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Entry ID
491
Reference Id
tWcP6zgpbkXfq7aG
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CFDR Reviewer
Document Status
Published
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Name
Meryem Talbo
Email
gareth.willowstribe@dietitians.ca
Language
English
Year
2022
Category
Research
Presentation Preference
Both
Title
Consensus-based recommendations for the daily management of type 1 diabetes (T1D): a panel of healthcare professionals and people living with T1D
Names, Organizational Affiliations, and Locations of all Authors
M. K. Talbo1, A-S. Brazeau1, T. Peters2
1 School of Human Nutrition, McGill University, QC, Canada, 2 Lady Davis Institute of Medical Research, Jewish General Hospital, Montreal, Quebec, Canada.
Introduction/Purpose
People living with type 1 diabetes (T1D) are often taught how their intake affects their blood glucose levels and how to use carbohydrates to prevent and treat insulin-related hypoglycemia. Recent findings have shown that protein and lipids have an impact on postmeal glycemic changes. However, the current carbohydrate-centric nutritional management of T1D lacks clinical guidelines for effective and safe insulin dosing strategies for mixed, high fat or high protein meals.
Objective(s)/Process or Summary of Content
The objective of this study is to survey the clinical and lived experiences of people with T1D and expert healthcare professionals (HCP) to develop a list of answers to serve as a basis for clinical recommendations.
Method(s)/Systemic Approach Used
Canadian HCPs and people with T1D will be recruited to provide answers based on their experience on items pertaining to daily life management of T1D, specifically around meal and snack-time insulin adjustments. The Delphi methodology has been selected as an iterative, anonymous, and structured tool to obtain expert opinion over three rounds of questionnaires and a virtual panel meeting to obtain consensus. A Krippendorf’s alpha of 80% agreement level will be used as the cut-off consensus criteria.
Results/Conclusions
In collaboration with a panel of patient partners (people with T1D) we developed a set of open-ended questions focusing on their reported priorities such as mealtime insulin adjustments and behaviors and insulin adjustments around snacking and alcohol consumption. Data collection will start shortly.
Conclusions(s)/Recommendations
The results of this study will be used to develop consensus-based recommendations to support people with T1D in their daily management of diabetes in areas currently lacking clear clinical guidelines.
Significance to Dietetics
The findings from this Delphi study will provide information to guide clinicians and patients in the nutritional aspects of the daily management of T1D.
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Original Work
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Co-Authors Review and Notification
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