No association between carbohydrate-counting knowledge and disordered eating behaviors in adults with type 1 diabetes

IF 4.7 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes & metabolism Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI:10.1016/j.diabet.2026.101735

Laura Albaladejo , Melissa Ferguene , Béatrice Genoux , Lucien Marchand , Hélène du Boullay , Sandrine Lablanche , Céline Vermorel , Aurélie Gauchet , Jean-Luc Bosson , Cécile Bétry

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引用次数: 0

Abstract

Aims

Carbohydrate counting enables flexible prandial insulin dosing in type 1 diabetes but remains cognitively demanding. Concerns persist that such sustained attention to food may contribute to disordered eating behaviors. The primary aim of this study was to examine whether carbohydrate-counting knowledge is associated with disordered eating behaviors.

Methods

This cross-sectional study (NCT07021456) was conducted online. Participants completed questionnaires assessing carbohydrate-counting knowledge (Gluciquizz), disordered eating behaviors (DEPS-R), and likely eating disorders (SCOFF-F). Additional questionnaires evaluated quality of life (ADDQoL), diabetes-related distress (PAID-5), and fear of hypoglycemia (HFS-II short form). Elevated DEPS-R was defined as a score ≥ 20, and likely eating disorders as SCOFF-F ≥ 2.

Results

A total of 100 adults with type 1 diabetes were included. No correlation was observed between Gluciquizz and DEPS-R (ρ = −0.03, 95% CI (−0.23 to 0.17), P = 0.73). Similarly, Gluciquizz scores did not differ between participants with SCOFF-F < 2 and ≥ 2 (P = 0.745). Diabetes-related distress was significantly higher among participants with elevated DEPS-R scores (PAID-5 median 15 vs 8; P = 0.006), whereas ADDQoL and HFS-II did not differ significantly.

Conclusion

In this selected adult population with type 1 diabetes, carbohydrate-counting knowledge was not associated with disordered eating behaviors. However, positive DEB screening was linked with higher diabetes-related distress, supporting the importance of psychosocial assessment.

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成人1型糖尿病患者碳水化合物计数知识与饮食行为紊乱之间无关联。

目的：碳水化合物计数使1型糖尿病患者的膳食胰岛素剂量灵活，但仍需要认知。人们一直担心，这种对食物的持续关注可能会导致饮食失调。本研究的主要目的是研究碳水化合物计数知识是否与饮食紊乱行为有关。方法：本横断面研究（NCT07021456）在线进行。参与者完成了评估碳水化合物计数知识（Gluciquizz）、饮食失调行为（DEPS-R）和可能的饮食失调（SCOFF-F）的问卷调查。额外的问卷评估生活质量（ADDQoL）、糖尿病相关的痛苦（pay -5）和对低血糖的恐惧（HFS-II）。dps - r升高定义为评分≥20，SCOFF-F≥2为可能的饮食失调。结果：共纳入100例成人1型糖尿病患者。Gluciquizz与DEPS-R无相关性（ρ = -0.03,95% CI (-0.23 ~ 0.17), P = 0.73）。同样，SCOFF-F < 2和≥2的受试者之间的Gluciquizz评分也没有差异（P = 0.745）。在dps -r评分升高的参与者中，糖尿病相关的痛苦显著增加（pay -5中位数为15 vs 8； P = 0.006），而ADDQoL和HFS-II没有显著差异。结论：在这一选定的1型糖尿病成年人群中，碳水化合物计数知识与饮食失调行为无关。然而，阳性的DEB筛查与较高的糖尿病相关痛苦有关，这支持了心理社会评估的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes & metabolism 医学-内分泌学与代谢

CiteScore

12.00

自引率

4.20%

发文量

审稿时长

13 days

期刊介绍： A high quality scientific journal with an international readership Official publication of the SFD, Diabetes & Metabolism, publishes high-quality papers by leading teams, forming a close link between hospital and research units. Diabetes & Metabolism is published in English language and is indexed in all major databases with its impact factor constantly progressing. Diabetes & Metabolism contains original articles, short reports and comprehensive reviews.