**Abstract**

Diabetes mellitus is described by high blood glucose level resulting from deficiencies in insulin secretion, insulin action, or both. Type 1 diabetes is a condition in which pancreatic beta-cell get destructed and leads to absolute insulin deficiency. Lack of insulin causes hyperglycemia, polyuria, polydipsia, polyphagia, body mass loss, dehydration, electrolyte disturbance, and ketoacidosis. MNT necessitates an individualized tactic and effective nutrition self-management education, recommendation, and support. A key component of MNT is the provision of adequate calories for normal growth and development for children and adolescents with T1DM. The patient should monitor their saccharide intake either through saccharide counting or meal planning exchange lists for flexibility and variety in meals. Saccharide intake from whole grains, vegetables, fruits, legumes, and dairy products, with an emphasis on foods higher in fiber and lower in glycaemic load, should be advised over other sources, especially those containing sugars. Saccharide counting is helpful for people with diabetes in managing blood glucose level by tracking the grams of saccharide consumed at meals. All persons with T1DM need a substitute of insulin that mimics normal insulin action. An insulin-to-saccharide ratio can be established for an individual that will guide determinations on the amount of mealtime insulin to infuse.

**Keywords:** type 1 Diabetes, medical nutrition therapy, carbohydrates counting, glycemic index, glycemic load, insulin, insulin regimens, exchange lists, serving sizes
