Objectives -The management of Type 1 diabetes is always challenging, the knowledge of carbohydrate counting is helpful in achieving and maintaining the glycemic control in these patients. The objective of this study was to examine the literature evaluating the effect of education programme regarding carbohydrate counting on glycemic control in patients with type 1 diabetes. Methods -Medline, Cochrane and pubmed databases were systematically searched to identify studies published from 2009 to 2020. Result- The literature search yielded 82 articles (Cochrane 48 and Pubmed 34) were reviewed. After removing duplicates and screening the titles and abstracts 17 articles were selected for full text and 7 studies were selected which met the inclusion 7 randomized control studies are included which are done patients with type 1 diabetes. Conclusion-Carbohydrate counting is an important strategy in management of patients with type 1 diabetes .this study highlights on importance of training to the patients and caregivers regarding carbohydrate counting and its effect on glycemic control which helps in the management of patients with type 1 diabetes.