MMPAD Milan Meeting Report

18 European Roadshow - Milan, 29 June 2018 MEETING REPORT The need for insulin has a direct relationship with CHO intake through diet. This has to be considered carefully, because CHO are present in almost every food type and can have different glycaemic indexes. It is important to assess the glycaemic index of the full meal and not on a single item of food. An accurate count of CHO and a better quality of diet improves glycaemic control and particularly HbA1c levels . 25 Motivation, family support and the mental balance of the patients have a significant impact on metabolic control. Sometimes there are socio-psychological problems (anxiety, depression, eating disorders, family conflicts) that do not allow the patient to have the proper motivation to reduce factors of potential metabolic imbalance. In such cases, referral to a mental health professional with expertise in diabetes would be advisable. The current availability of different insulin analogues, infusion pumps and continuous glucose monitoring offers the opportunity for children and adolescents with T1D to mimic the glycaemic profiles of non-diabetic subjects. However, a high level of information and education of patients and their families must be maintained to optimise the treatment of diabetes.