摘要: The prevalence of obesity in type 1 diabetes is increasing and may be exacerbated by the use an intensive insulin therapy regimen which improves glycaemia but associated with weight increase. There are a plethora diets loss programmes to choose from, balancing doses achieve good glycaemic control challenging. Mealtime traditionally calculated match amount carbohydrate meal evidence, particularly from continuous glucose monitoring, suggests that protein fat can also have effect on postprandial glycaemia. This article looks at response meal, alternative algorithms calculate bolus doses, their timing delivery, considers effectiveness supporting overweight or obese individuals diabetes. Copyright © 2016 John Wiley & Sons.