Type 1 diabetes: dietary modification over 100 years since insulin

Abstract Diet has been central for the management of type 1 diabetes over three thousand years, and discovery insulin in 1921 was associated with introduction formal dietary education. Carbohydrate soon identified as macronutrient responsible postprandial glucose excursions past one hundred interventions have alternated between severe carbohydrate restriction so‐called free diets. The very low diets 1920s gave way to 1930s, then reintroduced 1940s 1960s. In 1970s, intake increased an emphasis on fibre fat, healthy eating recommended 1980s. few decades reflected growing evidence following DCCT DAFNE trials are now individualised emphasise counting adjustment quality life. Copyright © 2021 John Wiley & Sons.