Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Effects of Carbohydrates on Change in Blood Glucose Levels

당류유형이 혈당변화에 미치는 효과

  • Lee, Mi Sun (Department of Nursing, Gangneung-Wonju National University) ;
  • Lee, Kyung Sook (Department of Nursing, Gangneung-Wonju National University) ;
  • Kim, Eun Joo (Department of Nursing, Gangneung-Wonju National University)
  • 이미선 (국립강릉원주대학교 대학원 간호학과) ;
  • 이경숙 (국립강릉원주대학교 간호학과) ;
  • 김은주 (국립강릉원주대학교 간호학과)
  • Received : 2019.08.14
  • Accepted : 2019.11.18
  • Published : 2019.12.31
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Abstract

Purpose: This study was to investigate the effects of Carbohydrates on blood glucose levels in healthy adults after taking the monosaccharide glucose and disaccharide candies. Methods: This study was experimental research using a randomized controlled trial. Participants were college students who could agree the purpose of the study and participated voluntarily and met the selection criteria. Considering the dropout rate, 25 subjects in each group were included. The assignments of the experimental group and the control group were randomly assigned, and this study used the allocation concealment. Glucose tablets of 15g in the experimental group, and 15g sugar of candies in the control group were orally ingested. Blood glucose was measured before ingestion, 10 minutes, 15 minutes, and 30 minutes after ingestion. Results: There were no statistically significant differences in blood glucose of 10 minutes (U=406.00, p=.069), 15 minutes (U=370.00, p=.264), and 30 minutes after ingestion (U=337.00, p=.634) between experimental (glucose tablet oral ingestion) and control groups (mint candy oral ingestion). Conclusion: There was no difference in the blood glucose level up to 30 minutes after ingestion of monosaccharide glucose and disaccharide candy. Through this study, the decision to use either candy or glucose tablets in the event of hypoglycemia can be chosen according to the patient's preference.

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References

  1. Ahn, H. J. (2010). Prehospital treatments of the patient with hypoglycemia by 119 emergency medical technicians-analysis of the current data and survey. Unpublished master's thesis, Kongju University, Gongju.
  2. Ahn, K. J. (2008). Clinical impacts of iatrogenic hypoglycemia. Korean Clinical Diabetes, 9(2), 106-109. https://doi.org/10.4093/kcd.2008.9.2.106
  3. Brodows, R. G., Williams, C., & Amatruda, J. M. (1984). Treatment of insulin reactions in diabetics. JAMA, 252(24), 3378-3381. https://doi.org/10.1001/jama.1984.03350240024032
  4. Carlson, J. N., Schunder-Tatzber, S., Neilson, C. J., & Hood, N. (2017). Dietary sugars versus glucose tablets for first-aid treatment of symptomatic hypoglycaemia in awake patients with diabetes: A systematic review and meta-analysis. Emergency Medicine Journal, 34(2), 100-106. https://doi.org/10.1136/emermed-2015-205637
  5. Evert, A. B. (2014). Treatment of mild hypoglycemia. Diabetes Spectrum, 27(1), 58-62. https://doi.org/10.2337/diaspect.27.1.58
  6. Han, S. J. (2016). Treatment strategy to prevent hypoglycemia. The Journal of Korean Diabetes, 17(1), 30-34. https://doi.org/10.4093/jkd.2016.17.1.30
  7. Husband, A. C., Crawford, S., Mccoy, L. A., & Pacaud, D. (2010). The effectiveness of glucose, sucrose, and fructose in treating hypoglycemia in children with type 1 diabetes. Pediatric Diabetes, 11(3), 154-158. https://doi.org/10.4093/jkd.2016.17.1.30
  8. Kim, D. J. (2011). The epidemiology of diabetes in Korea. Diabetes & Metabolism Journal, 35(4), 303-308. https://doi.org/10.4093/dmj.2011.35.4.303
  9. Kim, K. S. (2015). The influencing factors associated with glycemic control among adult diabetes patients. Journal of the Korea Academia-Industrial cooperation Society, 16(5), 3284-3292. https://doi.org/10.5762/KAIS.2015.16.5.3284
  10. Kim, M. N., Lee, H. G., & Moon, T. Y. (2015). Analysis on emergency care to the patients with hypoglycemia of 119 emergency medical technicians. Korea Academy Industrial Cooperation Society, 686-688.
  11. Korean Association of Diabetes Nurse Educator. (2018, June 10). Hypoglycemia management. Retrieved November 17, 2019, from https://www.kadne.or.kr/bbs/board.php?bo_table=infos&wr_id=30&sca
  12. Korean Diabetes Association. (2018). Treatment and Care for hypoglycemia. Retrieved May 10, 2019, from http://www.diabetes.or.kr/general/class/medical.php?mode=view&number=327&idx=2
  13. Lee, Y. H., & Kim, D. J. (2013). Diabetes risk score for Korean adults. The Journal of Korean Diabetes, 14(1), 6-10. https://doi.org/10.4093/jkd.2013.14.1.6
  14. Mark, T., & Lawrence, RPh. (2017). Use of dietary sugars or glucose tablets in correcting hypoglycemia. Diabetes in Control, Retrieved May 25, 2019 from http://www.diabetesincontrol.com/use-of-dietary-sugarsor-glucose-tablets-in-correcting-hypoglycemia/
  15. McTavish, L., & Wiltshire, E. (2011). Effective treatment of hypoglycemia in children with type 1 diabetes: a randomized controlled clinical trial. Pediatric Diabetes, 12(4pt2), 381-387. https://doi.org/10.1111/j.1399-5448.2010.00725.x
  16. McTavish, L., Krebs, J. D., Weatherall, M., & Wiltshire, E. (2015). Weight based hypoglycaemia treatment protocol for adults with Type 1 diabetes: A randomized crossover clinical trial. Diabetic Medicine, 32(9), 1143-1148. https://doi.org/10.1111/dme.12730
  17. Park, B. S., & Lee, M. Y. (2008). Prevention and treatment of hypoglycemia. Korean Clinical Diabetes, 9(2), 110-113. https://doi.org/10.4093/kcd.2008.9.2.110
  18. Park, T. S. (2002). Diabetes and hypoglycemia. Clinical Diabetes, 3(1), 14-21.
  19. Shin, U. J. (2014). A study on low blood sugar risk factors in diabetes inpatient. Nursing Science, 26(1), 39-49.
  20. Shin, U. J. (2015). Hypoglycemia care. Journal of Korean Diabetes, 16(2), 130-134. https://doi.org/10.4093/jkd.2015.16.2.130
  21. Slama, G., Traynard, P. Y., Desplanque, N., Helene, P., Dhunputh, I., Letanoux, M., et al. (1990). The search for an optimized treatment of hypoglycemia: Carbohydrates in tablets, solution, or gel for the correction of insulin reactions. Archives of Internal Medicine, 150(3), 589-593. https://doi.org/10.1001/archinte.1990.00390150083016
  22. Song, I. H. (2015). Developments and Effects of Simulation-based Education Program for Hyperglycemia Patient Emergency Nursing Care. Unpublished master's thesis, Sahmyook University, Seoul, Korea.
  23. Vindedzis, S., Marsh, B., Sherriff, J., Dhaliwal, S., & Stanton, K. (2012). Dietary treatment of hypoglycaemia: Should the Australian recommendation be increased?. Internal Medicine Journal, 42(7), 830-833. https://doi.org/10.1111/j.1445-5994.2012.02831.x
  24. Wood, J., & Peters, A. (2018). The type 1 diabetes self-care manual. American Diabetes Association, Retrieved September 29, 2018, from http://main.diabetes.org/dorg/PDFs/living-with-diabetes/T1DSelfCareManual.pdf