Article
Two year prospective dietary survey of newly diagnosed children
with diabetes aged less than 6 years
Suvi M Virtanena, Katriina Ylönenb, Leena Räsänenb, Eija Ala-Vennab, Jorma Mäenpääc, Hans K Åkerblomd
a School of Public
Health and Medicine, University of Tampere, PO Box 607, FIN-33101
Tampere, Finland, b Division
of Nutrition, Department of Applied Chemistry and Microbiology,
University of Helsinki, FIN-00014 Helsinki, Finland, c Department of Pediatrics and Adolescent Clinic,
Aurora Hospital, FIN-00029 Helsinki, Finland, d Hospital
for Children and Adolescents, University of Helsinki, FIN-00029
Helsinki, Finland
Correspondence to: Dr Virtanen email: suvi.virtanen{at}uta.fi
Accepted 17 August
1999
The food consumption of 38 children newly diagnosed with
diabetes aged < 6 years at diagnosis was assessed by 5 day food
records. During the 2 year follow up, the proportion of the total
energy intake made up of protein decreased from 20% to 18%, that of
carbohydrates from 54% to 52%, and that of fat increased from 26% to
30%. The energy intake from sucrose (3%) did not change. In addition,
There was a small decrease in the intake of fibre and several vitamins and minerals. One year after diagnosis, the diet of diabetic children was compared with that of 66 age, sex, and social status matched control children. More energy was derived from protein (19%
v 15%) and carbohydrates (53%
v 50%), and less from fat (28%
v 35%), especially from saturated fatty
acids (11% v 15%), and sucrose (3%
v 16%) in the diet of children with
diabetes compared with that of control children. The higher intakes of
several vitamins and minerals reflected the higher nutrient density of
the diet of children with diabetes. Therefore, the diet of young
children with diabetes met the dietary recommendations for subjects
with diabetes. Only the protein content of the diet was higher than necessary.
Keywords: diet; nutrient intake; insulin dependent diabetes mellitus
© 2000 by Archives of Disease in Childhood
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