title: Nutrition management of insulin-dependent diabetes mellitus in adults: review by the diabetes care and education dietetic practice group.
abstract: Insulin-dependent diabetes mellitus (IDDM) is a chronic disease in which insulin production from the pancreas is diminished or absent. Insulin-dependent diabetes mellitus is most often diagnosed in childhood, but it also occurs in adults. Treatment requires the use of exogenous insulin coordinated with food intake and physical activity. Management goals for IDDM are to attain metabolic control of glucose and lipid levels and to prevent or delay the onset of medical complications associated with diabetes. Because the type and amount of food consumed directly affect blood glucose levels, meal and snack planning, along with an appropriate insulin regimen and physical activity program, is necessary to achieve management goals. Nutrition assessment, initial education, implementation of a meal plan, and ongoing nutrition education and counseling are part of the process of nutrition management of diabetes. The registered dietitian who has a working knowledge of nutrition and diabetes management serves as an integral part of the diabetes health care team.
authors.affiliation: Diabetes Control and Complications Trial, University of California-San Diego, La Jolla 92093.
authors.forename: R B
authors.initials: RB
authors.lastname: Lyon
authors.forename: D M
authors.initials: DM
authors.lastname: Vinci
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000150:complications / Q000178:diet therapy*; D004032:Diet; D004046:Dietetics; D015444:Exercise; D006801:Humans; D009747:Nutritional Physiological Phenomena; D010353:Patient Education as Topic
chemical_list: D001786:Blood Glucose