Exp Clin Endocrinol Diabetes 2025; 133(04): 177-190
DOI: 10.1055/a-2500-0477
German Diabetes Association: Clinical Practice Guidelines

Nutritional Recommendations for People with Type 1 Diabetes Mellitus

Diana Rubin
1   Vivantes Hospital Spandau, Berlin, Germany
2   Vivantes Humboldt Hospital, Berlin, Germany
,
Anja Bosy-Westphal
3   Institute of Human Nutrition, Faculty of Agriculture and Nutritional Sciences, Christian-Albrechts University of Kiel, Kiel, Germany
,
Stefan Kabisch
4   Department of Endocrinology, Diabetes and Nutritional Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany
5   German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany
,
Peter Kronsbein
6   Department of Ecotrophology, Niederrhein University of Applied Sciences, Mönchengladbach Campus, Mönchengladbach, Germany
,
Karsten Müssig
7   Department of Internal Medicine, Gastroenterology and Diabetology, Niels Stensen Hospitals, Franziskus Hospital Harderberg, Georgsmarienhütte, Germany
,
Marie-Christine Simon
8   Institute of Nutrition and Food Sciences, Nutrition and Microbiome, Rheinische Friedrich-Wilhelms University of Bonn, Bonn, Germany
,
Astrid Tombek
9   Diabetes Center Bad Mergentheim, Bad Mergentheim, Germany
,
Katharina S. Weber
10   Institute for Epidemiology, Christian-Albrechts University of Kiel, Kiel, Germany
,
Thomas Skurk
11   ZIEL – Institute for Food & Health, Technical University of Munich, Freising, Germany
12   Technical University of Munich, TUM School of Medicine and Health, Munich, Germany
› Author Affiliations
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Notice of update

The DDG clinical practice guidelines are updated regularly during the second half of the calendar year. Please ensure that you read and cite the respective current version.

UPDATES TO CONTENT AND DIFFERENT RECOMMENDATIONS COMPARED TO THE PREVIOUS YEARʼS VERSION

Change 1:

rtCGM and scCGM combined as CGM systems

Reason:

A distinction no longer makes sense in this context

Change 2:

Supplementary comment on "Eating patterns"

Reason:

Increasing findings in T1Dm in the context of a vegetarian/vegan diet

Abbreviations

ADI Acceptable Daily Intake

AID Automatic Insulin Dosing

AHEI Alternative Healthy Eating Index

BMI Body mass index

BW Body Weight

CGM Continuous Glucose Monitoring

CHO Carbohydrates

CSII Continuous Subcutaneous Insulin Infusion

CU Carbohydrate unit

d Day

DASH Dietary Approaches to Stop Hypertension

DHS Deutsche Hauptstelle für Suchtfragen e.V. (German Central Office for Addiction Issues e.V.)

EFSA European Food Safety Authority

EN% Energy Percent

GI Glycaemic Index

HDL High-Density Lipoprotein

HEI Healthy Eating Index

ICT Intensified conventional insulin therapy

kcal Kilocalories

LDL Low-Density Lipoprotein

MNA Mini Nutritional Assessment

MUFAs Monounsaturated Fatty Acids

PUFAs Polyunsaturated Fatty Acids

RCFAs Red Cell phospholipid Fatty Acids

RCT Randomised Controlled Trials

SFAs Saturated Fatty Acids

T1Dm Type 1 Diabetes Mellitus

T2Dm Type 2 Diabetes Mellitus

WHO World Health Organization

WPFD Whole Plant Food Density



Publication History

Article published online:
06 May 2025

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