Diabetes mellitus type 1 dietary management

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]

Overview

The international guidelines recommend patient's based approach (individualization) of insulin therapy and dietary regimen in type 1 diabetes.

Dietary Management

American Association of Clinical Endocrinologists - General Nutrition Recommendations (DO NOT EDIT)[1]

Patients With Type 1 Diabetes Mellitus

The key to successful MNT is synchronizing carbohydrate intake with insulin therapy. The use of basal-bolus insulin therapy using insulin analogs or continuous subcutaneous insulin infusion in conjunction with carbohydrate counting is the most physiologic treatment and provides the greatest flexibility in terms of food choices and timing of meals. For patients unable or unwilling to count carbohydrates, basal-bolus therapy using a consistent carbohydrate meal plan can be equally effective. Considering the glycemic index and the glycemic load of foods is another tool that can be used to optimally time the mealtime insulin injection.

American Diabetes Association - General Nutrition Recommendations (DO NOT EDIT) [2]

Nutrition Interventions for Type 1 Diabetes


References

  1. Rodbard HW, Blonde L, Braithwaite SS, Brett EM, Cobin RH, Handelsman Y; et al. (2007). "American Association of Clinical Endocrinologists medical guidelines for clinical practice for the management of diabetes mellitus". Endocr Pract. 13 Suppl 1: 1–68. PMID 17613449.
  2. American Diabetes Association. Bantle JP, Wylie-Rosett J, Albright AL, Apovian CM, Clark NG; et al. (2008). "Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association". Diabetes Care. 31 Suppl 1: S61–78. doi:10.2337/dc08-S061. PMID 18165339.

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