Case Study of Nutritional Care on Changes in Nutrient Intake, Nutritional Status, and Blood Glucose Levels in Children with Type 1 Diabetes Mellitus and Malnutrition
Keywords:
Nutritional Care Process, Diabetes Mellitus, IntakeAbstract
Type 1 Diabetes Mellitus in children with malnutrition is a complex clinical condition requiring multidisciplinary management, including appropriate nutritional care. This study aimed to evaluate the effect of nutritional care on changes in nutrient intake, nutritional status, and blood glucose levels in a child with Type 1 DM and severe malnutrition. The subject was an 11-year-10-month-old girl who received basal-bolus insulin therapy and a 2,500 kcal/day diabetic diet intervention. Data were collected through direct monitoring of nutrient intake, anthropometric measurements, and daily blood glucose levels, and analyzed descriptively. The results showed an increase in energy intake from 1,764 kcal to 2,304.5 kcal, protein from 67.5 g to 90.6 g, and fat from 44.3 g to 89.3 g. Body weight increased from 28 kg to 31 kg, and nutritional status based on weight-for-height improved from severe malnutrition (70%) to moderate malnutrition (77.5%). Random blood glucose level increased from 66 mg/dL (hypoglycemia) to 135 mg/dL (normal). In conclusion, structured nutritional care tailored to clinical needs can improve nutritional status and glycemic control in children with Type 1 DM and malnutrition
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Copyright (c) 2026 Yuliyanti Yuliyanti, Rudi Hartono, Faramitha

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