Article ; Online: Low-carbohydrate diets in type 1 diabetes: balancing benefits and risks.
Current opinion in endocrinology, diabetes, and obesity
2023 Volume 30, Issue 2, Page(s) 113–122
Abstract: Purpose of review: Interest in the use of calorie restriction with low-carbohydrate diets for patients with type 1 diabetes appears to be increasing despite physicians' discomfort about its longer term outcomes. A divergence in opinion regarding the ... ...
Abstract | Purpose of review: Interest in the use of calorie restriction with low-carbohydrate diets for patients with type 1 diabetes appears to be increasing despite physicians' discomfort about its longer term outcomes. A divergence in opinion regarding the balance of benefits and safety may lead to patient disengagement from conventional medical supervision. This review describes the current evidence regarding the benefits and risks of these diets and suggests a way forward to addressing this potential misalignment between the aims of patients and their physicians. Recent findings: Benefits on glycaemia are observed in many studies, with improved HbA1c, time within target range and reduced glycaemic variability. A characteristic lipid profile with high LDL cholesterol is observed in many patients, but association with future cardiovascular events is undefined. A negative impact on growth has been identified in the paediatric population, and impact on mental health and disordered eating is of theoretical concern, without measurement in clinical studies. Summary: Patients will continue to trial and, with immediate glycaemic benefits, potentially remain on lower carbohydrate diets irrespective of concern by treating physicians about potential longer term risks. A supportive multidisciplinary approach with greater nutritional supervision and more research is required, to allow these patients to achieve their desired glycaemic outcomes without compromising longer term safety. |
---|---|
MeSH term(s) | Child ; Humans ; Diabetes Mellitus, Type 1 ; Blood Glucose ; Diet, Carbohydrate-Restricted ; Risk Assessment |
Chemical Substances | Blood Glucose |
Language | English |
Publishing date | 2023-01-20 |
Publishing country | England |
Document type | Review ; Journal Article |
ZDB-ID | 2272017-0 |
ISSN | 1752-2978 ; 1752-296X |
ISSN (online) | 1752-2978 |
ISSN | 1752-296X |
DOI | 10.1097/MED.0000000000000797 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Se 1363: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.