Abstract
Type 1 diabetes mellitus is a serious autoimmune disease for which no cure is available. The treatment includes insulin therapy, carbohydrate counting, eating healthy foods, exercising regularly, and maintaining a healthy weight. The goal is to keep blood glucose levels close to normal most of the time to delay or prevent complications. Despite the increase in the use of insulin pumps and continuous glucose monitors in recent years, the management of type 1 diabetes remains suboptimal in terms of glycaemic control and normal glycated haemoglobin (HbA1c) level. This article discusses the case of a child with type 1 diabetes who was successfully treated with a very low-carbohydrate diet, resulting in normal levels of HbA1c and normal blood glucose 95% of the time in a range of 70-180 mg/dL (4.0 mmol/L-10 mmol/L). Therefore, further studies are needed to verify how a very low carbohydrate diet impacts child development.
References
Oct 5, 2002·BMJ : British Medical Journal·UNKNOWN DAFNE Study Group
May 4, 2005·Journal of Diabetes and Its Complications·Irl B Hirsch, Michael Brownlee
Dec 2, 2005·Nutrition & Metabolism·William S YancyEric C Westman
Jun 10, 2008·The New England Journal of Medicine·UNKNOWN Action to Control Cardiovascular Risk in Diabetes Study GroupWilliam T Friedewald
Nov 26, 2008·Journal of Cardiothoracic Surgery·Milo EngorenAamir Shah
Nov 8, 2013·Cardiovascular Diabetology·Fumie IkedaYutaka Kiyohara
Mar 14, 2014·The Lancet. Diabetes & Endocrinology·Kirstine J BellJennie C Brand-Miller
Oct 8, 2014·Nutrition·Richard D FeinmanNicolai Worm
Dec 17, 2014·Pediatric Diabetes·M TanseyUNKNOWN Diabetes Research in Children Network (DirecNet)
Nov 17, 2015·Clinical Pediatric Endocrinology : Case Reports and Clinical Investigations : Official Journal of the Japanese Society for Pediatric Endocrinology·Tomoyuki KawamuraHaruo Shintaku
Dec 3, 2016·Diabetes Spectrum : a Publication of the American Diabetes Association·Allison Cato, Tamara Hershey
Mar 3, 2018·Diabetes Research and Clinical Practice·N H ChoB Malanda
May 8, 2018·Pediatrics·Belinda S LennerzDavid S Ludwig
May 9, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·Z Z X LeowP A Fournier
Oct 7, 2018·Diabetes Care·Melanie J DaviesJohn B Buse
Oct 16, 2018·The American Journal of Clinical Nutrition·Kathy Musa-VelosoYiFang Chu
Dec 19, 2018·Diabetes Care·UNKNOWN American Diabetes Association
Dec 19, 2018·Diabetes Care·UNKNOWN American Diabetes Association
Jan 15, 2019·Journal of Diabetes Science and Technology·Roy W BeckDavid Rodbard
Jan 19, 2019·Diabetes Technology & Therapeutics·Nicole C FosterSatish K Garg