Automated insulin delivery presented by Dr Carmel Smart, PhD, APD
Carmel gives an in-depth and highly practical update on nutrition and exercise management for people using automated insulin delivery (AID) systems. She describes how carbohydrate counting, bolus timing, and meal composition continue to play a critical role—even with advanced AID technologies. Carmel challenges the misconception that AID reduces the need for dietetic input, showing that tailored education and frequent review remain essential. She discusses the impact of fat and protein on postprandial glycemia, the significance of late or missed boluses, and the importance of structured eating patterns. She explains the nuances of managing blood glucose during and after activity using different AID platforms.
Learn about:
- How carbohydrate counting remains important– Even with AID, accurate carbohydrate estimation remains essential to optimise time in range and avoid postprandial highs and lows.
- The impact of meal composition on glycaemia – Fat and protein affect postprandial glucose levels, particularly in meals like pasta or pizza, and may require tailored bolus strategies or use of AID system-specific features (e.g. extended bolus or slowly absorbed meal functions).
- Managing glycemia around exercise in AID systems – this involves understanding system-specific settings (e.g. temp targets or boost/ease-off), timing of insulin, and appropriate carbohydrate intake before and during activity.
To register for the presentation and associated documents including the assessment quiz click here