NANSEL AND COLLEAGUES1 HAVE CHALLENGED US to broaden how we evaluate food intake in medical nutrition therapy (MNT) for youth with type 1 diabetes mellitus. Their cross-sectional study examined how 3-day diet-record data were related to clinical and demographic data extracted from medical records. Poorer Healthy Eating Index2 scores were associated with higher body mass index (BMI). Research findings from the Centers for Disease Control and Prevention indicate that the adult population in the United States failed to achieve the American Heart Association metric for a healthy dietary pattern,3,4 which suggests MNT provides health benefits for the whole family.