Utilización del conteo de carbohidratos en la Diabetes Mellitus

Rocio Arguello, M Caceres, Elvio Bueno, A Benitez, Rafael Figueredo Grijalba

Resumen


El conteo de carbohidratos es un método que ayuda a los pacientes a elegir sus alimentos y planificar sus comidas controlando la cantidad de hidratos de carbono ingeridos en cada una de ellas, para un mejor control glicémico. Se ha demostrado a través de estudios y ensayos clínicos que la terapia médica nutricional disminuyó la hemoglobina glicada aproximadamente 1% en diabetes tipo 1 y entre 1-2% en diabetes tipo 2. Este método ha crecido en popularidad en los Estados Unidos desde la finalización del Ensayo Clínico Controlado para el estudio de la Diabetes y sus Complicaciones, en los que se utilizó de manera eficaz. La ingesta dietética de referencia recomienda para los adultos un consumo de 45 a 65% del total de la energía para los hidratos de carbono o un mínimo de 130 gramos por día para cumplir con las necesidades nutricionales diarias y minimizar el riesgo de enfermedades crónicas. Objetivo: Dar a conocer el método de conteo de carbohidratos como una opción para el tratamiento nutricional del paciente con diabetes mellitus.

Palabras clave


Conteo de Carbohidratos; Terapia Médica Nutricional; Diabetes Mellitus; Diabetes Gestacional

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Referencias


American Diabetes Association, American Diabetes Association. 2012. Count your carbs: Getting Started. USA.

Warshaw H, et all. Practical Carbohydrate Counting. American Diabetes Association. 2008.USA.

Lopes Souto D, Lopes Rosado E. 2010. Use of Carb Counting in the dietary treatment of diabetes mellitus. Nutr Hosp 25:18-25

Nutrition recommendations and interventions for diabetes. Diabetes Care 2008. 29: 2149-2157.

American Diabetes Association. Diabetes Care 2009, 32:S13-S61

Clinical Practice recommendations.2008. Diabetes Care 31:S1-S110.

Pastors , J. G., Washaw, A. Daly, M. S. Arnold. 2003. How effective is medical nutrition therapy in diabetes care? J Am Diet Assoc 103:827-831.

Pastors, J. G., Washaw, A. Daly, M. Franz, K. Kulkarni. 2002. The evidence for the effectiveness of medical nutrition therapy in diabetes management. Diabetes Care 25: 608-613.

Laurenzi A., Bolla A., Panigoni G., Doria V. et al. 2011. Effect of Carbohydrate counting on glucose control and quality of life over 24 weeks in adults patients with type 1 diabetes on continuous subcutaneous insulin infusion. Diabetes Care 34: 823-827.

Dias V., Pandini J., Nunes R., Sperandei S., et al. 2012. Effect of the Carbohydrate counting method on glycemic control in patients with type 1 diabetes. Diabetology & Metabolic Syndrome, 2:54.

Rabasa R., Garon J., Langelier H. et al. 1999. 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, 22: 667.

Bergenstal R., Johnson M., Powers M., Wynne A., et al. 2008. Adjust to target in type 2 diabetes. Diabetes Care 31:1305–1310.

Anderson, E. J., M. Richardson, G. Castle, S. Cercone, L. Delahanty, R. Lyon, D. Mueller, L. Snetselaar. 1993. Nutrition interventions for intensive therapy in the Diabetes Control and Complications Trial. J Am Diet Assoc 93:768-772.

Diabetes Control and Complications Trial Research Group. 1993. The effect of intensive treatment of diabetes on the development and progression of long- term complications in insulin- dependent diabetes mellitus. N Engl J Med 329:977-986.

U. K. Prospective Diabetes Study Group. 1998. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 352:837-853.

Parkin, C., N. Brooks. 2002. Is postprandial glucose control important? Is it practical in primary care settings? Clinical Diabetes 20:71-76.

Temelkova- Kurktschiev, T. S., C. Koehler, E. Henkel, W. Leonhardt, K. Fuecker, M. Hanefeld. 2000. Postchallenge plasma glucose and glycemic spikes are more strongly associated with atherosclerosis than fasting glucose or HbA1c level. Diabetes Care 23:1830-1834.

Ceriello, A., J. 2005. Postprandial hyperglycemia and diabetes: Is it time to treat? Diabetes 54:1-7.

Ceriello, A., J. Davidson, M. Hanefeld, L. Leiter, L. Monnier, et al. 2006. Post prandial hyperglycemia and cardiovascular complication of diabetes: An update. Nutrition, Metabolism and cardiovascular Disease 16:453-456.

American Diabetes Association, American Diabetes Association. 2012. Count your Insulin to your carbs. USA.

Wallum, B. J., S. E. Kahn, D. K. McCulloch, D. Porte. 1992. Insulin secretion in the normal and diabetic human. In international textbook of diabetes mellitus, ed. Alberti, K.G.M.M., R.A. DeFronzo, H. Keen, P. Zimmer, 285-301. Chichester, U.K.: John Wiley and Sons.

Sheard, N., N. Clark, J.C. Brand-Miller, M.J. Franz, F.X. Pi-Sunyer, E. Mayer Davis, K. Kulkarni, P. Geil. 2004. Dietary carbohydrate (amount and type) in the prevention and management of diabetes: A statement by the American Diabetes Association. Diabetes Care 27: 2266-2271.

Brand Miller, J., S. Hayne, P. Petocz, S. Colagiuri. 2003. Low glycemic index diets in the management of diabetes: A metaanalysis of randomized controlled trials. Diabetes Care 26:2261-2267.

Institute of Medicine. 2002. Dietary reference intake: Energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. Washington, D. C.: National Academies Press.

U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2005. Adequate nutrients within calories needs. In dietary guidelines for Americans 2005. Washington, D.C.: U.S. Department of health and human services and U.S. Department of agriculture.

Franz, M.J., J.P.Bantle, C.A. Beebe, J.D. Brunzell, J.L. Chiasson, et al. 2002. Evidence based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Diabetes Care 25:148-198.

American Diabetes Association, American Diabetes Association. 2008. Choose your foods: Exchange lists for diabetes. Alexandría, VA: American Diabetes Association, Chicago: American Diabetes Association.

U.S. Food and Drug Administration. 2004. How to understand and use a food label. Washington, D.C.: U.S. Food and Drug Administration.

Melki, V., F. Ayon, M. Fernández, H. Hanaire Brotin. Value and limitations of the continuous glucose monitoring system in the management of type 1 diabetes. Diabetes metab 32: 123-129.

Maia, F.F., L.R. Araujo. 2007. Efficacy of continuous glucose monitoring system (CGMS)To detect postprandial hyperglycemia and unrecognized hypoglycemia in type 1 diabetes patients. Diabetes Res Clin Pract 75:30-34.

Monnier, L., C. Colette.2006. Contributions of fasting and postprandial glucose to hemoglobin A1c. Endocr Pract 12 (Supl 1): 42-46.

Skyler, J.S. 2004. Insulin Treatment. In therapy for diabetes mellitus and related disorders, 4th ed., ed. Lebovitz, H.E., 207-223. Alexandría, VA: American Diabetes Association.

Hirsch,I.B. 2005. Insulin Analogues. N Engl J Med 352:174-183.

Warshaw, H. S. 2005. Rapid acting insulin: Action curve update with practical tips. On the cutting Edge 26:12-15.

Warshaw, H.S. 2005. Rapid acting insulin: Timing it just right. Diabetes self management 22:20-25.

Davidson, P.C., H.R. Hebblewhite, B.W. Bode, P.L.Richardson, R.D. Steed, et al. 2003. Statistical estimates for CSII parameters: carbohydrate to insulin ratio; correction factor; and basal insulin. Diabetes Technol Ther 5:A28.

Moberg, E., M. Kollind, P.E. Lins, U. Adamson. 1995. Day to day variation of insulin sensivity in patients with type 1 diabetes: Role of gender and menstrual cycle. Diabet Med 12: 224-228.


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