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Type 1 Diabetes
Insulin dose for protein/fat?
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<blockquote data-quote="Blackers183" data-source="post: 1333510" data-attributes="member: 113279"><p>Hi all who have replied to my post on this matter.</p><p></p><p>I was advised the other day via Facebook that the American Diabetes Society have just published '2017 Standards of Medical Care in Diabetes', the equivalent of the NICE standards.</p><p></p><p>I had a look through it for any reference to dosing for fat/protein which was briefly mentioned in Section 4 Lifestyle Management. 3 references were referred to, one of them being the below which is easy to access on the internet. This paper published in September last year is "Optimized Mealtime Dosing for Fat and Protein in Type 1 Diabetes. Application of a Model Based Approach to Derive Doses for Open-Loop Diabetes Management", right on this topic!!!</p><p></p><p><a href="http://care.diabetesjournals.org/content/diacare/39/9/1631.full.pdf" target="_blank">http://care.diabetesjournals.org/content/diacare/39/9/1631.full.pdf</a></p><p></p><p>I'll let you find and read it but for me there are a couple off very interesting things to note.</p><p></p><p>1. They indicate that people using the fat-protein units (I assume the Polish algorithm) method was associated with high incidences of hypoglycaemia (~1-3).</p><p>2. The recommended strategy for dosing for fat protein is very similar to what some of you have indicated you follow, well done.</p><p></p><p>Cheers</p><p>David</p></blockquote><p></p>
[QUOTE="Blackers183, post: 1333510, member: 113279"] Hi all who have replied to my post on this matter. I was advised the other day via Facebook that the American Diabetes Society have just published '2017 Standards of Medical Care in Diabetes', the equivalent of the NICE standards. I had a look through it for any reference to dosing for fat/protein which was briefly mentioned in Section 4 Lifestyle Management. 3 references were referred to, one of them being the below which is easy to access on the internet. This paper published in September last year is "Optimized Mealtime Dosing for Fat and Protein in Type 1 Diabetes. Application of a Model Based Approach to Derive Doses for Open-Loop Diabetes Management", right on this topic!!! [URL]http://care.diabetesjournals.org/content/diacare/39/9/1631.full.pdf[/URL] I'll let you find and read it but for me there are a couple off very interesting things to note. 1. They indicate that people using the fat-protein units (I assume the Polish algorithm) method was associated with high incidences of hypoglycaemia (~1-3). 2. The recommended strategy for dosing for fat protein is very similar to what some of you have indicated you follow, well done. Cheers David [/QUOTE]
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