Endocrinology Book


Nutrition in Diabetes Mellitus Type 1

Aka: Nutrition in Diabetes Mellitus Type 1, Nutrition in Diabetes Mellitus Type I, Type 1 Diabetic Diet
  1. See Also
    1. Nutrition in Diabetes Mellitus
    2. Carbohydrate Count
    3. Nutrition in Diabetes Mellitus Type II
  2. Management: Diet
    1. Synchronize food with Insulin
    2. Eat consistently and adjust Insulin
      1. Simple protocol is to eat a set ammount of carbohydrates at each meal
      2. Use a fixed Insulin dose for that consistently set carbohydrate amount
    3. Better nutrition behaviors (per DCC Trial)
      1. Adhere to meal plan
      2. Appropriately treat Hypoglycemia (do not over-treat)
        1. Glucose tablet raises Blood Sugar in <10 minutes
        2. Orange Juice raises Blood Sugar in 10-20 minutes
      3. Respond promptly to Hyperglycemia with Insulin
      4. Snack consistently
        1. Take afternoon snack if taking NPH in morning
  3. Management: Insulin - Conventional Insulin therapy
    1. See Insulin Dosing in Type 1 Diabetes
    2. Long-acting Insulin (Lantus) provides basal needs
    3. Short acting Insulin (Lispro) covers mealtimes

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