Passanisi Stefano, Bombaci Bruno, Papa Mattia, Rollato Serena, Cuccurullo Irene, Citriniti Felice, Coccioli Susanna, De Marco Rosaria, Fedi Ludovica, Gualtieri Stefano, Lazzaro Nicola, Lezzi Marilea, Lia Maria C, Lo Presti Donatella, Pezzino Giulia, Piccinno Elvira, Stamati Filomena, Tutino Rita, Travagliante Marilena, Zecchino Clara, Iafusco Dario, Lombardo Fortunato
Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, Messina, Italy.
Department of Pediatrics, Regional Center of Pediatric Diabetology "G.Stoppoloni", University of Campania "Luigi Vanvitelli", Naples, Italy.
Diabetes Technol Ther. 2025 Sep;27(9):704-710. doi: 10.1089/dia.2025.0064. Epub 2025 Apr 21.
Potatoes are a staple food, especially in pediatric populations, but they pose distinct challenges for individuals with type 1 diabetes (T1D). This study evaluated glycemic responses in youth with T1D using a second-generation automated insulin delivery system after consuming potatoes prepared by two methods: fried and boiled. The study was conducted during a 5-day school camp for unaccompanied youth with T1D, aged 11-17 years, who had been using the Tandem t:slim X2™ Control-IQ insulin pump for at least 6 months. On two separate days, participants consumed a standardized meal containing 240 g of either fried or boiled potatoes, considered as 38 g of carbohydrates. Continuous glucose monitoring (CGM) data were collected and analyzed for all participants. Our study population consisted of 31 children and adolescents (mean age 14.2 ± 1.7 years). Time in range was slightly higher after consuming boiled potatoes compared with fried potatoes, though the difference was not statistically significant (73.7% vs. 67.8%; = 0.225). Mean glucose changes from pre-meal to 3-h post-meal were comparable between groups (-34.3 vs. -25.4 mg/dL; = 0.517). Similarly, no significant differences were observed in the area under the curve of glucose levels. However, the percentage of bolus insulin within the 3-h post-meal period tended to be higher after fried potato consumption (20.7% vs. 11.9%; = 0.075). Despite differences in glycemic index and fat content, the Tandem t:slim X2 Control-IQ system effectively maintained satisfactory glucose control within the 3-h post-meal period for both fried and boiled potatoes.
土豆是一种主食，在儿童群体中尤为如此，但对于1型糖尿病（T1D）患者来说，食用土豆带来了独特的挑战。本研究评估了1型糖尿病青少年在使用第二代自动胰岛素输送系统的情况下，食用两种烹饪方式（油炸和水煮）的土豆后的血糖反应。该研究在一个为期5天的学校营地中进行，对象是11至17岁无人陪伴的1型糖尿病青少年，他们使用Tandem t:slim X2™ Control-IQ胰岛素泵至少6个月。在两个不同的日子里，参与者食用了一份标准化餐食，其中包含240克油炸或水煮土豆，相当于38克碳水化合物。收集并分析了所有参与者的连续血糖监测（CGM）数据。我们的研究对象包括31名儿童和青少年（平均年龄14.2±1.7岁）。食用水煮土豆后的血糖达标时间略高于油炸土豆，不过差异无统计学意义（73.7%对67.8%；P = 0.225）。两组从餐前到餐后3小时的平均血糖变化相当（-34.3对-25.4毫克/分升；P = 0.517）。同样，血糖水平曲线下面积未观察到显著差异。然而，食用油炸土豆后餐后3小时内追加胰岛素的比例往往更高（20.7%对11.9%；P = 0.075）。尽管血糖指数和脂肪含量存在差异，但Tandem t:slim X2 Control-IQ系统在餐后3小时内对油炸和水煮土豆均有效地维持了令人满意的血糖控制。
