Abstract
Intensive insulin therapy (IIT) offers improved metabolic control while inviting flexibility in meal planning. Alterations in the size or timing of a meal and/or the timing of the preprandial insulin dose can be used to promote normoglycemia and accommodate life-style demands. Continual nutrition education and counseling are needed to aid the patient in making the appropriate self-management decisions to promote normoglycemia, control body weight, and minimize hypoglycemic episodes.