Which statement best describes the necessary components to achieve glycemic control in a teenager with Type 1 diabetes?

Which statement best describes the necessary components to achieve glycemic control in a teenager with Type 1 diabetes?

• A. Insulin, exercise, and diet
• B. Only insulin
• C. Diet and exercise
• D. Only insulin and diet

Answer: (A)

Glycemic control in Type 1 diabetes relies on insulin replacement combined with strategies that influence glucose entry and use. Insulin is essential because without it glucose cannot enter most cells, so ongoing insulin therapy is required. Diet and exercise are also crucial because what you eat and how active you are directly affect blood glucose and how much insulin is needed. Carbohydrate intake and timing must be coordinated with insulin dosing, and physical activity changes insulin sensitivity and the risk of hypoglycemia, so doses may need adjustment. In teens, hormonal changes add variability, making a combined approach—even more important. Therefore, the best answer includes insulin, exercise, and diet.

Glycemic control in Type 1 diabetes relies on insulin replacement combined with strategies that influence glucose entry and use. Insulin is essential because without it glucose cannot enter most cells, so ongoing insulin therapy is required. Diet and exercise are also crucial because what you eat and how active you are directly affect blood glucose and how much insulin is needed. Carbohydrate intake and timing must be coordinated with insulin dosing, and physical activity changes insulin sensitivity and the risk of hypoglycemia, so doses may need adjustment. In teens, hormonal changes add variability, making a combined approach—even more important. Therefore, the best answer includes insulin, exercise, and diet.