The Role of Dietary Protein and Fat in Glycaemic Control in Type 1 Diabetes: Implications for Intensive Diabetes Management

Overview

Journal Curr Diab Rep

Publisher Current Science

Specialty Endocrinology

Date 2015 Jul 24

PMID 26202844

Citations 23

Authors

Megan Paterson

Kirstine J Bell

Susan M OConnell

Carmel E Smart

Amir Shafat

Bruce King

Affiliations

Soon will be listed here.

Abstract

A primary focus of the management of type 1 diabetes has been on matching prandial insulin therapy with carbohydrate amount consumed. However, even with the introduction of more flexible intensive insulin regimes, people with type 1 diabetes still struggle to achieve optimal glycaemic control. More recently, dietary fat and protein have been recognised as having a significant impact on postprandial blood glucose levels. Fat and protein independently increase the postprandial glucose excursions and together their effect is additive. This article reviews how the fat and protein in a meal impact the postprandial glycaemic response and discusses practical approaches to managing this in clinical practice. These insights have significant implications for patient education, mealtime insulin dose calculations and dosing strategies.

Citing Articles

Factor Associated with Adherence to the Protein and Fat Counting Strategy by Adults with Type 1 Diabetes Mellitus.

Uliana G, da Costa J, Quaresma A, da Fonseca A, Ohaze K, Alves L Nutrients. 2024; 16(12).

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Sensor-Based Glucose Metrics during Different Diet Compositions in Type 1 Diabetes-A Randomized One-Week Crossover Trial.

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Recovery Phase Nutrition and Insulin Strategies for a Collegiate Distance Runner with Type 1 Diabetes Mellitus: A Case Study.

Schroeder A, Rosenkranz R, Yarrow L, Haub M, Rosenkranz S Sports (Basel). 2023; 11(11).

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Postprandial glucose metabolism in children and adolescents with type 1 diabetes mellitus: potential targets for improvement.

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