PMID- 37049506
OWN - NLM
STAT- MEDLINE
DCOM- 20230414
LR  - 20230415
IS  - 2072-6643 (Electronic)
IS  - 2072-6643 (Linking)
VI  - 15
IP  - 7
DP  - 2023 Mar 29
TI  - Experiences and Attitudes of Parents Reducing Carbohydrate Intake in the 
      Management of Their Child's Type 1 Diabetes: A Qualitative Study.
LID - 10.3390/nu15071666 [doi]
LID - 1666
AB  - Reducing carbohydrate (CHO) intake is being used as an approach to manage type 1 
      diabetes (T1D) in children. This study aimed to investigate the experiences and 
      attitudes of parents of children with T1D who are reducing CHO intake to help 
      manage blood glucose levels (BGLs). Semi-structured interviews were conducted 
      with the parents of children with T1D for >1 year who reported implementing a low 
      CHO approach to manage BGLs. Data were analysed using a constant comparative 
      analysis approach. Participants (n = 14) were parents of children (6.6 +/- 2.0 
      years) with T1D in Western Australia. All parents reported different methods of 
      CHO restriction and all perceived that benefits outweighed challenges. Parents 
      reported feeling less worried, had improved sleep and felt their child was safer 
      when using a low CHO approach due to more stable BGLs. Reported challenges 
      included: increased cost and time spent preparing food; perceived judgement from 
      others; and child dissatisfaction with restricted food choices. Parents reported 
      accessing information and support through social media networks. Parents reported 
      a desire for more research into this approach. Understanding the promoters and 
      barriers for this dietary approach may inform strategies to better engage and 
      support families with approaches that align with current evidence while 
      considering their concerns around safety and hyperglycaemia.
FAU - Harray, Amelia J
AU  - Harray AJ
AD  - Children's Diabetes Centre, Telethon Kids Institute, Perth, WA 6009, Australia.
AD  - Medical School, The University of Western Australia, Perth, WA 6009, Australia.
AD  - School of Population Health, Curtin University, Perth, WA 6102, Australia.
FAU - Roberts, Alison G
AU  - Roberts AG
AD  - Children's Diabetes Centre, Telethon Kids Institute, Perth, WA 6009, Australia.
AD  - Department of Endocrinology and Diabetes, Perth Children's Hospital, Perth, WA 
      6009, Australia.
FAU - Crosby, Naomi E
AU  - Crosby NE
AUID- ORCID: 0000-0002-7354-8849
AD  - Children's Diabetes Centre, Telethon Kids Institute, Perth, WA 6009, Australia.
AD  - Department of Endocrinology and Diabetes, Perth Children's Hospital, Perth, WA 
      6009, Australia.
FAU - Shoneye, Charlene
AU  - Shoneye C
AUID- ORCID: 0000-0002-6961-7290
AD  - School of Population Health, Curtin University, Perth, WA 6102, Australia.
FAU - Bebbington, Keely
AU  - Bebbington K
AUID- ORCID: 0000-0001-5427-0573
AD  - Children's Diabetes Centre, Telethon Kids Institute, Perth, WA 6009, Australia.
AD  - Centre for Child Health Research, University of Western Australia, Perth, WA 
      6009, Australia.
LA  - eng
GR  - 4-SRA-2015-157-MB/JDRF/Juvenile Diabetes Research Foundation/United States
PT  - Journal Article
DEP - 20230329
PL  - Switzerland
TA  - Nutrients
JT  - Nutrients
JID - 101521595
RN  - 0 (Carbohydrates)
SB  - IM
MH  - Humans
MH  - Child
MH  - *Diabetes Mellitus, Type 1/therapy
MH  - Parents
MH  - Attitude
MH  - Qualitative Research
MH  - Carbohydrates
PMC - PMC10096792
OTO - NOTNLM
OT  - child
OT  - constant comparative analysis
OT  - grounded theory
OT  - low carbohydrate diet
OT  - type 1 diabetes
COIS- The authors declare no conflict of interest.
EDAT- 2023/04/14 06:00
MHDA- 2023/04/14 06:42
PMCR- 2023/03/29
CRDT- 2023/04/13 01:24
PHST- 2023/03/03 00:00 [received]
PHST- 2023/03/21 00:00 [revised]
PHST- 2023/03/24 00:00 [accepted]
PHST- 2023/04/14 06:42 [medline]
PHST- 2023/04/13 01:24 [entrez]
PHST- 2023/04/14 06:00 [pubmed]
PHST- 2023/03/29 00:00 [pmc-release]
AID - nu15071666 [pii]
AID - nutrients-15-01666 [pii]
AID - 10.3390/nu15071666 [doi]
PST - epublish
SO  - Nutrients. 2023 Mar 29;15(7):1666. doi: 10.3390/nu15071666.