000			02720cam a2200349 a 4500
003			EG-GiCUC
005			20250223031823.0
008			171010s2017 ua d f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.28.Ph.D.2017.Ra.P
100	0		_aRania Ibrahim Salem
245	1	0	_aProtein and fat effects on glucose responses and insulin requirements in children and adolescents with Type1 diabetes mellitus / _cRania Ibrahim Salem ; Supervised Mona Hassan Hafez , Ghada Mohammad Anwar , Marise Antoun Fahmy
246	1	5	_aتأثير البروتين والدهون على نسبة الجلوكوز واحتياجات الأنسولين في الأطفال والمراهقين المصابين بالنوع الأول من مرض السكر
260			_aCairo : _bRania Ibrahim Salem , _c2017
300			_a130 P. : _bcharts ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aBackground : 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
530			_aIssued also as CD
653		4	_aHigh fat meal
653		4	_aHigh protein meal
653		4	_aType 1 diabetes
700	0		_aGhada Mohammad Anwar , _eSupervisor
700	0		_aMarise Antoun Fahmy , _eSupervisor
700	0		_aMona Hassan Hafez , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c62862 _d62862