American Diabetes Association
cd21-0134_Supplementary_Materials,_FINAL.pdf (3.65 MB)
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Brief Pictorial Quizzes to Assess Carbohydrate Counting and Nutrition Knowledge in Youth With Type 1 Diabetes

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posted on 2022-06-21, 12:06 authored by Myra Waheed, Tyger Lin, Meredith Thivierge, Maureen Seel, Laura Prichett, Elizabeth A. Brown, Risa M. Wolf


Available assessments of patient nutrition knowledge and carbohydrate counting ability are lengthy. This article reports on a study to implement and validate a series of brief nutrition quizzes of varying difficulty for use in pediatric type 1 diabetes. Among 129 youth with type 1 diabetes, participants completed an average of 2.4 ± 1 of the five quizzes, with a median score of 4.7 of 5. Higher quiz scores were associated with lower A1C (P < 0.001), higher parental education (P = 0.02), and higher income (P = 0.01). Such quizzes can help to identify knowledge gaps and provide opportunities for education, which may improve glycemic outcomes in youth with type 1 diabetes.