Type 1 Diabetes: Comprehensive Nutrition Management Guide

A Patient's Guide to Dietary Control and Blood Sugar Management

Endocrinology

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Last updated: Mar 24, 2025

Understanding Carbohydrates

Carbohydrate Counting

  • Learn to count carbohydrates in grams
  • Aim for consistent carb intake at meals
  • Target: 45-60g per main meal, 15-30g per snack
  • Read food labels carefully

Glycemic Index (GI)

  • Choose low-GI foods when possible
  • Examples: whole grains, legumes, non-starchy vegetables
  • Limit high-GI foods: white bread, sugary drinks

Meal Planning Basics

Balanced Plate Method

  1. ½ plate: non-starchy vegetables
  2. ¼ plate: lean protein
  3. ¼ plate: complex carbohydrates

Timing of Meals

  • Eat at regular intervals
  • Space meals 4-5 hours apart
  • Consider pre-exercise snacks

Important Nutrients

Protein

  • 15-20% of daily calories
  • Choose lean sources
  • Important for muscle maintenance

Healthy Fats

  • 20-35% of daily calories
  • Focus on unsaturated fats
  • Include omega-3 sources

Special Considerations

Exercise Adjustments

  • Monitor blood glucose before/during/after exercise
  • Adjust carbohydrate intake based on activity
  • Keep fast-acting carbs available

Hypoglycemia Prevention

  • Never skip meals
  • Keep glucose tablets or juice available
  • Check blood sugar regularly

Sample Meal Plan

Breakfast (45-60g carbs)

  • Oatmeal (30g)
  • Small fruit (15g)
  • Greek yogurt (15g)

Lunch (45-60g carbs)

  • Whole grain bread (30g)
  • Vegetables (5g)
  • Fruit (15g)

Dinner (45-60g carbs)

  • Brown rice (30g)
  • Vegetables (5g)
  • Sweet potato (15g)

Monitoring and Adjustment

  • Keep detailed food logs
  • Track blood glucose responses
  • Work with healthcare team to adjust as needed

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