The effect of carbonhydrate counting on metabolic control and well-being in type 1 diabetic patients with intensive insulin therapy

Diabetes Mellitus is a serious chronic disease that is becoming increasingly common throughout the world. Various nutrition methods are used in the therapy of people with diabetes. Carbohydrate counting method gives freedom to people with diabetes. This study was carried out with 30 adult individuals with type 1 diabetes to determine the effect of carbohydrate count on metabolic control and well-being in patients with type 1 diabetes who received intensive insülin therapy. The scope of research was applied between 18.07.2016-06.03.2017 in Ege Diabetics Association and Izmir Ekol Hospital Nutrition and Dietetic Policlinic, who accepted to participate in the research and who met the determined research criteria (15 controls, 15 study). In data collection; developed in accordance with the literature Diabetes Diagnosis Form, Food Consumptionand Blood Sugar Record Form, Nutritional Assessment Form, Metabolic Control Variables Form and WHO Well-being Questionnaire were used. Experimental and control groups were given plan education and the findings obtained in the groups were compared. In research, the results of metabolic control and well-being of the study and control groups were compared; better metabolic control was obtained in the study group. In the study group; HbA1c and total cholesterol values were found to decrease more than the control group. In addition, it was observed that depression and anxiety scores decreased, energy, positive well-being and general well-being increased in the study group.