Modern strategies for management of glycaemia in type 1 diabetes

The last decade has seen significant advances in the management of type 1 diabetes mellitus. The usual management of type 1 diabetes involves ‘physiological’ basal bolus regimens with multiple daily insulin injections. Structured education programmes are of great importance in realizing the potential of the flexible insulin regimens that are now technically possible. These offer individuals with type 1 diabetes standardized support and education in counting carbohydrates (and perhaps fat and protein) and in adjusting doses for other behavioural factors.