Evaluation de l’état nutritionnel des enfants diabétiques de l’ouest Algérien

Abstract

Childhood diabetes is a chronic disease very widespread in the world, the prevalence of which is sharply increasing. However, the announcement of diabetes in a child usually causes shock in his parents, knowing that the disease is often mentioned as a risk factor for eating disorders and promotes many complications in the long term. The aim of this work is to evaluate the nutritional intake as well as the influence of the latter on metabolic control after analysis of some biochemical parameters. This study was carried out on a sample of 240 children including 120 diabetic children and 120 control children. The basic questionnaires as well as the 24-hour reminder were recorded with the mother-child pairs in order to calculate the nutritional intake using the regal plus. Also lipid balance, blood sugar levels and glycated hemoglobin (HbA1c) were recorded. The highlight of the diet of children with diabetes is the over expression of simple carbohydrates. Likewise, a disturbance in glycemic control has been demonstrated. On the other hand, the lipid balance does not indicate any difference between the two groups except for HDL-C which was significantly reduced in diabetics compared to controls. This study makes it possible to describe the food consumption of children with diabetes and to assess the impact of this on glycemic control. Efforts are still needed to improve the care and prevention measures addressed to diabetic children, particularly the most disadvantaged.