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Strategies for the Management of Type 1 Diabetes

The management of type 1 diabetes depends on optimal administration of insulin based on measurement of blood glucose levels. In order for a person living with diabetes to do this effectively on a daily basis they require training through a structured education programme in insulin delivery using multiple daily insulin injections or insulin pump therapy, and adjusting insulin doses according to monitored glucose values from capillary blood glucose measurements or continuous interstitial glucose sensing. This strategy applies to children and adults alike, although the specifics of the training and dosing regimen will be tailored to the individual. National benchmarking and audit programmes set the standards that services should expect to meet to demonstrate that they are helping the persons living with diabetes under their care to effectively implement this management strategy.