Mealtime insulin dosing calculation should focus on meal composition—including fat, protein, and glycemic index—rather than carbohydrate counting alone, according to a systematic review published in the June issue of Diabetes Care.
Current guidelines only focus on carbohydrates as the basis for calculating insulin doses; however, data indicates that other micronutrients—namely fat and protein—can affect insulin requirements, and the other issues depend on the type of carbohydrates ingested,” explained senior author Howard A. Wolpert, MD, Associate Professor of Medicine, Harvard Medical School, and Director of the Joslin Institute for Technology Translation, both in Boston, Mass.
Read the full article at: www.endocrineweb.com
Carb content of a meal is the main element impacting insulin requirement. But carb content is something not obvious, at least at the beginning. Incorporating Fat, Protein, and Glycemic Index into Insulin Dosing makes it even more complex. But evidence based medicine shows it should be something to consider seriously.
The question is: how to make this available for everyone and not only for “advanced pumping” highly competent pump-users?
DietSensor’s team will be working on that!