Family Food Choices Relate to Nutritional Behavior in Adult Patients with Type 1 Diabetes: Possible Implications on Metabolic Control

This study compared the levels of calories and macronutrients ingested by patients with type 1 diabetes and their relatives. This is a cross-sectional study that evaluated dietary intake (24-hour Food Record), nutritional status (Body Mass Index), as well as socioeconomic status of patients and their families. Glycemic control was assessed by glycated hemoglobin (HbA1c). There were positive correlations between dietary intake of patients and family members/accompanying persons regarding carbohydrates, proteins and lipids consumption. Dietary intake of patients and their family members was similar, but inadequate and discordant in relation to current recommendations. Longer time since diagnosis and in service as well as higher number of capillary blood tests was related to better HbA1c levels. Kinship relationship to HbA1c requires further study focusing on parental influence on the treatment of adult patients with type 1 diabetes.