Low-carbohydrate diet to treat type i diabetes in children
Low-carbohydrate diet to treat type i diabetes in children
reference
Lennerz BS, Barton A, Bernstein RK, et al. Management of type 1 diabetes with a very low-carbohydrate diet. Pädiatrie . 2018; 141 (6): E20173349.
objective
to characterize glycemic control; Determine disadvantageous events; Assessment of objective health characteristics (weight, blood parameters, etc.); Compare the pre- and post-parameters of glycemic control with the introduction of a VLCD diet; and characterize the satisfaction of the participants with both diabetes management and the health system.
draft
cross-sectional observation cohort study using an online survey of members of a social media self-help group
participant
All participants were members of an international social media group for people with type 1 diabetes mellitus (T1DM) who adhere to a very carbohydrate diet (VLCD). A total of 316 people took part in the survey. Of the 316 respondents, there were 273 references to T1DM, 131 were parents with children with T1DM, 57 % were female, 42 % were children, 88 % were white and non-Hispanians and 84 % had a university degree. The middle age in diagnosis was 16 ± 14 years, the average duration of the diabetes was 11 ± 13 years and the medium duration that they followed a VLCD was 2.2 ± 3.9 years.
study parameters evaluated
The survey asked questions about the following points: daily carbohydrate recording with food; Diabetes -related complications and hospital admissions last year, especially because of ketoacidosis or hypoglycaemia; Average daily overall insulin dose; Blood glucose concentrations, measured with a continuous glucose monitor or glucose measurement device; Side effects; Weight/size/BMI; Mach changing laboratories (serum lipids); Patient-doctor relationship; and hemoglobin (HB) A
Primary result measurement
hba change
important knowledge
An extraordinary glycemic control of T1DM with low side effect rates was reported by a community of children and adults who received a VLCD. The average daily carbohydrate intake was 36 ± 15 grams per day and the average HBA
The results of this observation study with T1DM participants are exceptionally positive compared to the results of conventional care locations.
The participants saw their HBA
practice implications
The results of this observation study on T1DM participants are extremely positive compared to the results of conventional treatment cohorts. According to a report from a 2015 report from a large database, the conventional treatment of T1DM patients leads to an average HBA 1c values (ADA-glycemic goals).
A problematic statement of 27 % of VLCD supporters in the present study was that they did not tell the diabetics that they followed a VLCD. For those who shared, less than half believed that their practitioners supported their choice of diet. For naturopathic practitioners/integrative practitioners who are familiar with a low-carbohydrate diet of their diabetics and support them much more openly, a better doctor-patient relationship can undoubtedly be promoted and maintained. In view of the fact that diabetes could be defined as a "loss of metabolic capacity to process carbohydrates due to insulin resistance or lack of produced insulin", the restriction of carbohydrates in dietary treatment is both healthy and medically sensible. A survey is not the strictest example of medical validation. The implementation of the survey via a social media platform could rule out those who have not achieved good results because they may have got out of the group or simply did not complete the survey. Those who are successful with a certain treatment may be more motivated than others to share experience. However, there has been a more formal review of the topic to underpin the observations found in this study. A study by Richard Feinman and colleagues from 2015 entitled "Dietary Carbohydrate Restriction as The First Approach in Diabetes Management: Critical Review and Evidence Base" brought together numerous studies that clearly show that diabetes are best treated with a low carbohydrate content and should be treated first. This medical 12-point check analyzed the positive results of many studies that show that a carbohydrate restriction in nutrition lowers a high blood sugar, does not require weight loss (although it is ideal for weight loss) and leads to reducing or eliminating medication. The review analyzed VLCD studies that are relevant for both type 2 and type 1 patients. Every naturopathic doctor who works with diabetics should concentrate on making his patients known with a VLCD of less than 40 grams a day from all food sources (and supporting compliance). The start of treatment with this protocol is the basis for successful glucose control in our patients with diabetes.
- Miller KM, Foster NC, Beck RW, et al.; T1D exchange clinic network. Current state of treatment of type 1 diabetes in the USA: updated data from the T1D Exchange clinic register. diabetes treatment . 2015; 38 (6): 971-978.
- Feinman RD, Pogozelski WK, Astrup a, et al. Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base. nutrition . 2015; 31 (1): 1-13.