A research on the effects of the application of carbohydrate counting on metabolik control of medicine type 1 diabetic patients cured with intensve insuline therapy

In Type 1 diabetics treatment medical feeding treatment is of great importance. In this respect there are two methods; the fist method is caloric diet programme and the second one is carbohydrate counting. In this study it is aimed to compare the effects of these two treatment methods on the blood glucose and weight. Amongst the patients who have been receiving intensive insulin treatment and having diabetics with type 1Diabetes Mellitus for one year only those twenty-seven patients who would come for check up regularly were chosen for the study. Carbohydrate counting method was implemented on the 14 patients and the calory dieting programme was implemented on the other 13 patients. These patients were followed for 6 months. Their fruktozamin and, weight and waist circumference values were recorded every month and their HbA1c values were recorded every three months. As a result; there has been meaningful decrease in the values of fruktozamin and HbA1c of the patients who had carbohydrate counting treatment (p=0.004, p=0.002). But in the group who had dieting treatment, while there has been no meaningful change in the blood parameters, the values of weight and BKI has increased meaningfully (p=0.02, p=0.006). However, when these two treatment methods were compared no meaningful difference was observed. This study showed that when carbohydrate counting is implemented correctly, it can correct HbA1c values without gaining weight to calory dieting programme.Key words: Type 1 Diabetes Mellitus, carbohydrate counting, caloric dietprogramme, metabolic control, weight