Management of Type 1 Diabetes with a Very Low-Carbohydrate Diet

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Management of Type 1 Diabetes with a Very Low-Carbohydrate Diet


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Old 05-14-2018, 02:20   #1
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Default Management of Type 1 Diabetes with a Very Low-Carbohydrate Diet

Saw this observational study posted in the latest Peter Attia weekly emails. Thought it might be of some interest.

Dr. Attia's comment:
Quote:
Remarkably, the average reported HbA1c among respondents was 5.67% (below 5.7% is considered “normal”). All the caveats apply with an observational study such as this (the cohort consisted of a Facebook Group) but looking at the results—and the potential for type 1 diabetics preventing long-term complications with diet—I would really like to see some rigorous randomized controlled trials conducted to establish more reliable knowledge.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18

Last edited by mbuster; 05-14-2018 at 02:22.
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Old 05-14-2018, 15:58   #2
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Just read the summary from the link you posted mbuster - one thing I was wondering - the VLCD (Very Low Carb Diet) - I was looking for what constitutes a VLCD in regard to daily grams but didn't see it mentioned any where in the summary.

I've eaten low carbs for years (Lower than the average person but not as low as some of the Type 2s on these forums) no complications that I'm aware of over the past 52 years but having said that I have never hit the 5s in an A1C either.

Every study I see in regard to A1C levels and complications suggests the higher the A1Cs the greater the probability of complications - I think there's more to it than that as some people with great A1Cs end up getting complications while some people with poor A1Cs don't. This seems more relevant to those who have been diagnosed with type 1 at an early age - while with Type 2s A1C levels seem to have a greater impact.

Anyway - I think the waters become somewhat muddy with A1c and complications as I'm convinced there are several kinds of diabetes based on genetic mutations and to this day the Health Community still seems to lump all Type 1s and Type 2 in to one category. (this is where the waters get muddy).

Anyway - don't mean to shake anyone's belief system but we tend to simplify things too much and then make broad scientific claims on what could possibly be a false premise.

Interesting summary but at the same time it's important to question such studies as well ....

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Old 05-14-2018, 16:26   #3
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Dr Attia alludes to that as well, don't bet the bank on it until more research is done. My take is don't hold your breath until that is done. There is no money to be made by those who heavily invest in research proving the benefits. Maybe if theme parks, cruise lines, big tourist attractions and all that support these types of busisness could be convinced to invest, they would profit from the improved health and longevity of healthier, happier, people wanting to go some where and do something.

I haven't read it all yet, but if you go down a little below the Abstract section, the Methods section gives the criteria used. This quip is under Participants and Enrollment

Quote:
A volunteer sample was recruited from TypeOneGrit, an online Facebook community for people with T1DM who follow a VLCD and diabetes management method as recommended in the book Dr Bernstein’s Diabetes Solution.20,27 This method comprises a VLCD with weight-based carbohydrate prescription of up to 30 g per day derived from fibrous vegetables and nuts with a low glycemic index. High-protein foods with associated fat are substituted for carbohydrates and adjusted on the basis of outcomes, including glycemic control and weight. Participants adhere to a structured meal plan and adjust bolus insulin empirically according to postprandial glycemia. Basal insulin is adjusted according to fasting glycemia. The group was established in April 2014, with ∼1900 members at the time of the survey.
I agree with you on the value of A1c. A person with a 6.5 A1c with a tighter control on of daily BG numbers is probably better off than someone with a 5.9 A1c whose daily BG is all over the map.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18

Last edited by mbuster; 05-14-2018 at 16:29.
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