1.3.0.0 Nu­tri­tion Ther­a­py

Rec­om­men­da­tions

13.2 In­di­vid­u­al­ized med­i­cal nu­tri­tion ther­a­py is rec­om­mend­ed for chil­dren and ado­les­cents with type 1 di­a­betes as an es­sen­tial com­po­nent of the over­all treat­ment plan. A

13.3 Mon­i­tor­ing car­bo­hy­drate in­take, whether by car­bo­hy­drate count­ing or ex­pe­ri­ence-‍based es­ti­ma­tion, is key to achiev­ing op­ti­mal glycemic con­trol. B

13.4 Com­pre­hen­sive nu­tri­tion ed­u­ca­tion at di­ag­no­sis, with an­nu­al up­dates, by an ex­pe­ri­enced reg­is­tered di­eti­tian is rec­om­mend­ed to as­sess caloric and nu­tri­tion in­take in re­la­tion to weight sta­tus and car­dio­vas­cu­lar dis­ease risk fac­tors and to in­form macronu­tri­ent choic­es. E

Di­etary man­age­ment should be in­di­vid­u­al­ized: fam­i­ly habits, food pref­er­ences, re­li­gious or cul­tur­al needs, sched­ules, phys­i­cal ac­tiv­i­ty, and the pa­tient’s and fam­i­ly’s abil­i­ties in nu­mer­a­cy, lit­er­a­cy, and self-‍man­age­ment should be con­sid­ered. Di­eti­tian vis­its should in­clude as­sessment for changes in food pref­er­ences over time, ac­cess to food, growth and de­vel­op­ment, weight sta­tus, car­dio­vas­cu­lar risk, and po­ten­tial for eat­ing dis­or­ders. Di­etary ad­her­ence is as­so­ci­at­ed with bet­ter glycemic con­trol in youth with type 1 di­a­betes (10).