Spread the love

In a recent study conducted by Ángel Rebollo-Román and colleagues, the spotlight was placed on a crucial question: Could adherence to the Mediterranean diet be a game changer for children and adolescents with type 1 diabetes (T1D)? The objectives of the authors were clear: to delve into the potential connections between dietary habits and health outcomes in this specific demographic.

Exploring the Link

To answer this question, the study enlisted the participation of 150 individuals, averaging 13.09 years of age, with a balanced representation of genders. The researchers used the KIDMED questionnaire, a tool designed to assess adherence to the Mediterranean diet. This questionnaire evaluates various dietary factors and assigns a higher score to improve adherence. Additionally, this study incorporated flash glucose monitoring (FGM) to measure both glycaemic control and the duration of sensor activity.

Crucial Findings

The study yielded intriguing results that provided substantial support for the authors’ hypotheses. First, it was confirmed that higher adherence to the Mediterranean diet was positively correlated with enhanced glycaemic control in children and adolescents with T1D. This finding underscores the potential impact of dietary choices on health outcomes in this demographic. Second, the study illuminated an interesting connection between dietary patterns and engagement with glucose-monitoring tools. Those who adhered more closely to the Mediterranean diet exhibited a longer active time on the FGM device. This finding suggests that lifestyle choices, including dietary habits, can play a pivotal role in the management and monitoring of diabetes.

Drawing Conclusions

Based on their findings, the authors concluded that the Mediterranean diet could be a valuable component in the holistic management of T1D in young individuals. The study’s implications extend beyond the immediate context of glycaemic control, emphasising the broader impact of dietary choices on the overall health of children and adolescents.

While this study provides valuable insights, the authors acknowledge certain limitations inherent in its cross-sectional design. This limitation prevents the establishment of causal relationships, prompting the call for further investigation through larger intervention studies. Nevertheless, the results underscore the significance of early interventions in shaping improved self-care skills in adolescents with T1D.

Educational Interventions and Future Outlook

Looking ahead, this study suggests a need for broader intervention studies to definitively confirm the observed correlations and establish causal relationships. This opens up exciting possibilities for psychoeducational interventions aimed at enhancing the quality of life for youth with T1D. The study proposes that these interventions should explicitly focus on promoting adherence to the Mediterranean diet and utilisation of glucose monitoring tools.

The study’s implications are profound, suggesting that healthcare providers and educators have an opportunity to improve disease management and overall health outcomes for children and adolescents with T1D. Interventions can be tailored to meet the unique needs of this population by addressing variables, such as dietary habits and engagement with monitoring tools.

Challenges and Opportunities

While this study sheds light on the potential benefits of the Mediterranean diet, it is crucial to acknowledge the challenges that may arise in implementing dietary changes, especially in younger populations. The roles of caregivers, educators, and healthcare professionals have become pivotal in guiding and supporting individuals in adopting and sustaining these dietary patterns.

Moreover, this study emphasises the importance of adherence to glucose monitoring tools, showcasing the potential role of technology in diabetes management. The FGM device, which mediates the relationship between dietary adherence and glycaemic control, is a tool not only for measurement but also for intervention. This underscores the need for increased utilisation of such devices in diabetes education, as greater sensor use directly and indirectly contributes to improved glycaemic control.

Looking to the Future

In essence, this study offers a glimpse into a future where dietary recommendations, specifically those aligned with the Mediterranean diet, become integral to the management of T1D in children and adolescents. It positions dietary education as a cornerstone of comprehensive care, addressing not only immediate glycaemic control, but also contributing to long-term health outcomes.

While the study’s limitations remind us of the need for ongoing research, they serve as a catalyst for broader conversations around holistic diabetes management. This prompted us to explore how dietary choices can empower individuals, even the youngest, in their journey with T1D. As we navigate this landscape, the potential for personalised, effective, and sustainable interventions has become increasingly evident.


In conclusion, the results of this study highlight the significance of dietary education in adolescents with T1D. This study demonstrates how a Mediterranean dietary pattern contributes to better disease control and improved glycaemic outcomes, as measured using current glucose monitoring tools. As we move forward, the implications of these findings are clear; early interventions that focus on dietary habits and technology utilisation can pave the way for better management of T1D in children and adolescents. By fostering a deeper understanding of the links between lifestyle choices and health outcomes, we can chart a course towards improved disease control and enhanced overall well-being for the youngest members of our diabetes community.

Read all at: Rebollo-Román, Á., Tabernero-Urbieta, M.C., Villaécija, J. et al. Mediterranean diet adherence and glycemic control in children and adolescents with type 1 diabetes. Eur J Pediatr (2023). https://doi.org/10.1007/s00431-023-05325-1

Leave a Comment