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Difficult food survey

We want to identify the types of foods adolescents and parents of children with type 1 diabetes find to be problematic for controlling postprandial blood glucose levels.

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Mobile food record

To investigate the feasibility of using an image-based dietary assessment method (the Mobile Food Record) to assess the food intake of children and adolescents with type 1 diabetes.

Coeliac study

To determine the impact of commencing a gluten-free diet on glycaemic variability in children and young people with type 1 diabetes and newly diagnosed coeliac disease compared with matched type 1 diabetes-only group.

Low carbohydrate diets in the management of type 1 diabetes in young children

To investigate the experiences, knowledge and attitudes of carers of young children with type 1 diabetes who are implementing a low-carbohydrate diet to help manage blood glucose levels.

Identification of individual patterns of postprandial glycaemia in type 1 diabetes

To investigate the intra-individual and inter-individual variability in the time to peak postprandial glucose excursion in young people with type 1 diabetes under free-living conditions.

Food insecurity and type 2 diabetes in children and adolescents

To investigate the role of food insecurity in children and adolescents with type 2 diabetes in Western Australia.

Gastrointestinal hormones in response to meals of varying macronutrient compositions

Investigate the change in secretion of gastrointestinal hormones on consumption of different meals to inform the mechanisms responsible for different insulin requirements.

Linear carb study

To determine the relationship between carbohydrate quantity and the dose of insulin, more specifically to demonstrate that the current linear insulin to carbohydrate ratio is too steep resulting in an increase in hypoglycaemic events.

High protein/high fat study

To determine the insulin requirement, both dose and pattern of delivery, for a high-fat high-protein meal compared to a low-fat, low-protein control meal in the 5 hour postprandial period.

Protein study

Determine the insulin requirement, both dose and pattern of delivery, for a high-protein meal compared to a low protein meal in the 5 hour postprandial period.

Publication: Evans M, Smart CE, Paramalingam N, Smith G, Jones TW, King BR, and Davis EA. Dietary protein impacts both the dose and pattern of insulin delivery required to achieve postprandial euglycaemia in Type 1 Diabetes in randomised trial. Diabetic Medicine. Vol 36, 499–504, 2019. doi: 10.1111/dme.13875

Insulin dosing methods

To compare the impact of using the Pankowska Equation, the Food Insulin Index and carbohydrate counting on postprandial glucose excursions following a high fat and a high protein meal.

Publication: Lopez PE, Evans M, King BR, Jones TW, Bell K, McElduff P, Davis EA and Smart CE. A randomized comparison of three prandial insulin dosing algorithms for children and adolescents with Type 1 diabetes. Diabetic Medicine, Vol 35(10) 1440-1447, 2018. Doi:10.1111/dme.13703

Pancake study

Determine the separate and combined effects of high-protein and high-fat meals, with the same carbohydrate content, on postprandial glycaemia in children using intensive insulin therapy.

Publication: Smart CE, Evans M, O’Connell SM, McElduff P, Lopez PE, Jones TW, Davis EA and King BR. Both dietary protein and fat increase postprandial glucose excursions in children with type 1 diabetes, and the effect is additive. Diabetes Care. Vol 36(12), 3897-3902, 2013. doi: 10.2337/dc13-1195