A Clinical Study to Investigate and Compare the Impact of High Protein Pasta, Lower Protein Pasta and White Rice on Blood Sugar Control in People With Type 1 Diabetes Mellitus (T1DM)

The aim of this clinical study is to investigate and compare the postprandial glycemic
response to three different meal types rich in carbohydrates, that is, white pasta, high
protein pasta and white rice consumed by individuals with T1DM and to demonstrate that:

1. The choice of carbohydrates consumed significantly affects the postprandial glycemic
profile in people with type 1 diabetes and

2. The consumption of high protein pasta will present a tighter postprandial glycemic
response.

Previous studies have evaluated the effect of white pasta and rice on postprandial glycemic
response in people with type 1 diabetes. With this study, we aim to expand upon these
findings by ensuring that the results can still be applied to more recent commercial food
products (pasta, rice), but especially to evaluate the effect of high-protein pasta when
compared to regularly consumed carbohydrates (white pasta, white rice).

After consuming the study meal, subjects will participate in an education session (a 2 hour
class per each meal challenge session). Classes will be taught by a registered dietician and
diabetes & exercise expert and, as appropriate, a culinary instructor.

Inclusion Criteria:

- Age ≥ 18 and ≤ 75 years at the time of screening.

- Clinical diagnosis of type 1 diabetes for at least one year.

- HbA1c ≤ 10%, as performed by point of care or central laboratory testing. A1c will be
assessed at the screening visit, or if already completed within 2 months of the
screening visit, the prior lab value may be used in lieu of repeating this assessment.

- Currently using insulin-to-carbohydrate ratio to calculate meal bolus sizes, and
boluses for all meals and snacks that contain ≥ 5 grams of carbohydrate.

- Willing to refrain from taking acetaminophen products for the duration of the clinical
trial. If acetaminophen is taken, subject is to avoid making any insulin dosing
decisions based on CGM for at least 12 hours.

- For females, not currently known to be pregnant. If female and sexually active, must
agree to use a form of contraception to prevent pregnancy while a participant in the
study. A negative urine pregnancy test will be required for all premenopausal women
who are not surgically sterile at the screening visit. Subjects who become pregnant
will be discontinued from the study.

- Willing to abide by the study protocol and use study-provided devices.

Exclusion Criteria:

- Gastrointestinal disease such as celiac disease or multiple food allergies.

- Any form of gluten sensitivity or wheat allergy.

- Allergies to any form of nuts and ingredients present in the study meals (tomatoes
etc).

- History of gastroparesis.

- Pregnancy.

- Dermatological conditions that would preclude wearing a CGM sensor.

- Screening A1c > 10%.

- Any condition that could interfere with participating in the trial, based on the
investigator's judgment.

- A recent injury to body or limb, muscular disorder, use of any medication, any
carcinogenic disease, or other significant medical disorder if that injury, medication
or disease in the judgment of the investigator will affect the completion of the
protocol.

- Participation in another pharmaceutical or device trial at the time of enrollment or
during the study.