To provide people with Type 1 diabetes knowledge and understanding of bolus insulin to manage their diabetes, ensuring quality of life and improved diabetes control. To support people to check and adjust their Insulin to Carbohydrate Ratio (ICR) to achieve target blood glucose levels.

The Target Group will know:

• that bolus insulin ‘covers’ carbohydrate consumed through food and drink
• how to calculate bolus insulin and how to use bolus calculators (e.g. table/grid, mobile apps) and bolus advisors
• that ICR can vary throughout the day
• how to identify patterns in their blood glucose control
• how to complete checks on factors that may affect insulin absorption
• how to plan and apply systematic adjustments to ICR
• that checking blood glucose levels regularly is crucial to maintain good diabetes management.

• NICE (NG17) Type 1 Diabetes in Adults: diagnosis and management. 2021.
• NICE Pathway. Managing Type 1 Diabetes in Adults. 2020.
• Diabetes UK. Type 1 Diabetes Technology: A Consensus Guideline. 2019.
• Joint British Diabetes Societies for inpatient care (JBDS-IP). The Hospital Management of Hypoglycaemia in Adults with Diabetes Mellitus. 4th Edition. January 2020.
• M.C. Riddell et al. Exercise management in type 1 diabetes: a consensus statement. The Lancet. 2017
• Driver and Vehicle Licensing Agency (DVLA). A guide to insulin treated diabetes and driving. 2019.
• BNF (NICE) Hypoglycaemia. Available from: https://bnf.nice.org.uk/treatment-summary/hypoglycaemia.html. Accessed 25th August 2020.
• Low carbohydrate diets for type 1 diabetes mellitus: a systematic review. (2018) PLoS ONE. Available from: https://doaj.org/article/1d84e88c8b66460f925ec17764c350ce