Diabetes mellitus type 1 dietary management: Difference between revisions
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==Overview== | ==Overview== | ||
The international guidelines recommend | |||
The international guidelines recommend [[patient]]'s based approach (individualization) of [[insulin]] [[therapy]] and [[Diet (nutrition)|dietary regimen]] in [[diabetes mellitus type 1|type 1 diabetes]]. | |||
== Dietary Management == | == Dietary Management == | ||
=== American Association of Clinical Endocrinologists - General Nutrition Recommendations (DO NOT EDIT)<ref name="pmid17613449">{{cite journal| author=Rodbard HW, Blonde L, Braithwaite SS, Brett EM, Cobin RH, Handelsman Y et al.| title=American Association of Clinical Endocrinologists medical guidelines for clinical practice for the management of diabetes mellitus. | journal=Endocr Pract | year= 2007 | volume= 13 Suppl 1 | issue= | pages= 1-68 | pmid=17613449 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17613449 }} </ref> === | === American Association of Clinical Endocrinologists - General Nutrition Recommendations (DO NOT EDIT)<ref name="pmid17613449">{{cite journal| author=Rodbard HW, Blonde L, Braithwaite SS, Brett EM, Cobin RH, Handelsman Y et al.| title=American Association of Clinical Endocrinologists medical guidelines for clinical practice for the management of diabetes mellitus. | journal=Endocr Pract | year= 2007 | volume= 13 Suppl 1 | issue= | pages= 1-68 | pmid=17613449 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17613449 }} </ref> === | ||
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'''Patients With Type 1 Diabetes Mellitus''' | '''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. | The key to successful MNT is synchronizing [[carbohydrate]] intake with [[insulin]] [[therapy]]. The use of basal-bolus [[insulin]] [[therapy]] using [[insulin]] [[Analog (chemistry)|analogs]] or continuous [[Subcutaneous tissue|subcutaneous]] [[insulin]] [[Intravenous therapy|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 [[patient|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 (medicine)|injection]]. | ||
}} | }} | ||
=== American Diabetes Association - General Nutrition Recommendations (DO NOT EDIT) <ref name="pmid18165339">{{cite journal| author=American Diabetes Association. Bantle JP, Wylie-Rosett J, Albright AL, Apovian CM, Clark NG et al.| title=Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. | journal=Diabetes Care | year= 2008 | volume= 31 Suppl 1 | issue= | pages= S61-78 | pmid=18165339 | doi=10.2337/dc08-S061 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18165339 }} </ref> === | === American Diabetes Association - General Nutrition Recommendations (DO NOT EDIT) <ref name="pmid18165339">{{cite journal| author=American Diabetes Association. Bantle JP, Wylie-Rosett J, Albright AL, Apovian CM, Clark NG et al.| title=Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. | journal=Diabetes Care | year= 2008 | volume= 31 Suppl 1 | issue= | pages= S61-78 | pmid=18165339 | doi=10.2337/dc08-S061 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18165339 }} </ref> === | ||
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'''Nutrition Interventions for Type 1 Diabetes''' | '''Nutrition Interventions for Type 1 Diabetes''' | ||
* For individuals with type 1 diabetes, [[insulin]] therapy should be integrated into an individual's dietary and physical activity pattern. (E) | * For individuals with [[diabetes mellitus type 1|type 1 diabetes]], [[insulin]] [[therapy]] should be integrated into an individual's [[Diet (nutrition)|dietary]] and [[Physical exercise|physical activity]] pattern. (E) | ||
* Individuals using rapid-acting insulin by injection or an insulin pump should adjust the meal and snack insulin doses based on the carbohydrate content of the meals and snacks. (A) | * Individuals using rapid-acting [[insulin]] by [[Injection (medicine)|injection]] or an [[insulin pump]] should adjust the meal and snack [[insulin]] doses based on the [[carbohydrate]] content of the meals and snacks. (A) | ||
* For individuals using fixed daily insulin doses, carbohydrate intake on a day-to-day basis should be kept consistent with respect to time and amount. (C) | * For individuals using fixed daily [[insulin]] doses, [[carbohydrate]] intake on a day-to-day basis should be kept consistent with respect to time and amount. (C) | ||
* For planned exercise, insulin doses can be adjusted. For unplanned exercise, extra [[carbohydrate]] may be needed. (E) | * For planned [[Physical exercise|exercise]], [[insulin]] doses can be adjusted. For unplanned [[Physical exercise|exercise]], extra [[carbohydrate]] may be needed. (E) | ||
}} | }} |
Latest revision as of 19:07, 20 September 2020
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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
- ↑ 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.
- ↑ 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.