Current indicators of nutritional care in children with type 1 diabetes in India: Do we need a national nutritional guideline?

Sanjay Kalra; Ashok Kumar Das; P Raghupathy; Subhankar Chowdhury; Banshi D Saboo; P Dinakaran; Shuchy Chugh

doi:10.4103/ijem.IJEM_183_17

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ORIGINAL ARTICLE

Year : 2017 | Volume : 21 | Issue : 5 | Page : 670-678

Current indicators of nutritional care in children with type 1 diabetes in India: Do we need a national nutritional guideline?

Sanjay Kalra¹, Ashok Kumar Das², P Raghupathy³, Subhankar Chowdhury⁴, Banshi D Saboo⁵, P Dinakaran⁶, Shuchy Chugh⁷
¹ Consultant Endocrinologist, Bharti Hospital and B.R.I.D.E., Karnal, Haryana, India
² Department of Medicine and Endocrinology, Pondicherry Institute of Medical Sciences, Dhanvantri Nagar, Gorimedu, Puducherry, India
³ Professor of Paediatric Endocrinology, Indira Gandhi Institute of Child Health and Senior Consultant in Paediatric Endocrinology, Sagar Hospitals, Bangalore, Karnataka, India
⁴ Professor and Head, Department of Endocrinology, IPGME&R and SSKM Hospital, Kolkata, Gujarat, India
⁵ Diabetologist, Diabetes and Hormones Centre, Ahmedabad, Gujarat, India
⁶ Senior Public Affair Manager, Novo Nordisk India Pvt Ltd, Bangalore, Karnataka, India
⁷ Diabetes Education Specialist, Novo Nordisk India Pvt Ltd, Bangalore, Karnataka, India

Correspondence Address:
Shuchy Chugh
Novo Nordisk India Private Ltd., Plot No. 32, 47-50, EPIP Area, Whitefield, Bengaluru - 560 066, Karnataka
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/ijem.IJEM_183_17

Background: Nutrition is an important pillar of management in children with type 1 diabetes. Indian food is heavily influenced by region, religion, traditions, seasons, and cultural choices. This survey was done to assess current practices and the need for India specific nutritional guidelines for children with type 1 diabetes. Materials and Methods: Two 12-item questionnaires were administered to forty health-care professionals across India. The first questionnaire evaluated current clinical practice indicators for nutrition in these children and second assessed practices for counseling a child on dietary habits. Results: There is great heterogeneity across the country with regard to dietary advice offered to children with type 1 diabetes. 97.5% of the respondents feel there is a need for an Indian dietary guideline for children with type 1 diabetes. Conclusion: There is need of India specific nutritional guidelines that should be made considering key variants such as age, region, cultural preference, economic burden and psychosocial beliefs, to offer guidance to diabetes care professionals.

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