Type 1 diabetes mellitus: Bridging the knowledge-action gap

Type 1 diabetes mellitus (T1DM) is unique in its treatment, in that patients must perform medical procedures (inject insulin and check blood glucose BG) and take important medical decisions (estimate carbohydrate content of meals, calculate pre-meal insulin doses, and judge the need for additional snacking or insulin dose reduction to prevent exercise-induced hypoglycemia) several times each day.Treatment success depends on the patient's ability to learn and adhere to each aspect of diabetes self-management (DSM).us, treatment needs to be individualized, based on the interaction of multiple factors including literacy, intelligence, socioeconomic status, and school/work schedule of the patient and family.