ESPEYB15 10 Type 1 Diabetes Mellitus Therapy and interventions (3 abstracts)
10.24 Management of T1DM with a very low-carbohydrate diet
Lennerz BS , Barton A , Bernstein RK , Dikeman RD , Diulus C , Hallberg S , Rhodes ET , Ebbeling CB , Westman EC , Yancy WS Jr & Ludwig DS
Division of Endocrinology, and New Balance Foundation Obesity Prevention Center, Boston Children’s Hospital and Harvard Medical School, Harvard University, Boston, MA, USA
To read the full abstract: Pediatrics. 2018;14. pii: e20173349
On social media, parents of children with T1DM can find several sources that recommend ‘low carb diets’. Especially on lay community websites, such diets are recommended to eliminate blood glucose spikes and improve metabolic control. On the other hand, parents should be aware that the risk for hypoglycemia and especially diabetic ketoacidosis are increased. Higher risk of dyslipidaemia was also found in an adult observational study. A very low carb diet (VLCD) is typically defined as 20-50g carbohydrate consumption per day (i.e. 5-10% of carbohydrates as proportion of calories). Here, the authors describe an online survey of adults and parents of children who followed a VLCD. The mean reported HbA1c was 5.7%, and almost all participants achieved ADA glycemic targets. Many of the participants reported dissatisfaction with their professional diabetes care team due to discussions about their diet. This survey supports the need for a randomized controlled trial in both adults and children with T1DM under control of nutritional components like lipids, vitamins and micronutrients.
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ESPE Yearbook of Paediatric Endocrinology
ISSN 1662-4009 (Online)
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