ESPE Abstracts

Introduction: Nutritional education is a cornerstone in the management of the type 1 diabetic patient in combination with insulin and physical activity. The objective of our study was to explore the nutritional profiles of type 1 diabetic children during their first hospitalization.

Materials and methods: This is a retrospective descriptive study carried out 100 type 1 diabetic patients less than 15 years old hospitalized in the Endocrinology-Diabetology and Nutrition Department of the Mohammed VI University Hospital Center of Oujda, in the eastern of Morocco. The data collected were analyzed using SPSS 21 software.

Results: The main age was 11.1±3.6 years with a sex ratio M/F at 1.17. The average BMI was 17.2±3.1kg/m², with an average duration of diabetes of 3.1±2.9years. The HbA1c was over 10% in 40.9% of patients. Analysis of the lipid profile revealed hypertriglyceridemia in 10.8% of cases, and hypoHDLemia in 26% of cases. Fifty-six percent of patients had three main daily meals associated with a snack in 52% of cases with a notion of snacking in 50%. The diet was normo-caloric in 41% of cases. Carbohydrate intake was unsuitable in 85% of cases, with a high carbohydrate index food intake in 53%, and a misunderstanding of carbohydrate equivalence in 93% of cases. Dietary fibre intake was inadequate in 75% of patients. Only 27% of patients practiced physical exercise.

Discussion-Conclusion: A high total energy intake with poor knowledge of carbohydrate equivalence was noted in most children, which is consistent with the data in the literature. The presence of dyslipidemia can be explained by excessive lipid intake with insufficient nutritive fibre and lack of physical activity. Therefore, dietary advice should be individualized for each child with type 1 diabetes based on age, physical activity and body size.