and also at 5–6 years.3 Type 1 diabetes is a
disease of disordered immune function involving
destruction of the beta cells in the pancreas that
secrete insulin in genetically susceptible people.
Consequently, people with type 1 diabetes do
not produce any endogenous insulin and are
dependent on exogenous insulin for life. To
achieve optimal glycaemia and overall health,
medical nutrition therapy (MNT) and regular
physical activity are essential.