TY  - BOOK
AU  - Rania Ibrahim Salem 
AU  - Ghada Mohammad Anwar , 
AU  - Marise Antoun Fahmy , 
AU  - Mona Hassan Hafez , 
TI  - Protein and fat effects on glucose responses and insulin requirements in children and adolescents with Type1 diabetes mellitus / 
PY  - 2017///
CY  - Cairo : 
PB  - Rania Ibrahim Salem , 
KW  - High fat meal
KW  - High protein meal
KW  - Type 1 diabetes
N1  - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics; Issued also as CD
N2  - Background : contionus glucose moniyoring highlights the complexity of postprandial glucode and points to the limitations of current appoach based on arbohydrate counting. Objective: To determine the effect protein and fat on post prandial glycemia in patients with type 1 diabetes.  Research design and methods: Prospective study-follow up. This study  included 51 children and adolescents with type 1 diabetes following up at  Diabetes, Endocrine and Metabolism Pediatric Unit (DEMPU), Abo Elrish Children hospital, Cairo University. We compared post prandial blood glucose levels following three breakfast meals with varying protein and fat content (standard carbohydrate meal, high fat  meal, high protein meal) over a period of 5 hours on 3 consecutive days. Results: High protein meal caused hyperglycemia with a peak at 3-4 hours  and continues for 5 hours while high fat meal caused early hyperglycemia reached a peak at 2 hours then declined towards 5 hours. Comparing the three different meals there was a significant p value {u2264} 0.05 regarding postprandial glycemia at 30, 60, 90,120, 180, 210, 240, 270, 300 minutes after breakfast meal. Conclusion: Meals high in protein and fat increase glucose excursions postprandial over a period of 5 hours
UR  - http://172.23.153.220/th.pdf
ER  -