Evidence map›Paper›PMID 41477679›Full record

ReviewInternational journal of pediatrics2025

Carbohydrate Counting as a Precision Method for Glycemic Control in Youth With Type 1 Diabetes: A Systematic Review and Meta-Analysis.

Poliana Viana Guarçoni, Luiz Gustavo Ribeiro Silva, Raquel Fonseca Sales, Tiago Ricardo Moreira

Abstract readReview
In one paragraph

Review in International journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Poliana Viana GuarçoniDepartamento de Medicina e Enfermagem, Universidade Federal de Viçosa, Viçosa, Minas Gerais, Brazil, ufv.br.ORCID https://orcid.org/0009-0003-4964-6443
Luiz Gustavo Ribeiro SilvaDepartamento de Medicina e Enfermagem, Universidade Federal de Viçosa, Viçosa, Minas Gerais, Brazil, ufv.br.ORCID https://orcid.org/0009-0005-4713-6671
Raquel Fonseca SalesDepartamento de Medicina e Enfermagem, Universidade Federal de Viçosa, Viçosa, Minas Gerais, Brazil, ufv.br.ORCID https://orcid.org/0009-0008-4894-1367
Tiago Ricardo MoreiraDepartamento de Medicina e Enfermagem, Universidade Federal de Viçosa, Viçosa, Minas Gerais, Brazil, ufv.br.ORCID https://orcid.org/0000-0002-6606-4942

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although carbohydrate counting is a recommended method for managing diabetes, it is not widely used by patients with Type 1 diabetes mellitus. Aiming to emphasize the importance of this method, this study is aimed at quantitatively assessing the effectiveness of carbohydrate counting in reducing HbA1c levels in children and adolescents with Type 1 diabetes mellitus. Methods: Studies published between January 1993 and August 2024 were selected from the EMBASE, PubMed Central (PMC), Wiley Online Library, and ScienceDirect, without language restrictions. The primary outcome was to evaluate the reduction in HbA1c, comparing children and adolescents with Type 1 diabetes mellitus who did or did not use carbohydrate counting. Results: The results were synthesized through a meta-analysis of the absolute mean difference in HbA1c between the groups. Seven studies were included in the meta-analysis, involving a total of 599 individuals, with 276 in the control group and 323 in the intervention group. When compared to the control group, all carbohydrate counting methods resulted in a reduction in HbA1c. The variation ranged from -1.35% for the greatest reduction to -0.73% for the smallest reduction, with a final mean of -0.94% (95% CI: -1.13, -0.74). Subgroup analysis showed that the greatest reduction in HbA1c was observed in patients who were experienced in carbohydrate counting and used the automated bolus calculator. Conclusions: This study confirms the effectiveness of carbohydrate counting in reducing HbA1c levels in children and adolescents with Type 1 diabetes mellitus, reinforcing that even the basic form of this strategy represents a valuable and advantageous approach in the management of the disease.

Indexed as

automated bolus calculatorcarbohydrate countingmeta-analysissystematic reviewType 1 diabetes mellitus

Identifiers

PMID41477679
PMCPMC12752844

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.