Nutrition interventions for intensive therapy in the Diabetes Control and Complications Trial. The DCCT Research Group

J Am Diet Assoc. 1993 Jul;93(7):768-72. doi: 10.1016/0002-8223(93)91750-k.


As part of an intensive treatment regimen that had as its goal achieving and maintaining blood glucose levels in the normal range in individuals with insulin-dependent diabetes mellitus, dietitians in the Diabetes Control and Complications Trial implemented varying nutrition intervention strategies to counsel patients to attain normoglycemia. Dietary management encompassed recommendations on altering insulin dosages for varying food intake. Nutrition intervention was tailored to best meet a participant's life-style, motivation, ability to grasp information, diet history, and specific intensive insulin therapy. Dietitians were integral participants in the team management of individuals in the intensive treatment group. Selected nutrition interventions--Healthy Food Choices, exchange systems, carbohydrate counting, and total available glucose--and behavior management approaches were coupled with intensive insulin therapy. Case presentations illustrate each nutrition intervention in the attainment of normoglycemia.

Publication types

  • Case Reports
  • Clinical Trial
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Blood Glucose / analysis
  • Diabetes Mellitus, Type 1 / diet therapy*
  • Diabetes Mellitus, Type 1 / drug therapy
  • Diet, Diabetic*
  • Dietary Carbohydrates / administration & dosage
  • Dietary Fats / administration & dosage
  • Female
  • Glucose / administration & dosage
  • Hemoglobin A / analysis
  • Humans
  • Insulin / administration & dosage
  • Insulin / therapeutic use
  • Male
  • Nutritional Sciences / education
  • Patient Education as Topic


  • Blood Glucose
  • Dietary Carbohydrates
  • Dietary Fats
  • Insulin
  • Hemoglobin A
  • Glucose