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5 Key Points From ICMR’s Guidelines on Type 1 Diabetes


As the Covid-19 pandemic wreaked havoc across the globe, it was found that some people were more vulnerable to the virus than others. People with diabetes are at a higher risk of falling prey to the virus and getting severely ill.

Highlighting this vulnerability, the Indian Council of Medical Research (ICMR) has released guidelines for the management of Type 1 diabetes. The ICMR noted the growing prevalence of diabetes in the country and suspected a further increase in the cases of diabetes in the future.

What is Type 1 diabetes?

Type 1 diabetes is a chronic condition in which the pancreas of the individual produces little to no insulin at all. Insulin is a hormone that allows blood sugar to enter the cell and be used for energy in the body. In the absence of insulin, the blood sugar gets accumulated in the blood stream thus causing high blood sugar levels.

The insulin deficiency is found to be more severe in Type 1 diabetes than Type 2 diabetes, while the insulin resistance in Type 1 diabetes is none or mild.

Although Type 1 diabetes can occur at any age, it usually affects teens, children, and young adults. Individuals with Type 1 diabetes become dependent on insulin and other therapies to survive.


According to ICMR, the diet of a person suffering from Type 1 diabetes should consist of 50-55 per cent carbohydrates, 25-35 per cent fat, and 15-20 per cent protein. It stated that excessive restriction on carbohydrates should be avoided as it can hamper the growth of children as well as adolescents. Adults should consume a minimum of 130 g of carbohydrates per day to ensure adequate glucose for the brain. The recommended protein intake is 15 to 20 per cent of the caloric requirement of the individual.


Exercise can help prevent obesity in individuals with Type 1 diabetes while it also mitigates the risk of developing cardiovascular diseases. ICMR suggested that physical activities and sports should be encouraged in Type 1 diabetes patients. However, increasing the intensity of exercise also increases the risk of hypoglycemia and thus should be avoided. Weight-bearing activities or exercises lead to higher drop in blood glucose levels than other exercises.

Insulin therapy

While using insulin becomes a necessity for people with Type 1 diabetes, ICMR underlined some of the side-effects of insulin therapy. They are listed below.

  1. Hypoglycemia
  2. Weight gain
  3. Lipohypertrophy and lipoatrophy
  4. Insulin site infection

The guidelines insisted that individuals should use a clean and needle of the right size to avoid and infections and pain at the site of injection.

Blood glucose monitoring

Monitoring the blood glucose level becomes crucial in Type 1 diabetes as it helps predict the glycemic control in patients. Self-monitoring of Blood Glucose (SMBG) should be done and is recommended at 4-6 times a day for adults. Youngsters, meanwhile, can monitor their BG level 2-3 times a day.

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