The Division of Responsibility and Child Diabetes

By feeding authority Patty Nell Morse, CDE, RDN
With discussant Ellyn Satter, MS RD MSSW

Following the Division of Responsibility in Feeding when a child has type 1 diabetes

  • Is it possible?
  • Can families have both joy and good diabetes management?

 “I liked the division of responsibility from the first, and applied it in my well-child appointments. But when I worked with critically-ill pediatric patients, such as those who had diabetes . . . I got scared, and I went back to control. I gave meal plans. I dictated calories.” Patty Nell Morse, ESI Family Meals Focus #86

 Patty Nell Morse, CDE, RDN, and decades-long specialist in child diabetes, has made the journey from diabetes management by the numbers to addressing parenting with feeding.


  • Discover how to follow the Division of Responsibility in feeding the child with diabetes.
  • Learn developmentally appropriate sDOR based strategies that are consistent with good diabetes management.
  • Implement sDOR to achieve joy of eating and diabetes management.

View the recording of this fine webinar! 

Handouts and Reading:

Morse, diabetes power point pdf 

Satter, parenting and diabetes

ESI Position Statement on nutrition management for child diabetes

About the Presenters:

Patty Nell Morse, CDE, RDN In her 30 years as a clinical dietitian, Patty has found that even strict medical nutrition therapy can, and must, emphasize joyful and confident eating and feeding based on ecSatter and fdSatter. Patty finds that using the Satter models transforms her counseling from information-giving into conversations that truly help people get to the root of their eating and feeding problems. Patty has worked in specialty pediatric clinics, in Early Intervention for children with developmental disabilities, and currently does ongoing nutrition counseling in a trade union HMO clinic.

Ellyn Satter, MS RD MSSW Registered Dietitian Nutritionist and Family Therapist and internationally recognized authority on eating and feeding, who pioneered the Satter Feeding Dynamics Model and the Satter Eating Competence Model. She is the author of the Division of Responsibility in Feeding, which is the gold standard for feeding children. In her transformative, practical, theoretically sound, and evidence-based conceptualizations of eating and feeding, Satter emphasizes competency rather than deficiency, providing rather than depriving, and trust rather than control.


For professional discussion about this webinar, go to the ESI Clinical issues Facebook page. This is a "closed" group.

For brief background on the division of responsibility, click here.