Treatment Conception should be prevented in the patients with class d or f or r dm Diet management 1. Meal plans: individualized 2. Calories: 30 to 35 cal/kg(ideal body weight, IBW) per day. carbohydrates 40%-45%, protein 20% 30%,fat30% 3. Concentrated sweets: forbidden 4. Six meals per day, 2 to 3 hr apart 5. The adequacy of calories inta ke may be assessed by using daily fasting urinary ketone levelsTreatment • Conception should be prevented in the patients with class D or F or R DM • Diet management 1. Meal plans: individualized 2. Calories: 30 to 35 cal/kg (ideal body weight, IBW) per day. carbohydrates 40%-45%, protein 20%- 30%, fat 30% 3. Concentrated sweets: forbidden 4. Six meals per day, 2 to 3 hr apart 5. The adequacy of calories intake may be assessed by using daily fasting urinary ketone levels