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Diabetes Care, Vol 19, Issue 12 1370-1374, Copyright © 1996 by American Diabetes Association
The dietary intake of children with IDDM
GA Randecker, H Smiciklas-Wright, JM McKenzie, BM Shannon, DC Mitchell, DJ Becker and K Kieselhorst
College of Health and Human Development, Pennsylvania State University, University Park, USA.
OBJECTIVE: To assess the dietary intake of children with IDDM and to
determine whether the intake meets the current nutritional recommendations
for children with IDDM. RESEARCH DESIGN AND METHODS: A total of 66 children
with IDDM who were < 10 years of age were recruited from two suburban
Pennsylvania hospitals. To collect dietary intake data, subjects were
asked, via telephone interview, to complete three random-day 24-h dietary
recalls. Data were analyzed for the content of nutrients and other food
components by a computerized database program. Intakes were expressed as a
3-day average intake for each subject. RESULTS: Overall mean intake of
protein and cholesterol approximated the current recommendations. The mean
intake of saturated fat exceeded recommendations, while fiber intake was
less than the recommended level. Many of the children consumed levels of
saturated fat well above recommendations. Energy, vitamin, and mineral
intakes were adequate for the overall sample. However, from 10 to 40% of
the sample had an inadequate intake of vitamin D, vitamin E, and zinc. The
percentage of those with inadequate intakes of these nutrients decreased
with age. CONCLUSIONS: These data suggest that, on average, among this
sample of children with IDDM aged < 10 years, adherence to the current
nutritional recommendations for children with IDDM was adequate, but some
individual children had intakes that were not consistent with the
recommendations for optimal management of IDDM.

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Copyright © 1996 by the American Diabetes Association.
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