🍬 Diet & Exercise First-Line Management Simulator

Carbohydrate Counting and Meal Spacing

Placeholder: structured carb counts and spaced meals are the diet foundation.

• 3+2-3: Meals per day (Placeholder snack spacing)
• 30-45g: Carb target/meal (Placeholder guideline)
• High: Adherence effect (Placeholder impact)
• Up: Fiber emphasis (Placeholder note)

Meal planning basics

Placeholder: consistent portions and timing stabilize glucose swings.

Post-Meal Walking Activity Benefit

Placeholder: light activity after eating improves glucose uptake.

• 10-30m: Walk duration (Placeholder range)
• ~20%: Glucose drop (Placeholder estimate)
• <30m post-meal: Timing (Placeholder window)
• Variable: Adherence (Placeholder note)

Exercise timing effect

Placeholder: muscle activity clears glucose faster after meals.

Glucose Response Curve Tracking

Placeholder: home monitoring reveals the post-meal glucose curve.

• 4x: Checks per day (Placeholder frequency)
• 1hr: Peak time (Placeholder timing)
• <140: Target 1hr (Placeholder mg/dL)
• Weeks: Log duration (Placeholder note)

Reading the curve

Placeholder: flatter curves reflect better lifestyle response.

Percentage Achieving Glycemic Control

Placeholder: most GDM cases are managed by lifestyle alone.

• 70-85%: Lifestyle success (Placeholder rate)
• 15-30%: Need medication (Placeholder rate)
• 1-2wk: Time to assess (Placeholder note)
• Ongoing: Follow-up (Placeholder note)

Control outcomes

Placeholder: sustained adherence predicts glycemic success.

Escalation Trigger If Targets Not Met

Placeholder: repeated out-of-range readings prompt therapy escalation.

• 1-2wk: Trigger window (Placeholder note)
• Metformin/insulin: Next step (Placeholder option)
• >2x/wk high: Threshold (Placeholder rule)
• Continuous: Reassessment (Placeholder note)

When to escalate

Placeholder: consistent above-target glucose signals need for medication.

Placeholder: escalation is timely, not a failure of the patient.