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Training to adjust insulin doses to match food choice improves
the quality of life and glycaemic control of people with type 1 diabetes. In a randomised trial by the dose adjustment for normal eating (DAFNE) study group (p 746), patients attended a course teaching them to match their insulin requirements to carbohydrate intake on a meal by meal basis. The training programme improved glycaemic control and led to significant improvements in satisfaction with treatment, psychological wellbeing, and quality of life measures without severe hypoglycaemia or cardiovascular risk being worsened.

(Credit: PHN/SPL)