Improvement of Care & Outcome
Advanced closed-loop (aHCL) systems are currently improving T1D care dramatically. Not much is known yet about the effects of eating patterns of people with diabetes (PWDs) on the use of aHCL systems. Although the algorithms in these systems take care of basal insulin administration and provide autocorrection boluses, meal announcements (i.e. some level of carbohydrate counting) are still necessary. It is likely that specific dietary behaviours like alcohol (ab)use will affect the performance of aHCL systems. Vice versa, use of these systems may affect certain food choices which, combined with different total daily insulin doses, may affect weight control.
These systems have been in use for about two years now and numerous studies have been published and many are ongoing. At ISPAD 2023 Sarah Koning, dietician at Diabeter, presented results of a literature search, combined with case studies of PWDs treated at Diabeter, focusing on the questions:
Managing alcohol intake:
Please click here for the presentation.