New study: Exceptional blood-sugar control for people with type 1 diabetes on low carb

May 7 2018 by in Dr. David Ludwig, New study, Type 1 diabetes

A new study shows that patients with type 1 diabetes who go on a low-carb high-protein diet on average achieve truly great results:

It found that children and adults with Type 1 diabetes who followed a very low-carb, high-protein diet for an average of just over two years — combined with the diabetes drug insulin at smaller doses than typically required on a normal diet — had “exceptional” blood sugar control. They had low rates of major complications, and children who followed it for years did not show any signs of impaired growth.

The New York Times: How a low-carb diet might aid people with type 1 diabetes

The patients were all members of the Facebook group Type1Grit…. highly recommended.

Here’s a longer commentary on the study by one of the participating researchers, Dr. David Ludwig:

Is Exceptional Control of Type 1 Diabetes Possible with a Low-Carbohydrate Diet?

Type 1 diabetes

How to avoid complications of type 1 diabetes
37:28
Why are the recommendations to people with diabetes to eat a high-carb diet a bad idea? And what is the alternative?
Carbs or not for type 1 diabetics?
14:46
How much simpler is it to control type 1 diabetes on low carb compared to on a high-carb diet? Andrew Koutnik has had great success managing his condition with a low-carb, high-fat diet.
Get off the type 1 diabetes roller coaster
11:31
Dr. Ali Irshad Al Lawati, type 1 diabetic and a doctor, talks about how to manage the disease on a low-carb diet.
A revolutionary treatment of type 1 diabetes
13:02
How does LCHF work with type 1 diabetes? Hanna Boëthius' story about what happened when she started to eat a low-carb diet as a type 1 diabetic.
Treating type 1 diabetes: fact vs fiction
32:42
Dr. Jake Kushner explains why we would be better off treating type 1 diabetic patients with a low-carb diet.
Improve type 1 diabetes with low carb
38:39
Dr. Keith Runyan has type 1 diabetes and eats low carb. Here's his experience, the good news and his concerns.
Treating type 1 diabetes with a keto diet
20:03
Dr. Ian Lake talks about treating type 1 diabetic patients with a ketogenic diet.
Low carb or low fat for type 1 diabetes?
31:17
Dr. Jake Kushner on managing type 1 diabetes on a low-carb diet, and shares insights and strategies to make it simpler.
How Zein manages type 1 diabetes with low carb and exercise
03:07
When Zein started to treat her type 1 diabetes with a low-carb diet she was seeing real results for the first time. She had found research at Diet Doctor saying that a low carb diet could help.
Diet Doctor Podcast #37 – Dr. Jake Kushner
56:35
Dr. Kushner has tremendous insight into the challenges patients have coping with a lifetime of type 1 diabetes, and over the years he has discovered that a LCHF diet is a powerful tool to help his young patients regain control of their disease, and dramatically improve their physical and mental health.
Managing type 1 diabetes with low carb with Dr. Katharine Morrison
02:39
In this interview from the PHC in London, we sit down with Dr. Katharine Morrison to take a deep dive into type 1 diabetes.

Earlier

Halle Berry explains why she’s on a ketogenic diet

Successfully putting first patient with type 1 diabetes on low carb

21 comments

1
Dorothy
May 7 2018
Being a type 1 diabetic, it has taken my own researse and experimenting to determine that low-carb high protein is the only way to go
2
Nicole Cassady
May 7 2018
I found this diet to be the best for blood sugar control when I was pregnant. My son is now 1yr and half old and I still continue to eat this way, and have noticed a huge difference in the amount of insulin I take now as opposed to previously! Carbs can be the devil!!
3
Kenneth oldham. Raton, nm. 87740
May 7 2018
Best way i found: high protein shakes. Just add a little to a cup, or more, of milk. Mix it in and drink it. No need for a meal. Especially in the middle of the night. Glucose is low, just drink a couple of swallows, full strength, and go back to sleep. Who wants to cook something in the middle of the night. Dont feel like eating in the middle of the day, just a swallow, or 2, of high protein shake, or want to drink more: just add a small amount to milk, mix and drink. These high protein shakes will set you up for hours. Then another swallow, and your good to go again. I am type 3: 1, and 2. Dr error caused me to lose my pancreas; it was gangrene.....cause 5 hospitals couldnt, or didnt, look for gallstones. That locked everything up. Sue no man at the law, so i gratefully accept the life i have been granted. Rather to be afflicted, than condemed. Poor, than lost. Been an experience.

Reply: #23
4
Melissa
May 7 2018
I didn't think you could live without pancreas?
5
B Lawlis
May 8 2018
I didn't either
6
Lisa
May 8 2018
Of course you can live without a pancreas. For type I diabetics our pancreas doesn't work at all. So, removing it would not adversely affect my health.
7
Martie
May 8 2018
I feel like this is a huge "Duh" moment.
8
Heather
May 8 2018
A type one diabetic still has a semi-functional pancreas there is one cell type missing—the beta cell—which produces insulin. There are other cell types in the pancreas important for digestion including alpha cells. If you don’t have a pancreas you must take more meds than insulin to survive.
9
Penny
May 8 2018
@Kenneth... what are you talking about? I kind of understood the first part about protein shakes, but then you go on about having T3 because you have both T1 and 2, you don't have a pancreas because of gangrene? You're not trolling I hope. You can't live without a pancreas, even if it was gangrenes. Insulin production is just one of it's many functions. T1's still have a working pancreas, it just doesn't make insulin. And there's no such thing as T3, prediabtes, or any of the other stupid terms thrown around. You either have T1 or 2, there's no in between gray area. As for protein shakes, not everyone can tolerate even just "sips*. Glucerna is loaded w sugars and makes some people spike. Everyone is pro high protein, but what if you have renal (kidney) disease? High protein is a big no no.
10
sarah Basson
January 7 2019
my daughter is 27 years. she is under weight 42kg . she is sick the hole time stress so much because she can not keep a work and make a living for her self. alway sick with ketosis. she can not , and we cannot afford the all this food like almond flour and the rest of the extras. I give her chicken or mince or bacon or pork ,and salads and green veg with olive oil and sweet patios. I cook my food in butter all she eats in the morning is 2 eggs and some times bacon. she eat broccoli. spinace . but what do I have to give her that she can gain weight. and let her ketosis go down.

Reply: #11
11
Reply to comment #10 by sarah Basson
Kristin Parker Team Diet Doctor
January 8 2019
Is she a type 1 diabetic? Is she under the care of a doctor?

You can check out our recipes and meal plans on this website. In general though, sweet potatoes are going to be pretty high carb.

Reply: #12
12
Reply to comment #11 by Kristin Parker
sarah Basson
January 8 2019
Thank You for coming back to me. Yes she it type 1, and care of state clinic doctors. So she can only see them 1 s a month. I put her on Keto dieet. her sugar is stable in day time. but go up and down in the night. she got all of symptoms with ketoacidosis. she was before in hospital with it. because of the low carb food yesterday and today , she did not inject herself .Her long working insulin,she is using biosulin N. 10 units in the morning and 25 units evening .

Reply: #14
1 comment removed
14
Reply to comment #12 by sarah Basson
Kristin Parker Team Diet Doctor
January 9 2019
Please make sure to work with a medical professional on this. All the best to you and your daughter.
15
Katie D
February 5 2019
Hi Kristin. Need any help if you have it. I’m also going to go to the endocrinologist but I don’t have an appointment for a month… I’ve been a diabetic for a long time 24 years. I had a baby over a year ago and as of the beginning of the year I said I need to lose this weight… I’m about 30 pounds overweight right now and so I committed to doing a low-carb diet… I’ve even added in some yoga and slight running and walking so I have been a little active as well. I haven’t been active for a while during the holidays I got sort of lazy and wasn’t working out all throughout November and December so basically as of January I cut out all carbs and have added in some exercise. I had a baby over a year ago and as of the beginning of the year I said I need to lose this weight… I’m about 30 pounds overweight right now and so I committed to doing a low-carb diet… I’ve even added in some yoga and slight running and walking so I have been a little active as well. I haven’t been active for a while during the holidays I got sort of lazy and wasn’t working out all throughout November and December so basically as of January I cut out all carbs and have added in some exercise.I’m shocked and also extremely frustrated… I think I’ve lost 1 to 2 pounds over the last month. I have no idea how this is possible I would’ve expected to lose more by now. I was eating pasta and bread and everything and I literally cut all of it out and I’m very knowledgeable about nutrition and I am doing a strict low-carb diet veggies and proteins and fat but not a ton of fat. i’m shocked and also extremely frustrated… I think I’ve lost 1 to 2 pounds over the last month. I have no idea how this is possible I would’ve expected to lose more by now. I was eating pasta and bread and everything and I literally cut all of it out and I’m very knowledgeable about nutrition and I am doing a strict low-carb diet veggies proteins fat but not a ton of fat. The other thing that has been boggling my mind is that I have had some unexplained high blood sugars… I understand that your body can go through ketogenesis a.k.a. Don phenomenon and that definitely happened the first two weeks of January. I would go to bed with a normal blood sugar and I would wake up with a blood sugar of 250 for example. That has sort of gone away for example this morning I went to bed at 120 and I woke up with 95. Since I’ve woken up this morning I’m drinking 2 cups of water and had a cup of black coffee with a sugar-free no carb creamer. I also went for a 2 mile run… To my surprise after my run I looked at my decks, and I am 220 and rising . I have multiple examples of where my basal rate is working… I’m taking 30 units of trust CIBA which is honestly the most I’ve ever taken… After breast-feeding I had to increase it because of my weight my body was a little more resistant to insulin ... Point is my sugars are not even that much lower and I haven’t even had to adjust my basil which in the past when I was on low-carb years ago I definitely had to decrease it because I was running low often… That is not happening and on top of it my sugars are rising without eating anything even with working out! This morning is a perfect example ! It makes no sense the only thing that it could mean is that my basil is not correct but I’m telling you I’ve had many examples of where my basil has proven to be the right amount for example last night went to bed at a very low carb meal I had soup went to bed at 1:30 woke up 95 all night long it was steady so this morning is just a shock for me. Any advice? Its driving myself crazy. Not to mention it’s been really hard this last month doing low-carb with all the cooking I’ve been having to do and I haven’t lost a pound it makes no sense

Reply: #17
16
Katie D
February 5 2019
Trust CIBA = Tresiba (typo)
17
Reply to comment #15 by Katie D
Kristin Parker Team Diet Doctor
February 6 2019
Please see if you can make an earlier appointment with your doctor. We can not give specific advice about blood sugar and medication.
18
Tony Sangster
February 10 2019
Moving from 90 g carbs per day --> 30 to 40 g carbs per day (LCHF) has given me the best diabetes control in my 52 years on insulin. Weight reduced a bit also which helped. I have been on an insulin pump for past 7 years as an 8 plus insulin injections per day was not stopping night hypos. I know that low carb diet are suppressed here in Australia as dietitians (other than in private practice) can be de-registered for prescribing them. It turns out that the Dietitians Association of Australia who registers dietitians for hospital and clinic work has objected to the diet in the past. But DAA has not declared any conflict of interest in doing so, despite DAA being sponsored in part by food companies.
So thank heaven for Dr Bernsteins' book and dietdoctor !!
19
DIANE MOHR
April 30 2019
My Grandson (19) was just diagnosed type 1 diabetes. We need help. Meal plans, amounts per meal, anything. Easy foods.

Reply: #20
20
Reply to comment #19 by DIANE MOHR
Kristin Parker Team Diet Doctor
May 1 2019

My Grandson (19) was just diagnosed type 1 diabetes. We need help. Meal plans, amounts per meal, anything. Easy foods.

You can get started with our two week meal plan! Recipes and a meal plan, with customizable shopping list.
https://www.dietdoctor.com/low-carb/get-started
2 comments removed
23
Reply to comment #3 by Kenneth oldham. Raton, nm. 87740
Grace
February 23
I have a patient with type 3 Diabetes from severe necrosis/gangrene of pancreas caused by gallstones. She had diabetic ketoacidosis when I put her on low carb diet and stopped her insulin. I did not realise that her pancreas could no longer make insulin. What is your typical diet Kenneth?

Reply: #24
24
Reply to comment #23 by Grace
Dr. Bret Scher, MD Team Diet Doctor
February 23
Hi Grace. That is a tricky situation. I can't give specific advice, but in general, I would treat most people with "type 3" as if they have type 1 DM and keep them on some degree of insulin at all times, and consider trying a low-carb rather than a keto diet to start. Of course, regular measurement of home ketones is also important for safety and compliance, and I would only consider a strict keto diet in someone who is VERY compliant with blood sugar and ketone testing and insulin dosing. I hope that helps give you general guidance of how to approach patients such as these./Bret Scher, Medical Director at DietDoctor.com

Type 1 diabetes

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