The best treatment for type 1 diabetes, as highlighted in the "American Diabetes Association Releases Standards of Care in Diabetes—2025", emphasizes a combination of insulin therapy and technology-assisted management to achieve optimal glycemic control. Here are key points regarding the management of type 1 diabetes:
1. Insulin Administration:
- Most adults with type 1 diabetes should be treated with either continuous subcutaneous insulin infusion (such as insulin pumps) or multiple daily injections of prandial (meal-time) and basal insulin[1].
- Insulin analogs (including both rapid-acting and long-acting insulins) are preferred over injectable human insulins to minimize the risk of hypoglycemia[1].
2.
Monitoring and Technology:
- Early use of continuous glucose monitoring (CGM) is recommended to improve glycemic outcomes and minimize hypoglycemia[1].
- Automated insulin delivery systems should be offered to all adults with type 1 diabetes to enhance time in range and improve overall management[1].
3.
Education and Support:
- Education on insulin dose adjustments based on carbohydrate intake, glycemic trends, and physical activity should be provided to improve glycemic outcomes[1].
- Regular reevaluation of the insulin treatment plan (every 3-6 months) is crucial to ensure individualized glycemic goals are met[1].
4.
Lifestyle Management:
- Emphasis is placed on individualized medical nutrition therapy, which includes monitoring carbohydrate intake and making dietary adjustments based on insulin therapy[2].
- Encouragement of physical activity is also integral, aiming for 60 minutes of moderate to vigorous-intensity activity daily[2].
5.
Adjunct Treatments:
- Non-insulin medications like pramlintide may be an option as adjunct therapy for better glycemic control but typically offer only modest benefits[3].
In summary, effective management of type 1 diabetes requires an individualized approach combining insulin therapy, modern technologies (like pumps and CGM), education, and a supportive lifestyle framework. If you have specific medications or treatment options available in Saudi Arabia that need to be matched to this guidance, please provide that list for further assistance.
References
- Source: 4:4
- Source: 4:18
- Source: 4:14
