Nutritional Recommendations for People with Type 1 Diabetes Mellitus.

However, the intake of naturally-occurring sugars (within the normal range of the diet) was associated with improved parameters of glycemic control, and Nansel et al. conclude that foods containing this source of sugar do not have negative effects on blood glucose control in adolescents with T1Dm [59]. The increased consumption of high-fiber foods seems to have a positive effect on the trend of postprandial glycemia, but the recommendations for fiber intake are based on those for the general population (30 g per day). Meal frequency and meal timing Recommendation If people with T1Dm are overweight, they should avoid irregular eating times, eating late and a time window for daily food intake>12 h. With regard to the consumption of individual foods/meals (according to the "acute food/meal studies" and clinical experience), special consideration of foods containing carbohydrate with a very low GI (below approx. 30) or a very high GI (above approx. 90) seems advisable. However, this is not justified, since the study did not intend to compare a low-GI diet with a high-GI diet, but primarily compared a diet with a fixed carbohydrate distribution ("carbohydrate framework") vs. a diet with flexible carbohydrate intake. [Extracted from the article]