Fat, Protein, and Carbohydrate Counting: The Novel Treatment for Controlling Postprandial Glycemic Levels in Type 1 Diabetes with an Insulin Pump Dual – Wave Bolus System
Keywords:
carbohydrate counting, insulin pump dual wave system, fat and protein counting, postprandial glycemic levelAbstract
Carbohydrate counting conjunction with multiple insulin injections is accepted as a standard of care for type 1 diabetes patients to control their glycemic level. Many public studies show the positive clinical outcomes with intensive treatment and the improvement of quality of life. However, some evidences found meal compositions that are high in amount of protein and fat increase postprandial glycemic level, and that sustain postprandial hyperglycemia greater than 3-5 hours.
At present, the prevalence of fast foods that are high in fat, carbohydrate and protein are increasing. Pizza, pie, cake, ice-cream, fried foods are popular among youths and adolescences. Therefore, the concept of fat and protein counting has been recently proposed in many studies to enhance optimal glycemic level in type 1 patients. This article shows the benefits of fat, protein and carbohydrate counting on postprandial glycemic level in insulin pump delivered via dual-wave bolus system. Hopefully, it will help healthcare practitioners to take the new concept into their practice in order to improve glycemic level and quality of life in type 1 diabetes patients.
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