Are we considering proteins and fat in postprandial glycemia of people with type 1 diabetes mellitus?

Abstract

The interdisciplinary or multidisciplinary teams for the care of people with Diabetes mellitus Type 1 (DBT1) know that we have the challenge of constant updating. The American Diabetes Association (ADA) In its medical care standards published annually and specifically in this year, 2022, suggests that individuals with Type 1 Diabetes who are advanced in carbohydrate counting (CC) receive education intensive and ongoing to improve understanding of the relationship between GH intake and the need to adjust insulin administration based on them.

Multiple proposals have emerged: the need to consider additional insulin for high-fat or high-protein meals, increase the insulin dose calculated by count by 20%, postpone insulin application, use a second dose of insulin, although none of them has been the definitive solution.

The work done so far shows intersubject and intersubject differences. It seems advisable, up to now, not to generalize the recommendations or establish standardized therapeutic guidelines for insulin management when consuming high amounts of protein and fat in people with type 1 diabetes. The advice in this regard should be individualized, depending on the needs of each subject.