Is bedtime supper necessary for older children with diabetes using glargine insulin in multiple daily injection regimens?
AL Barton, HR Gilbertson, SM Donath, FJ Cameron
DIABETIC MEDICINE | WILEY | Published : 2010
AIMS: Current guidelines for dietary management of Type 1 diabetes in children recommend a carbohydrate supper before bed. However, with the introduction of insulin analogues such as glargine (with a basal insulin profile), supper may be unnecessary. The purpose of this study was to investigate whether supper is required to prevent nocturnal hypoglycaemia when using multiple daily injections, with glargine as the basal insulin and rapid-acting insulin pre-meals, in older children with Type 1 diabetes. METHODS: Thirty-five children aged 10-18 years with Type 1 diabetes were recruited to a randomized cross-over trial (supper vs. no supper). Each phase consisted of three consecutive days of wea..View full abstract
This study was funded by the Dietitian's Association of Australia (Vic) Small Grants Program. In addition, the authors acknowledge the diabetes nurses educators at The Royal Children's Hospital, Melbourne for the CGMS applications.