ESPE Abstracts

In Functional Intensive insulin therapy (FIIT), despite the using injection or continuous subcutaneous insulin infusion (CSII), the golden standard in meal insulin programing is carbohydrate food counting. On the other hand more and more study have shown how fat and protein meals raise postprandial glycaemia for long time than 3 hours. It was also observed that prolonged insulin delivery in normal and square-wave bolus for a mixed meal helps to normalize glycaemia profile if compared with a regular bolus setting. There for I want to present the complex food counting considering the total caloric values of meal in prandial insulin programing and a new concept was introduced for these purposes called fat-protein exchange factor (FPU) defined as 100 kcal of fat or/and protein foods. Finally, it was established that the dose of insulin should be calculated based on the number of carb unit (exchanges 10 gram or 40 kcal) and the number of fat-protein units multiplied by insulin ratios. Total dose of insulin calculated for a meal was counted as the sum of insulin dose for carb U and FP U. People with diabetes make decisions about the dose of insulin for meals every day. For this it is essential to strengthen their competences and help in choosing the type of bolus and its dose. It is also important to adjust the type and dose of bolus to the time of the meal.