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The nutritional priority for a patient with newly diagnosed type 1 diabetes mellitus is:

  1. Weight loss

  2. Determination of a medication regimen then establishment of a meal plan

  3. Establishment of a meal plan then coordination of the medication regimen to match the meal plan and exercise habits

  4. Placement of an insulin pump

The correct answer is: Establishment of a meal plan then coordination of the medication regimen to match the meal plan and exercise habits

Establishing a meal plan is a crucial first step for a patient with newly diagnosed type 1 diabetes mellitus because this condition requires careful management of blood glucose levels through both dietary choices and insulin administration. A meal plan tailored to the individual's needs helps ensure balanced nutrient intake while taking into account the carbohydrate content that directly affects blood sugar. Coordinating the medication regimen, which typically involves insulin therapy, with the established meal plan is vital. This coordination helps minimize the risk of hypoglycemia or hyperglycemia. By aligning the timing and dosage of insulin with meals and exercise habits, patients can better maintain stable blood glucose levels, enhancing their overall health management. While the other choices may be relevant in some context, they do not prioritize the foundational aspect of meal planning and its coordination with medication for optimal diabetes management. Weight loss might be important for some patients, but it is not the initial focus for individuals with type 1 diabetes, who require insulin from the onset. Additionally, merely determining a medication regimen without integrating it with a meal plan would not provide the holistic approach necessary for effective management. Lastly, placement of an insulin pump is a potential treatment option, but it comes after establishing a clear plan for diet and medication compatibility.