2283
    CrossrefPubMedGoogle Scholar
  • 15 Chantelau EA. Quantifizierung des Blutglukoseeffekts der Nahrungsmittel: der glykämische Index. In: Berger M, Hrsg. Diabetes mellitus. 2. Aufl.. München Jena: Urban & Fischer; 2000: 158-163
    Google Scholar
  • 16 Strohm D. Glykämischer Index und glykämische Last – ein für die Ernährungspraxis des Gesunden relevantes Konzept? Wissenschaftliche Stellungnahme der DGE. Ernährungs. Umschau 2013; 60: M26-M38
    PubMedGoogle Scholar
  • 17 Chantelau E, Kronsbein P, Kempf U. et al. Untersuchung zum Mahlzeitenbezogenen Insulinbedarf von Linsen und Kartoffeln bei Patienten mit Typ-I Diabetes mellitus. Aktuelle Ernährungsmedizin 1989; 14: 175-178
    PubMedGoogle Scholar
  • 18 Lafrance L, Rabasa-Lhoret R, Poisson D. et al. Effects of different glycaemic index foods and dietary fibre intake on glycaemic control in type 1 diabetic patients on intensive insulin therapy. Diabet Med 1998; 15: 972-978
    CrossrefPubMedGoogle Scholar
  • 19 Parillo M, Annuzzi G, Rivellese AA. et al. Effects of meals with different glycaemic index on postprandial blood glucose response in patients with Type 1 diabetes treated with continuous subcutaneous insulin infusion. Diabet Med 2011; 28: 227-229
    CrossrefPubMedGoogle Scholar
  • 20 Chantelau E, Spraul M, Kunze K. et al. Effects of the glycaemic index of dietary carbohydrates on prandial glycaemia and insulin therapy in type I diabetes mellitus. Diabetes Res Clin Pract 1986; 2: 35-41
    CrossrefPubMedGoogle Scholar
  • 21 Fontvieille AM, Acosta M, Rizkalla SW. et al. A moderate switch from high to low glycaemic-index foods for 3 weeks improves the metabolic control of Type I (IDDM) diabetic subjects. Diabetes Nutr Metab 1988; 1: 139-143
    PubMedGoogle Scholar
  • 22 Thomas DE, Elliott EJ. The use of low-glycaemic index diets in diabetes control. Br J Nutr 2010; 104: 797-802
    Google Scholar
  • 23 Giacco R, Parillo M, Rivellese AA. et al. Long-term dietary treatment with increased amounts of fiber-rich low-glycemic index natural foods improves blood glucose control and reduces the number of hypoglycemic events in type 1 diabetic patients. Diabetes Care 2000; 23: 1461-1466
    CrossrefPubMedGoogle Scholar
  • 24 Fontvieille AM, Rizkalla SW, Penfornis A. et al. The use of low glycaemic index foods improves metabolic control of diabetic patients over five weeks. Diabet Med 1992; 9: 444-450
    CrossrefPubMedGoogle Scholar
  • 25 Vega-López S, Venn BJ, Slavin JL. Relevance of the Glycemic Index and Glycemic Load for Body Weight, Diabetes, and Cardiovascular Disease. Nutrients 2018; 10: 1361
    Google Scholar
  • 26 Nansel TR, Gellar L, McGill A. Effect of varying glycemic index meals on blood glucose control assessed with continuous glucose monitoring in youth with type 1 diabetes on basal-bolus insulin regimens. Diabetes Care 2008; 31: 695-697
    CrossrefPubMedGoogle Scholar
  • 27 Ryan RL, King BR, Anderson DG. et al. Influence of and optimal insulin therapy for a low-glycemic index meal in children with type 1 diabetes receiving intensive insulin therapy. Diabetes Care 2008; 31: 1485-1490
    CrossrefPubMedGoogle Scholar
  • 28 Collier GR, Giudici S, Kalmusky J. et al. Low glycaemic index starchy foods improve glucose control and lower serum cholesterol in diabetic children. Diabetes Nutr Metab 1988; 1: 11-19
    PubMedGoogle Scholar
  • 29 Gilbertson HR, Brand-Miller JC, Thorburn AW. et al. The effect of flexible low glycemic index dietary advice versus measured carbohydrate exchange diets on glycemic control in children with type 1 diabetes. Diabetes Care 2001; 24: 1137-1143
    CrossrefPubMedGoogle Scholar
  • 30 Pańkowska E, Błazik M, Groele L. Does the fat-protein meal increase postprandial glucose level in type 1 diabetes patients on insulin pump: the conclusion of a randomized study. Diabetes Technol Ther 2012; 14: 16-22
    CrossrefPubMedGoogle Scholar
  • 31 Winiger G, Keller U, Laager R. et al. Protein content of the evening meal and nocturnal plasma glucose regulation in type-I diabetic subjects. Horm Res 1995; 44: 101-104
    CrossrefPubMedGoogle Scholar
  • 32 Smart CEM, Evans M, O’Connell SM. et al. Both dietary protein and fat increase postprandial glucose excursions in children with type 1 diabetes, and the effect is additive. Diabetes Care 2013; 36: 3897-3902
    PubMedGoogle Scholar
  • 33 Pańkowska E, Błazik M. Bolus calculator with nutrition database software, a new concept of prandial insulin programming for pump users. J Diabetes Sci Technol 2010; 4: 571-576
    CrossrefPubMedGoogle Scholar
  • 34 Hermann K. et al. Untersuchungen zur Effektivität und Sicherheit einer zusätzlichen Insulingabe für Mahlzeiten mit hohem Fett-und Eiweißgehalt bei Patienten mit Typ-1-Diabetes mellitus. Im Rahmen einer Promotionsarbeit. 2019
    PubMedGoogle Scholar
  • 35 Eschenburger S, Tombek A. et al. Untersuchung einer Nussmahlzeit als Spätmahlzeit unter Berücksichtigung einer kontinuierlichen Glucosemessung. Im Rahmen einer Masterarbeit, nicht veröffentlicht. 2020
    PubMedGoogle Scholar
  • 36 Krems C, Walter C, Heuer T et al. Nationale Verzehrsstudie II – Lebensmittelverzehr und Naehrstoffzufuhr auf Basis von 24h-Recalls. Max Rubner-Institut. 2013. Retrieved from: https://www.mri.bund.de/fileadmin/MRI/Institute/EV/Lebensmittelverzehr_N%C3%A4hrstoffzufuhr_24h-recalls-neu.pdf
    PubMed
  • 37 Hakola L, Miettinen ME, Syrjälä E. et al. Association of Cereal, Gluten, and Dietary Fiber Intake With Islet Autoimmunity and Type 1 Diabetes. JAMA Pediatr 2019; 173: 953-960
    CrossrefPubMedGoogle Scholar
  • 38 de Carvalho CM, Gross LA, de Azevedo MJ. et al. Dietary Fiber Intake (Supplemental or Dietary Pattern Rich in Fiber) and Diabetic Kidney Disease: A Systematic Review of Clinical Trials. Nutrients 2019; 11: 347
    CrossrefPubMedGoogle Scholar
  • 39 Beretta MV, Bernaud FR, Nascimento C. et al. Higher fiber intake is associated with lower blood pressure levels in patients with type 1 diabetes. Arch Endocrinol Metab 2018; 62: 47-54
    CrossrefPubMedGoogle Scholar
  • 40 Bernaud FSR, Beretta MV, do Nascimento C. et al. Fiber intake and inflammation in type 1 diabetes. Diabetol Metab Syndr 2014; 6: 66
    CrossrefPubMedGoogle Scholar
  • 41 Mottalib A, Kasetty M, Mar JY. et al. Weight Management in Patients with Type 1 Diabetes and Obesity. Curr Diab Rep 2017; 17: 92
    CrossrefPubMedGoogle Scholar
  • 42 Basu A, Alman AC, Snell-Bergeon JK. Dietary fiber intake and glycemic control: coronary artery calcification in type 1 diabetes (CACTI) study. Nutr J 2019; 18: 23
    CrossrefPubMedGoogle Scholar
  • 43 Ho J, Nicolucci AC, Virtanen H. et al. Effect of Prebiotic on Microbiota, Intestinal Permeability, and Glycemic Control in Children With Type 1 Diabetes. J Clin Endocrinol Metab 2019; 104: 4427-4440
    CrossrefPubMedGoogle Scholar
  • 44 European Commission. Health Promotion and Disease Prevention Knowledge Gateway. Sugars and Sweeteners (01.02.2020). Retrieved from: https://ec.europa.eu/jrc/en/health-knowledge-gateway/promotionprevention/nutrition/sugars-sweeteners
    PubMed
  • 45 Franz MJ, Powers MA, Leontos C. et al. The Evidence for Medical Nutrition Therapy for Type 1 and Type 2 Diabetes in Adults. J Am Diet Assoc 2010; 110: 1852-1889
    CrossrefPubMedGoogle Scholar
  • 46 Rippe JM, Angelopoulos TJ. Sugars, obesity, and cardiovascular disease: results from recent randomized control trials. Eur J Nutr 2016; 55: 45-53
    PubMedGoogle Scholar
  • 47 Souto DL, Zajdenverg L, Rodacki M. et al. Does sucrose intake affect antropometric variables, glycemia, lipemia and C-reactive protein in subjects with type 1 diabetes?: a controlled-trial. Diabetol Metab Syndr 2013; 5: 67
    CrossrefPubMedGoogle Scholar
  • 48 Rippe JM, Angelopoulos TJ. Sugars, obesity, and cardiovascular disease: results from recent randomized control trials. Eur J Nutr 2016; 55: 45-53
    CrossrefPubMedGoogle Scholar
  • 49 Cozma AI, Sievenpiper JL, de Souza RJ. et al. Effect of Fructose on Glycemic Control in Diabetes: A systematic review and meta-analysis of controlled feeding trials. Diabetes Care 2012; 35: 1611-1620
    Google Scholar
  • 50 Evans RA, Frese M, Romero J. et al. Fructose replacement of glucose or sucrose in food or beverages lowers postprandial glucose and insulin without raising triglycerides: a systematic review and meta-analysis. Am J Clin Nutr 2017; 106: 506-518
    Google Scholar
  • 51 Sievenpiper JL, Carleton AJ, Chatha S. et al. Heterogeneous Effects of Fructose on Blood Lipids in Individuals With Type 2 Diabetes: Systematic review and meta-analysis of experimental trials in humans. Diabetes Care 2009; 32: 1930-1937
    Google Scholar
  • 52 Souto DL, Lima ÉS, Dantas JR. et al. Postprandial metabolic effects of fructose and glucose in type 1 diabetes patients: a pilot randomized crossover clinical trial. Arch Endocrinol Metab 2019; 63: 376-384
    PubMedGoogle Scholar
  • 53 European Commission. Health Promotion and Disease Prevention Knowledge Gateway: Sugars and Sweeteners. 2020. Retrieved from: https://ec.europa.eu/jrc/en/health-knowledge-gateway/promotionprevention/nutrition/sugars-sweeteners
    PubMed
  • 54 American Diabetes Association (ADA) 4. Foundations of Care: Education, Nutrition, Physical Activity, Smoking Cessation, Psychosocial Care, and Immunization. Diabetes Care 2014; 38: 20-31
    CrossrefPubMedGoogle Scholar
  • 55 Evert AB, Dennison M, Gardner CD. et al. Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report. Diabetes Care 2019; 42: 731-754
    Google Scholar
  • 56 Sjöblad S. Could the high consumption of high glycaemic index carbohydrates and sugars, associated with the nutritional transition to the Western type of diet, be the common cause of the obesity epidemic and the worldwide increasing incidences of Type 1 and Type 2 diabetes?. Med Hypotheses 2019; 125: 41-50
    CrossrefPubMedGoogle Scholar
  • 57 Lamb MM, Frederiksen B, Seifert JA. et al. Sugar intake is associated with progression from islet autoimmunity to type 1 diabetes: the Diabetes Autoimmunity Study in the Young. Diabetologia 2015; 58: 2027-2034
    PubMedGoogle Scholar
  • 58 Couch SC, Crandell JL, Shah AS. et al. Fructose intake and cardiovascular risk factors in youth with type 1 diabetes: SEARCH for diabetes in youth study. Diabetes Res Clin Pract 2013; 100: 265-271
    CrossrefPubMedGoogle Scholar
  • 59 Nansel TR, Lipsky LM, Liu A. Greater diet quality is associated with more optimal glycemic control in a longitudinal study of youth with type 1 diabetes. Am J Clin Nutr 2016; 104: 81-87
    PubMedGoogle Scholar
  • 60 EFSA schließt vollständige Risikobewertung zu Aspartam ab und kommt zu dem Schluss, dass es in den derzeitigen Expositionsmengen sicher ist, 10.12.2013. Retrieved from: https://www.efsa.europa.eu/de/press/news/131210; accessed: 02.08.2020
    PubMed
  • 61 Toews I, Lohner S, Küllenberg de Gaudry D. et al. Association between intake of non-sugar sweeteners and health outcomes: systematic review and meta-analyses of randomised and non-randomised controlled trials and observational studies. BMJ 2019; 364: k4718
    CrossrefPubMedGoogle Scholar
  • 62 Sylvetsky AC, Rother KI. Nonnutritive Sweeteners in Weight Management and Chronic Disease: A Review. Obesity (Silver Spring) 2018; 26: 635-640
    CrossrefPubMedGoogle Scholar
  • 63 Ashwell M, Gibson S, Bellisle F et al. Expert consensus on low-calorie sweeteners: facts, research gaps and suggested actions. Nutr Res Rev 2020: 1–10
    PubMed
  • 64 Romo-Romo A, Aguilar-Salinas CA, Brito-Córdova GX. et al. Effects of the Non-Nutritive Sweeteners on Glucose Metabolism and Appetite Regulating Hormones: Systematic Review of Observational Prospective Studies and Clinical Trials. PLoS One 2016; 11: e0161264
    CrossrefPubMedGoogle Scholar
  • 65 Rogers PJ, Hogenkamp PS, de Graaf C. et al. Does low-energy sweetener consumption affect energy intake and body weight? A systematic review, including meta-analyses, of the evidence from human and animal studies. Int J Obes (Lond) 2016; 40: 381-394
    CrossrefPubMedGoogle Scholar
  • 66 Fantino M, Fantino A, Matray M. et al. Beverages containing low energy sweeteners do not differ from water in their effects on appetite, energy intake and food choices in healthy, non-obese French adults. Appetite 2018; 125: 557-565
    CrossrefPubMedGoogle Scholar
  • 67 Bellisle F. Intense Sweeteners, Appetite for the Sweet Taste, and Relationship to Weight Management. Curr Obes Rep 2015; 4: 106-110
    CrossrefPubMedGoogle Scholar
  • 68 Lobach AR, Roberts A, Rowland IR. Assessing the in vivo data on low/no-calorie sweeteners and the gut microbiota. Food Chem Toxicol 2019; 124: 385-399
    CrossrefPubMedGoogle Scholar
  • 69 Ahmad SY, Azad MB, Friel J. et al. Recent evidence for the effects of nonnutritive sweeteners on glycaemic control. Curr Opin Clin Nutr Metab Care 2019; 22: 278-283
    CrossrefPubMedGoogle Scholar
  • 70 Hunter SR, Reister EJ, Cheon E. et al. Low Calorie Sweeteners Differ in Their Physiological Effects in Humans. Nutrients 2019; 11: 2717
    CrossrefPubMedGoogle Scholar
  • 71 German Diabetes Association. Retrieved from: https://www.awmf.org/uploads/tx_szleitlinien/057-013l_S3-Therapie-Typ-1-Diabetes_2018-08.pdf
    PubMed
  • 72 Nansel TR, Lipsky LM, Liu A. Greater diet quality is associated with more optimal glycemic control in a longitudinal study of youth with type 1 diabetes. Am J Clin Nutr 2016; 104: 81-87
    CrossrefPubMedGoogle Scholar
  • 73 Nezu U, Kamiyama H, Kondo Y. et al. Effect of low-protein diet on kidney function in diabetic nephropathy: meta-analysis of randomised controlled trials. BMJ Open 2013; 3: e002934
    CrossrefPubMedGoogle Scholar
  • 74 Dussol B, Iovanna C, Raccah D. et al. A randomized trial of low-protein diet in type 1 and in type 2 diabetes mellitus patients with incipient and overt nephropathy. J Ren Nutr 2005; 15: 398-406
    CrossrefPubMedGoogle Scholar
  • 75 Seckold R, Fisher E, de Bock M. et al. The ups and downs of low-carbohydrate diets in the management of Type 1 diabetes: a review of clinical outcomes. Diabet Med 2019; 36: 326-334
    CrossrefPubMedGoogle Scholar
  • 76 Donaghue KC, Pena MM, Chan AKF. et al. Beneficial effects of increasing monounsaturated fat intake in adolescents with type 1 diabetes. Diabetes Res Clin Pract 2000; 48: 193-199
    PubMedGoogle Scholar
  • 77 Gingras V, Leroux C, Desjardins K. et al. Association between Cardiometabolic Profile and Dietary Characteristics among Adults with Type 1 Diabetes Mellitus. J Acad Nutr Diet 2015; 115: 1965-1974
    CrossrefPubMedGoogle Scholar
  • 78 Fortin A, Rabasa-Lhoret R, Lemieux S. et al. Comparison of a Mediterranean to a low-fat diet intervention in adults with type 1 diabetes and metabolic syndrome: A 6-month randomized trial. Nutr Metab Cardiovasc Dis 2018; 28: 1275-1284
    CrossrefPubMedGoogle Scholar
  • 79 Cadario F, Prodam F, Pasqualicchio S. et al. Lipid profile and nutritional intake in children and adolescents with Type 1 diabetes improve after a structured dietician training to a Mediterranean-style diet. J Endocrinol Invest 2012; 35: 160-168
    PubMedGoogle Scholar
  • 80 Zhong VW, Lamichhane AP, Crandell JL. et al. Association of adherence to a Mediterranean diet with glycemic control and cardiovascular risk factors in youth with type I diabetes: the SEARCH Nutrition Ancillary Study. Eur J Clin Nutr 2016; 70: 802-807
    CrossrefPubMedGoogle Scholar
  • 81 Günther ALB, Liese AD, Bell RA. et al. Association between the dietary approaches to hypertension diet and hypertension in youth with diabetes mellitus. Hypertension 2009; 53: 6-12
    CrossrefPubMedGoogle Scholar
  • 82 Liese AD, Bortsov A, Günther ALB. et al. Association of DASH diet with cardiovascular risk factors in youth with diabetes mellitus: the SEARCH for Diabetes in Youth study. Circulation 2011; 123: 1410-1417
    CrossrefPubMedGoogle Scholar
  • 83 Peairs AD, Shah AS, Summer S. et al. Effects of the dietary approaches to stop hypertension (DASH) diet on glucose variability in youth with Type 1 diabetes. Diabetes Manag (Lond). 2017; 7: 383-391
    PubMedGoogle Scholar
  • 84 Nansel TR, Haynie DL, Lipsky LM. et al. Multiple indicators of poor diet quality in children and adolescents with type 1 diabetes are associated with higher body mass index percentile but not glycemic control. J Acad Nutr Diet 2012; 112: 1728-1735
    CrossrefPubMedGoogle Scholar
  • 85 Powers MA, Gal RL, Connor CG. et al. Eating patterns and food intake of persons with type 1 diabetes within the T1D exchange. Diabetes Res Clin Pract 2018; 141: 217-228
    CrossrefPubMedGoogle Scholar
  • 86 Sanjeevi N, Lipsky LM, Nansel TR. Cardiovascular Biomarkers in Association with Dietary Intake in a Longitudinal Study of Youth with Type 1 Diabetes. Nutrients 2018; 10: 1552
    CrossrefPubMedGoogle Scholar
  • 87 Petersen KS, Keogh JB, Lister NB. et al. Dietary quality and carotid intima media thickness in type 1 and type 2 diabetes: Follow-up of a randomised controlled trial. Nutr Metab Cardiovasc Dis 2018; 28: 830-838
    CrossrefPubMedGoogle Scholar
  • 88 Costacou T, Crandell J, Kahkoska AR. et al. Dietary Patterns Over Time and Microalbuminuria in Youth and Young Adults With Type 1 Diabetes: The SEARCH Nutrition Ancillary Study. Diabetes Care 2018; 41: 1615-1622
    CrossrefPubMedGoogle Scholar
  • 89 Liese AD, Ma X, Ma X. et al. Dietary quality and markers of inflammation: No association in youth with type 1 diabetes. J Diabetes Complicat 2018; 32: 179-184
    CrossrefPubMedGoogle Scholar
  • 90 Ahola AJ, Freese R, Mäkimattila S. et al. Dietary patterns are associated with various vascular health markers and complications in type 1 diabetes. J Diabetes Complicat 2016; 30: 1144-1150
    CrossrefPubMedGoogle Scholar
  • 91 Ahola AJ, Gordin D, Forsblom C. et al. Association between diet and measures of arterial stiffness in type 1 diabetes – Focus on dietary patterns and macronutrient substitutions. Nutr Metab Cardiovasc Dis 2018; 28: 1166-1172
    CrossrefPubMedGoogle Scholar
  • 92 Jaacks LM, Crandell J, Mendez MA. et al. Dietary patterns associated with HbA1c and LDL cholesterol among individuals with type 1 diabetes in China. J Diabetes Complicat 2015; 29: 343-349
    CrossrefPubMedGoogle Scholar
  • 93 Lamichhane AP, Liese AD, Urbina EM. et al. Associations of dietary intake patterns identified using reduced rank regression with markers of arterial stiffness among youth with type 1 diabetes. Eur J Clin Nutr 2014; 68: 1327-1333
    CrossrefPubMedGoogle Scholar
  • 94 van Bussel BCT, Soedamah-Muthu SS, Henry RMA. et al. Unhealthy dietary patterns associated with inflammation and endothelial dysfunction in type 1 diabetes: the EURODIAB study. Nutr Metab Cardiovasc Dis 2013; 23: 758-764
    CrossrefPubMedGoogle Scholar
  • 95 European Commission. Health Promotion and Disease Prevention Knowledge Gateway: Sugars and Sweeteners. Retrieved from: https://ec.europa.eu/jrc/en/health-knowledge-gateway/promotion-prevention/nutrition/sugars-sweeteners
    PubMed
  • 96 Lamb MM, Frederiksen B, Seifert JA. et al. Sugar intake is associated with progression from islet autoimmunity to type 1 diabetes: the Diabetes Autoimmunity Study in the Young. Diabetologia 2015; 58: 2027-2034
    CrossrefPubMedGoogle Scholar
  • 97 Bortsov AV, Liese AD, Bell RA. et al. Sugar-sweetened and diet beverage consumption is associated with cardiovascular risk factor profile in youth with type 1 diabetes. Acta Diabetol 2011; 48: 275-282
    CrossrefPubMedGoogle Scholar
  • 98 Liese AD, Crandell JL, Tooze JA. et al. Sugar-sweetened beverage intake and cardiovascular risk factor profile in youth with type 1 diabetes: application of measurement error methodology in the SEARCH Nutrition Ancillary Study. Br J Nutr 2015; 114: 430-438
    CrossrefPubMedGoogle Scholar
  • 99 Stutz B, Ahola AJ, Harjutsalo V. et al. Association between habitual coffee consumption and metabolic syndrome in type 1 diabetes. Nutr Metab Cardiovasc Dis 2018; 28: 470-476
    CrossrefPubMedGoogle Scholar
  • 100 Liu X, Zhang Y, Wu H. et al. Intake of polyunsaturated fatty acids and risk of preclinical and clinical type 1 diabetes in children-a systematic review and meta-analysis. Eur J Clin Nutr 2019; 73: 1-8
    CrossrefPubMedGoogle Scholar
  • 101 Cadario F, Pozzi E, Rizzollo S. et al. Vitamin D and ω-3 Supplementations in Mediterranean Diet During the 1st Year of Overt Type 1 Diabetes: A Cohort Study. Nutrients 2019; 11: 2158
    CrossrefPubMedGoogle Scholar
  • 102 Antonucci R, Locci C, Clemente MG. et al. Vitamin D deficiency in childhood: old lessons and current challenges. J Pediatr Endocrinol Metab 2018; 31: 247-260
    CrossrefPubMedGoogle Scholar
  • 103 Rak K, Bronkowska M. Immunomodulatory Effect of Vitamin D and Its Potential Role in the Prevention and Treatment of Type 1 Diabetes Mellitus-A Narrative Review. Molecules 2018; 24: 53
    CrossrefPubMedGoogle Scholar
  • 104 Dong JY, Zhang WG, Chen JJ. et al. Vitamin D intake and risk of type 1 diabetes: a meta-analysis of observational studies. Nutrients 2013; 5: 3551-3562
    CrossrefPubMedGoogle Scholar
  • 105 Zipitis CS, Akobeng AK. Vitamin D supplementation in early childhood and risk of type 1 diabetes: a systematic review andmeta-analysis. Arch Dis Child 2008; 93: 512-517
    CrossrefPubMedGoogle Scholar
  • 106 Altieri B, Muscogiuri G, Barrea L. et al. Does vitamin D play a role in autoimmune endocrine disorders? A proof of concept. Rev Endocr Metab Disord 2017; 18: 335-346
    CrossrefPubMedGoogle Scholar
  • 107 Gregoriou E, Mamais I, Tzanetakou I. et al. The Effects of Vitamin D Supplementation in Newly Diagnosed Type 1 Diabetes Patients: Systematic Review of Randomized Controlled Trials. Rev Diabet Stud 2017; 14: 260-268
    CrossrefPubMedGoogle Scholar
  • 108 Thorsen SU, Halldorsson TI, Bjerregaard AA. et al. Maternal and Early Life Iron Intake and Risk of Childhood Type 1 Diabetes: A Danish Case-Cohort Study. Nutrients 2019; 11: 734
    CrossrefPubMedGoogle Scholar
  • 109 Lin CC, Huang YL. Chromium, zinc and magnesium status in type 1 diabetes. Curr Opin Clin Nutr Metab Care 2015; 18: 588-592
    CrossrefPubMedGoogle Scholar
  • 110 Jayawardena R, Ranasinghe P, Galappatthy P. et al. Effects of zinc supplementation on diabetes mellitus: a systematic review and meta-analysis. Diabetol Metab Syndr 2012; 4: 13
    CrossrefPubMedGoogle Scholar
  • 111 Chimienti F. Zinc, pancreatic islet cell function and diabetes: new insights into an old story. Nutr Res Rev 2013; 26: 1-11
    Google Scholar
  • 112 BgVVArbeitsgruppe. Retrieved from: https://mobil.bfr.bund.de/cm/343/probiot.pdf
    PubMed
  • 113 de Vrese M. Mikrobiologie, Wirkung und Sicherheit von Probiotika. Monatsschr Kinderheilkd 2008; 156: 1063-1069
    Google Scholar
  • 114 Zheng D, Liwinski T, Elinav E. Interaction between microbiota and immunity in health and disease. Cell Res 2020; 30: 492-506
    CrossrefPubMedGoogle Scholar
  • 115 Arpaia N, Campbell C, Fan X. et al. Metabolites produced by commensal bacteria promote peripheral regulatory T-cell generation. Nature 2013; 504: 451-455
    CrossrefPubMedGoogle Scholar
  • 116 Smith PM, Howitt MR, Panikov N. et al. The microbial metabolites, short-chain fatty acids, regulate colonic Treg cell homeostasis. Science 2013; 341: 569-573
    CrossrefPubMedGoogle Scholar
  • 117 Bosi E, Molteni L, Radaelli MG. et al. Increased intestinal permeability precedes clinical onset of type 1 diabetes. Diabetologia 2006; 49: 2824-2827
    CrossrefPubMedGoogle Scholar
  • 118 Brown CT, Davis-Richardson AG, Giongo A. et al. Gut microbiome metagenomics analysis suggests a functional model for the development of autoimmunity for type 1 diabetes. PLoS ONE 2011; 6: e25792
    CrossrefPubMedGoogle Scholar
  • 119 de Goffau MC, Luopajärvi K, Knip M. et al. Fecal microbiota composition differs between children with β-cell autoimmunity and those without. Diabetes 2013; 62: 1238-1244
    CrossrefPubMedGoogle Scholar
  • 120 Kostic AD, Gevers D, Siljander H. et al. The dynamics of the human infant gut microbiome in development and in progression toward type 1 diabetes. Cell Host Microbe 2015; 17: 260-273
    CrossrefPubMedGoogle Scholar
  • 121 Davis-Richardson AG, Ardissone AN, Dias R. et al. Bacteroides dorei dominates gut microbiome prior to autoimmunity in Finnish children at high risk for type 1 diabetes. Front Microbiol 2014; 5: 678
    CrossrefPubMedGoogle Scholar
  • 122 de Goffau MC, Fuentes S, van den Bogert B. et al. Aberrant gut microbiota composition at the onset of type 1 diabetes in young children. Diabetologia 2014; 57: 1569-1577
    CrossrefPubMedGoogle Scholar
  • 123 Alkanani AK, Hara N, Gottlieb PA. et al. Alterations in Intestinal Microbiota Correlate With Susceptibility to Type 1 Diabetes. Diabetes 2015; 64: 3510-3520
    CrossrefPubMedGoogle Scholar
  • 124 Vatanen T, Franzosa EA, Schwager R. et al. The human gut microbiome in early-onset type 1 diabetes from the TEDDY study. Nature 2018; 562: 589-594
    CrossrefPubMedGoogle Scholar
  • 125 Vatanen T, Kostic AD, dʼHennezel E. et al. Variation in Microbiome LPS Immunogenicity Contributes to Autoimmunity in Humans. Cell 2016; 165: 842-853
    CrossrefPubMedGoogle Scholar
  • 126 de Groot PF, Belzer C, Aydin Ö. et al. Distinct fecal and oral microbiota composition in human type 1 diabetes, an observational study. PLoS ONE 2017; 12: e0188475
    CrossrefPubMedGoogle Scholar
  • 127 Gavin PG, Hamilton-Williams EE. The gut microbiota in type 1 diabetes: friend or foe?. Curr Opin Endocrinol Diabetes Obes 2019; 26: 207-212
    CrossrefPubMedGoogle Scholar
  • 128 Mishra SP, Wang S, Nagpal R. et al. Probiotics and Prebiotics for the Amelioration of Type 1 Diabetes: Present and Future Perspectives. Microorganisms 2019; 7: 67
    CrossrefPubMedGoogle Scholar
  • 129 Uusitalo U, Liu X, Yang J. et al. Association of Early Exposure of Probiotics and Islet Autoimmunity in the TEDDY Study. JAMA Pediatr 2016; 170: 20-28
    CrossrefPubMedGoogle Scholar
  • 130 Savilahti E, Härkönen T, Savilahti EM. et al. Probiotic intervention in infancy is not associated with development of beta cell autoimmunity and type 1 diabetes. Diabetologia 2018; 61: 2668-2670
    CrossrefPubMedGoogle Scholar
  • 131 Haupt-Jørgensen M, Morgen CS, Jess T. et al. Maternal Antibiotic Use During Pregnancy and Type 1 Diabetes in Children-A National Prospective Cohort Study. Diabetes Care 2018; 41: e155-e157
    CrossrefPubMedGoogle Scholar
  • 132 Kemppainen KM, Vehik K, Lynch KF. et al. Association Between Early-Life Antibiotic Use and the Risk of Islet or Celiac Disease Autoimmunity. JAMA Pediatr 2017; 171: 1217-1225
    CrossrefPubMedGoogle Scholar
  • 133 Bianchini S, Orabona C, Camilloni B. et al. Effects of probiotic administration on immune responses of children and adolescents with type 1 diabetes to a quadrivalent inactivated influenza vaccine. Hum Vaccin Immunother 2020; 16: 86-94
    CrossrefPubMedGoogle Scholar
  • 134 Zheng M, Zhang R, Tian X. et al. Assessing the Risk of Probiotic Dietary Supplements in the Context of Antibiotic Resistance. Front Microbiol 2017; 8: 908
    Google Scholar
  • 135 Wong A, Ngu DYS, Dan LA. et al. Detection of antibiotic resistance in probiotics of dietary supplements. Nutr J 2015; 14: 95
    Google Scholar
  • 136 Singhi SC, Kumar S. Probiotics in critically ill children. F1000Res 2016; 5: 407
    CrossrefPubMedGoogle Scholar
  • 137 Zmora N, Zilberman-Schapira G, Suez J. et al. Personalized Gut Mucosal Colonization Resistance to Empiric Probiotics Is Associated with Unique Host and Microbiome Features. Cell 2018; 174: 1388-1405.e21
    CrossrefPubMedGoogle Scholar
  • 138 Gill S, Panda S. A Smartphone App Reveals Erratic Diurnal Eating Patterns in Humans that Can Be Modulated for Health Benefits. Cell Metab 2015; 22: 789-798
    CrossrefPubMedGoogle Scholar
  • 139 Kahleova H, Lloren JI, Mashchak A. et al. Meal Frequency and Timing Are Associated with Changes in Body Mass Index in Adventist Health Study 2. J Nutr 2017; 147: 1722-1728
    CrossrefPubMedGoogle Scholar
  • 140 McCrory MA, Howarth NC, Roberts SB. et al. Eating frequency and energy regulation in free-living adults consuming self-selected diets. J Nutr 2011; 141: 148-153
    CrossrefPubMedGoogle Scholar
  • 141 Ohkawara K, Cornier MA, Kohrt WM. et al. Effects of increased meal frequency on fat oxidation and perceived hunger. Obesity (Silver Spring) 2013; 21: 336-343
    CrossrefPubMedGoogle Scholar
  • 142 Kahleova H, Belinova L, Malinska H. et al. Eating two larger meals a day (breakfast and lunch) is more effective than six smaller meals in a reduced-energy regimen for patients with type 2 diabetes: a randomised crossover study. Diabetologia 2014; 57: 1552-1560
    CrossrefPubMedGoogle Scholar
  • 143 Koopman KE, Caan MWA, Nederveen AJ. et al. Hypercaloric diets with increased meal frequency, but not meal size, increase intrahepatic triglycerides: a randomized controlled trial. Hepatology 2014; 60: 545-553
    CrossrefPubMedGoogle Scholar
  • 144 St-Onge MP, Ard J, Baskin ML. et al. Meal Timing and Frequency: Implications for Cardiovascular Disease Prevention: A Scientific Statement From the American Heart Association. Circulation 2017; 135: e96-e121
    PubMedGoogle Scholar
  • 145 Stote KS, Baer DJ, Spears K. et al. A controlled trial of reduced meal frequency without caloric restriction in healthy, normal-weight, middle-aged adults. Am J Clin Nutr 2007; 85: 981-988
    CrossrefPubMedGoogle Scholar
  • 146 Tinsley GM, Forsse JS, Butler NK. et al. Time-restricted feeding in young men performing resistance training: A randomized controlled trial. Eur J Sport Sci 2017; 17: 200-207
    CrossrefPubMedGoogle Scholar
  • 147 Moro T, Tinsley G, Bianco A. et al. Effects of eight weeks of time-restricted feeding (16/8) on basal metabolism, maximal strength, body composition, inflammation, and cardiovascular risk factors in resistance-trained males. J Transl Med 2016; 14: 290
    CrossrefPubMedGoogle Scholar
  • 148 Nas A, Mirza N, Hägele F. et al. Impact of breakfast skipping compared with dinner skipping on regulation of energy balance and metabolic risk. Am J Clin Nutr 2017; 105: 1351-1361
    CrossrefPubMedGoogle Scholar
  • 149 Sutton EF, Beyl R, Early KS. et al. Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss in Men with Prediabetes. Cell Metab 2018; 27: 1212-1221.e3
    CrossrefPubMedGoogle Scholar
  • 150 Ravussin E, Beyl RA, Poggiogalle E. et al. Early Time-Restricted Feeding Reduces Appetite and Increases Fat Oxidation But Does Not Affect Energy Expenditure in Humans. Obesity (Silver Spring) 2019; 27: 1244-1254
    CrossrefPubMedGoogle Scholar
  • 151 Mattson MP, Allison DB, Fontana L. et al. Meal frequency and timing in health and disease. Proc Natl Acad Sci U S A 2014; 111: 16647-16653
    CrossrefPubMedGoogle Scholar
  • 152 Bo S, Fadda M, Castiglione A. et al. Is the timing of caloric intake associated with variation in diet-induced thermogenesis and in the metabolic pattern? A randomized cross-over study. Int J Obes (Lond) 2015; 39: 1689-1695
    CrossrefPubMedGoogle Scholar
  • 153 Henry CJ, Kaur B, Quek RYC. Chrononutrition in the management of diabetes. Nutr Diabetes 2020; 10: 6
    CrossrefPubMedGoogle Scholar
  • 154 Wilkinson MJ, Manoogian ENC, Zadourian A. et al. Ten-Hour Time-Restricted Eating Reduces Weight, Blood Pressure, and Atherogenic Lipids in Patients with Metabolic Syndrome. Cell Metab 2020; 31: 92-104.e5
    CrossrefPubMedGoogle Scholar
  • 155 Trepanowski JF, Kroeger CM, Barnosky A. et al. Effect of Alternate-Day Fasting on Weight Loss, Weight Maintenance, and Cardioprotection Among Metabolically Healthy Obese Adults: A Randomized Clinical Trial. JAMA Intern Med 2017; 177: 930-938
    CrossrefPubMedGoogle Scholar
  • 156 Sundfør TM, Svendsen M, Tonstad S. Effect of intermittent versus continuous energy restriction on weight loss, maintenance and cardiometabolic risk: A randomized 1-year trial. Nutr Metab Cardiovasc Dis 2018; 28: 698-706
    CrossrefPubMedGoogle Scholar
  • 157 Schübel R, Nattenmüller J, Sookthai D. et al. Effects of intermittent and continuous calorie restriction on body weight and metabolism over 50 wk: a randomized controlled trial. Am J Clin Nutr 2018; 108: 933-945
    CrossrefPubMedGoogle Scholar
  • 158 Carter S, Clifton PM, Keogh JB. Effect of Intermittent Compared With Continuous Energy Restricted Diet on Glycemic Control in Patients With Type 2 Diabetes: A Randomized Noninferiority Trial. JAMA Netw Open 2018; 1: e180756
    CrossrefPubMedGoogle Scholar
  • 159 Corley BT, Carroll RW, Hall RM. et al. Intermittent fasting in Type 2 diabetes mellitus and the risk of hypoglycaemia: a randomized controlled trial. Diabet Med 2018; 35: 588-594
    Google Scholar
  • 160 Horne BD, Grajower MM, Anderson JL. Limited Evidence for the Health Effects and Safety of Intermittent Fasting Among Patients With Type 2 Diabetes. JAMA 2020; 324: 341-342
    CrossrefPubMedGoogle Scholar
  • 161 Lawrence JM, Liese AD, Liu L. et al. Weight-loss practices and weightrelated issues among youth with type 1 or type 2 diabetes. Diabetes Care 2008; 31: 2251-2257
    CrossrefPubMedGoogle Scholar
  • 162 Kahkoska AR, Watts ME, Driscoll KA. et al. Understanding antagonism and synergism: A qualitative assessment of weight management in youth with Type 1 diabetes mellitus. Obes Med 2018; 9: 21-31
    CrossrefPubMedGoogle Scholar
  • 163 Rosenfalck AM, Almdal T, Viggers L. et al. A low-fat diet improves peripheral insulin sensitivity in patients with Type 1 diabetes. Diabet Med 2006; 23: 384-392
    CrossrefPubMedGoogle Scholar
  • 164 Dullaart RP, Beusekamp BJ, Meijer S. et al. Long-term effects of proteinrestricted diet on albuminuria and renal function in IDDM patients without clinical nephropathy and hypertension. Diabetes Care 1993; 16: 483-492
    CrossrefPubMedGoogle Scholar
  • 165 Evans M, Smart CEM, Paramalingam N. et al. Dietary protein affects both the dose and pattern of insulin delivery required to achieve postprandial euglycaemia in Type 1 diabetes: a randomized trial. Diabet Med 2019; 36: 499-504
    CrossrefPubMedGoogle Scholar
  • 166 Gingras V, Bonato L, Messier V. et al. Impact of macronutrient content of meals on postprandial glucose control in the context of closed-loop insulin delivery: A randomized cross-over study. Diabetes Obes Metab 2018; 20: 2695-2699
    CrossrefPubMedGoogle Scholar
  • 167 Paterson MA, Smart CEM, Lopez PE. et al. Influence of dietary protein on postprandial blood glucose levels in individuals with Type 1 diabetes mellitus using intensive insulin therapy. Diabet Med 2016; 33: 592-598
    CrossrefPubMedGoogle Scholar
  • 168 Paterson MA, Smart CEM, Lopez PE. et al. Increasing the protein quantity in a meal results in dose-dependent effects on postprandial glucose levels in individuals with Type 1 diabetes mellitus. Diabet Med 2017; 34: 851-854
    CrossrefPubMedGoogle Scholar
  • 169 Ranjan A, Schmidt S, Damm-Frydenberg C. et al. Low-Carbohydrate Diet Impairs the Effect of Glucagon in the Treatment of Insulin-Induced Mild Hypoglycemia: A Randomized Crossover Study. Diabetes Care 2017; 40: 132-135
    CrossrefPubMedGoogle Scholar
  • 170 Smart CEM, Evans M, OʼConnell SM. et al. Both dietary protein and fat increase postprandial glucose excursions in children with type 1 diabetes, and the effect is additive. Diabetes Care 2013; 36: 3897-3902
    CrossrefPubMedGoogle Scholar
  • 171 Nielsen JV, Jönsson E, Ivarsson A. A low carbohydrate diet in type 1 diabetes: clinical experience – a brief report. Ups J Med Sci 2005; 110: 267-273
    CrossrefPubMedGoogle Scholar
  • 172 Burge MR, Castillo KR, Schade DS. Meal composition is a determinant of lispro-induced hypoglycemia in IDDM. Diabetes Care 1997; 20: 152-155
    CrossrefPubMedGoogle Scholar
  • 173 Ranjan A, Schmidt S, Damm-Frydenberg C. et al. Short-term effects of a low carbohydrate diet on glycaemic variables and cardiovascular risk markers in patients with type 1 diabetes: A randomized open-label crossover trial. Diabetes Obes Metab 2017; 19: 1479-1484
    CrossrefPubMedGoogle Scholar
  • 174 Rabasa-Lhoret R, Garon J, Langelier H. et al. Effects of meal carbohydrate content on insulin requirements in type 1 diabetic patients treated intensively with the basal-bolus (ultralente-regular) insulin regimen. Diabetes Care 1999; 22: 667-673
    CrossrefPubMedGoogle Scholar
  • 175 Anderson JW, Zeigler JA, Deakins DA. et al. Metabolic effects of highcarbohydrate, high-fiber diets for insulin-dependent diabetic individuals. Am J Clin Nutr 1991; 54: 936-943
    CrossrefPubMedGoogle Scholar
  • 176 McKewen MW, Rehrer NJ, Cox C. et al. Glycaemic control, muscle glycogen and exercise performance in IDDM athletes on diets of varying carbohydrate content. Int J Sports Med 1999; 20: 349-353
    Article in Thieme ConnectPubMedGoogle Scholar
  • 177 Zavitsanou S, Massa J, Deshpande S. et al. The Effect of Two Types of Pasta Versus White Rice on Postprandial Blood Glucose Levels in Adults with Type 1 Diabetes: A Randomized Crossover Trial. Diabetes Technol Ther 2019; 21: 485-492
    CrossrefPubMedGoogle Scholar
  • 178 Rilstone S, Reddy M, Oliver N. Glycemic Index, Extended Bolusing, and Diabetes Education in Insulin Pump Therapy (GLIDE: A Pilot Study). Diabetes Technol Ther 2019; 21: 452-455
    CrossrefPubMedGoogle Scholar
  • 179 Bruttomesso D, Tessari P. A High-Fiber Diet Decreases Postabsorptive Protein Turnover but Does Not Alter Insulin Sensitivity in Men with Type 1 Diabetes Mellitus. J Nutr 2019; 149: 596-604
    CrossrefPubMedGoogle Scholar
  • 180 Thinggaard M, Jacobsen R, Jeune B. et al. Is the relationship between BMI and mortality increasingly U-shaped with advancing age? A 10-year follow-up of persons aged 70-95 years. J Gerontol A Biol Sci Med Sci 2010; 65: 526-531
    Google Scholar
  • 181 Guigoz Y, Vellas BJ. Malnutrition im Alter: Das Mini Nutritional Assessment (MNA). Ther Umsch 1997; 54: 345-350
    Google Scholar
  • 182 Rubenstein LZ, Harker JO, Salvà A. et al. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci 2001; 56: M366-M372
    Google Scholar
  • 183 Diabetes Nutrition and Complications Trial: adherence to the ADA nutritional recommendations, targets of metabolic control, and onset of diabetes complications. A 7-year, prospective, population-based, observational multicenter study. J Diabetes Complications 2006; 20: 361-366
    CrossrefPubMed
  • 184 Strychar I, Cohn JS, Renier G. et al. Effects of a diet higher in carbohydrate/lower in fat versus lower in carbohydrate/higher in monounsaturated fat on postmeal triglyceride concentrations and other cardiovascular risk factors in type 1 diabetes. Diabetes Care 2009; 32: 1597-1599
    CrossrefPubMedGoogle Scholar
  • 185 Donaghue KC, Pena MM, Chan AK. et al. Beneficial effects of increasing monounsaturated fat intake in adolescents with type 1 diabetes. Diabetes Res Clin Pract 2000; 48: 193-199
    CrossrefPubMedGoogle Scholar
  • 186 Bozzetto L, Alderisio A, Giorgini M. et al. Extra-virgin olive oil reduces glycemic response to a high-glycemic index meal in patients with type 1 diabetes: a randomized controlled trial. Diabetes Care 2016; 39: 518-524
    CrossrefPubMedGoogle Scholar
  • 187 Tetzschner R, Nørgaard K, Ranjan A. Effects of alcohol on plasma glucose and prevention of alcohol-induced hypoglycemia in type 1 diabetes-A systematic review with GRADE. Diabetes Metab Res Rev 2018; 34: e2965
    CrossrefPubMedGoogle Scholar
  • 188 Zare Javid A, Aminzadeh M, Haghighi-Zadeh MH. et al. The Effects of Synbiotic Supplementation on Glycemic Status, Lipid Profile, and Biomarkers of Oxidative Stress in Type 1 Diabetic Patients. A Placebo-Controlled, Double-Blind, Randomized Clinical Trial. Diabetes Metab Syndr Obes 2020; 13: 607-617
    CrossrefPubMedGoogle Scholar