Carbohydrate Counting at Meal Time Followed by a Small Secondary Postprandial Bolus Injection at 3 Hours Prevents Late Hyperglycemia, Without Hypoglycemia, After a High-Carbohydrate, High-Fat Meal in Type 1 Diabetes. [Letter]
Campbell, Matthew, Walker, Mark, King, David, Gonzalez, Javier T, Allerton, Dean, Stevenson, Emma J, Shaw, James A and West, Daniel J
(2016)
Carbohydrate Counting at Meal Time Followed by a Small Secondary Postprandial Bolus Injection at 3 Hours Prevents Late Hyperglycemia, Without Hypoglycemia, After a High-Carbohydrate, High-Fat Meal in Type 1 Diabetes. [Letter].
Diabetes care, 39 (9).
e141-2.
ISSN 1935-5548
Abstract
Patients with type 1 diabetes are provided guidance and structured education on adjusting their mealtime bolus insulin dose based on meal carbohydrate content. However, recent research in patients using continuous subcutaneous insulin infusion has highlighted the role of dietary fat in increasing prandial insulin requirements, particularly late into the postprandial period (1,2)
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