Strategies for nutrition management as part of insulin therapy will vary based on whether the patient has type 1 or type 2 diabetes and whether he or she is following a conventional or intensive insulin program (2).
In either case, an individualized meal plan based on the patient's food preferences and usual pattern of daily meals and snacks should be developed with a registered dietitian, and agreed to by the patient prior to initiating insulin
therapy. It is important for the patient to consistently follow the meal plan as the insulin program is initiated and insulin doses are adjusted. Consistent timing of meals and snacks as well as the quantity of foods consumed (especially carbohydrates) will help to optimize glycemic control. As the patient learns the onset, peak, and duration of his or her insulins, adjustments can be made in the meal plan, insulin program, or both to achieve target blood glucose levels (2).
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