London & Online

Learn how I can help you with Type 1 Diabetes


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Type 1 Diabetes is a chronic autoimmune condition in which the immune system mistakenly attacks and destroys insulin-producing beta cells in the pancreas. Insulin is a hormone that helps regulate blood sugar (glucose) levels by facilitating the uptake of glucose into cells for energy. Without enough insulin, glucose builds up in the bloodstream, leading to high blood sugar levels.

Type 1 Diabetes usually develops early in life, often during childhood or adolescence, although it can occur at any age. The exact cause of the disease is not fully understood, but it is believed to involve a combination of genetic and environmental factors. Patients with Type 1 Diabetes require lifelong insulin therapy to manage their blood sugar levels.

Managing Type 1 Diabetes involves monitoring blood sugar levels, administering insulin through injections or an insulin pump, maintaining a healthy diet, and engaging in regular physical activity. Advances in diabetes care, including continuous glucose monitoring and insulin pump technology, have improved the management of Type 1 Diabetes, but it remains a lifelong condition that requires careful attention and self-management.



The symptoms of Type 1 Diabetes may include:

  • Increased Thirst (Polydipsia)
    Patients with Type 1 Diabetes often experience excessive thirst, leading to an increased intake of fluids.
  • Frequent Urination (Polyuria)
    The excess glucose in the bloodstream pulls fluid from tissues, causing increased urination. This can lead to dehydration and further increased thirst.
  • Extreme Hunger (Polyphagia)
    Despite eating more than usual, people with Type 1 Diabetes may experience constant hunger because the body’s cells are not getting the energy they need from glucose.
  • Unexplained Weight Loss
    Due to the inability of cells to use glucose for energy, the body starts breaking down muscle and fat for fuel, leading to unintentional weight loss.
  • Fatigue
    Without sufficient glucose reaching the cells, individuals may feel tired and lack energy.
  • Blurred Vision
    High blood sugar levels can affect the lens of the eye, leading to blurry vision.
  • Irritability or Mood Changes
    Fluctuations in blood sugar levels can impact mood and lead to irritability or other mood changes.
  • Yeast Infections
    People with diabetes may be more susceptible to yeast infections, particularly in the genital area.

My Approach

As a Nutritionist and Nutritional Therapist, when working with patients in my clinic in Marylebone, London, and online, I take a holistic approach. Rather than suppressing the symptoms, I work on finding the root cause of Type 1 Diabetes and restoring the balance using diet, supplements and lifestyle.

The gastrointestinal system, especially the gut, houses a significant portion of the immune system. Approximately 70% of the body’s immune cells are found in the gut-associated lymphoid tissue (GALT). This high concentration of immune cells in the gut is essential for monitoring and responding to potential threats from ingested microorganisms and antigens.

The interaction between the gut and the immune system is complex, involving a balance between protecting the body from harmful pathogens and tolerating beneficial substances.

Changes in this balance, such as disruptions in the gut microbiota or increased permeability of the intestinal lining, have been suggested to play a role in the development or exacerbation of autoimmune diseases.

My 5R Approach 


Remove allergic/intolerant foods, parasites, bad bacteria, yeast. This may include an ‘elimination diet’ to find out what foods are causing the symptoms.


Replace digestive secretions, such as hydrochloric acid, digestive enzymes or bile salts, that are required for proper digestion and that may be compromised by diet, drugs, diseases, ageing, and other factors.


Populate your gut with probiotics and prebiotics.


Help the lining of the gut repair itself by supplying the key nutrients.


Address the lifestyle factors that may affect your gut function.


Working with a Nutritionist can transformative if you suffer from type 1 Diabetes and facing challenges with managing your health. If you’re experiencing difficulties despite your best efforts, it may be time to seek professional help. You can get assistance from your Nutritionist in developing a personalised nutrition plan, identifying nutrient deficiencies, and addressing any other underlying medical issues that might be negatively impacting your health.

Your Nutritionist can work with you to create a personalised nutrition plan tailored to your unique needs and goals. The Nutritionist can also provide recommendations on suitable supplements and offer guidance on lifestyle choices that can affect your well-being, such as ensuring adequate sleep and managing stress.

Book an appointment today if you feel like you need more assistance or direction to reach your goals.

Online consultation with a Nutritionist is available for clients who live outside the London area or who are unable to come to my London office. You can enjoy the online consultation from the comfort of your home or office and you will be given the same level of personal attention and care that you would experience coming to see the Nutritionist in person.


Milena Kaler is a is a qualified London Nutritionist, autoimmune disease, digestive health, as well as stubborn weight loss (including PCOS, Hashimoto’s thyroiditis and hypothyroidism) and sports nutrition specialist. She is trained in the principles of Functional Medicine and practices from her clinic in Central London, Marylebone, as well as providing online consultations.

Milena has helped thousands of people to lose weight and keep it off. Scientific and holistic in approach Milena looks at all aspects of a client’s health. She embraces a systems-oriented approach aiming to get to the root cause of health and weight issues instead of simply focusing on the symptoms.

Milena’s expertise has been sought by celebrities, and she has been featured as a nutrition expert in reputable magazines including Women’s Health, Elle, Harper’s Bazaar, GQ, Cosmopolitan, Glamour, Women’s Fitness, Peak Brain Training, and Metro.

As a full member of the British Association for Applied Nutrition and Nutritional Therapy (BANT), and the Complementary and Natural Healthcare Council (CNHC), the only register for Nutritional Therapy recognised by the government and NHS, Milena is committed to upholding their strict Code of Ethics. Additionally, Milena is a member of the Primary Care Society for Gastroenterology (PCSG).

Milena sees patients with chronic health conditions, as well as clients looking for support to optimise their health. Some of the areas Milena can help with include: weight loss, digestive, and hormonal health.

Milena sees every person as an individual with different problems and different goals. She takes time to listen to her clients’ specific concerns to develop customised nutrition and lifestyle plans, based on laboratory test results. Having overcome her own chronic health and weight loss issues, Milena really understands how it is to feel overwhelmed by poor health and can relate to her clients when they first come to see her.


Nutrition Consultations in Marylebone, Central London and Online

Type 1 Diabetes Nutritionist in Marylebone, Central London W1

Charterhouse Clinic
98 Crawford Street

Type 1 Diabetes Nutritionist in Teddington, South West London TW11

Orange Tree Clinic
23A Broad Street
TW11 8QZ

An online consultation is available for clients who live outside the London area or who are unable to come to my office in Marylebone, Central London.