Article,

"Nutrition Knowledge in Children with Type 1 Diabetes and Their Parents"

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Journal of Diabetes and Treatment, 2018 (06): 1-7 (December 2018)

Abstract

1.1. Aims: The purpose of this study is to investigate whether there is a relationship between the Nutritional Diabetes Knowledge Survey (NKS) score and the duration of Type 1 Diabetes in children. 1.2. Methods: All of the 200 children and adolescents with Type 1 Diabetes, aged < 18 years old, that we follow at our diabetes clinic, and their parents, were invited to complete a diabetes nutrition knowledge survey. The final score could range from 0 to 100%, with a higher percentage indicating better diabetes nutrition knowledge. Associations between NKS score and duration of diabetes, HbA1c, insulin administration mode, family income and parents’ education were also analyzed. 1.3. Results: Of the 159 answers received, 129 surveys were valid for analysis. Median NKS score was 73.9% 60.9-82.6. Most respondents were parents (43.4%), followed by children (40.3%) and by parents along with their child (16.3%). In this population, NKS score was inversely associated with diabetes duration (rho = -0.19, P = 0.029) and even more so when we looked only at the parents’ score (rho = -0.41, P = 0.002). The further they were from the diagnosis, the less successful they were in the carbohydrate counting survey category (rho = -0.24, P = 0.006). The score was also inversely associated with the HbA1c value (rho = -0.26, P = 0.003) and was found to be better when factoring parent education level and insulin administration mode. 1.4. Conclusion: This study revealed a negative association between diabetes duration and diabetes nutrition knowledge, specifically in relation to carbohydrate counting.

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