Macro partitioning
Adherence to a very low-carbohydrate diet (VLCD) of approximately 36g carbohydrates per day in individuals with Type 1 Diabetes Mellitus (T1DM) results in exceptional glycemic control (mean HbA1c 5.67%) with low rates of adverse events, including hypoglycemia and diabetic ketoacidosis (DKA).
If you have Type 1 Diabetes, adopting a very low-carbohydrate diet (around 30-40g carbs daily from fibrous vegetables and nuts) can significantly improve your average blood sugar (HbA1c) to near-normal levels. This approach requires careful insulin adjustment, particularly reducing total daily insulin doses, but may result in fewer severe hypoglycemic events and hospitalizations compared to standard high-carbohydrate diets. Consult your healthcare provider to adjust your insulin regimen safely.
Exceptional glycemic control of T1DM with low rates of adverse events was reported by a community of children and adults who consume a VLCD.
Why this rating
The study is an observational online survey with significant selection bias (volunteers from a specific online community), though it includes confirmatory medical records for a subset.
Source
Management of Type 1 Diabetes With a Very Low–Carbohydrate Diet
Belinda Lennerz et al. · PEDIATRICS · 2018
DOI 10.1542/peds.2017-3349
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