Discussion in 'Research' started by karri, Oct 8, 2012.
And while on the subject Dietary gluten and type 1 diabetes
Although this is interesting, remember that it is a "case study". It reports on something very unusual that happened to exactly one person.
Is it plausible that a newly diagnosed T1D, when on a restricted, low or zero-carb diet, during the honeymoon could go without insulin and maintain a low A1c?
Possible if they were diagnosed very early through Trial net testing, or without any major symptoms or DKA, OR they would have needed insulin for those first 3 weeks.
I read another summary that stated he was on insulin for 5 weeks. I'll have to find the link later.
ETA: This is the link. Does anyone here have access to the whole paper?
BTW, I only focused on the summary of the study, so I don't know what else that blog is talking about.
It implied he was on insulin the first 3 weeks.
My guess is "yes" for zero-carb or very low carb diet. That's what was done prior to 1920 (discovery of insulin). People could live for a few months or years like that.
However, for this case, specifically, it said the person was on a no-gluten diet, which still includes many carbs.
I've heared of a couple of stories that kids didn't use insulin by going in a grain-free paleo style diet. I am sure that proccessed food and gluten doesn't help your cells. However all those cases after a couple of months go back to insulin. I was following a blog of a parent that managed to keep her daughter off insulin for 8 months with a diet including carbs but not procecced food, gluten or dairy. I don't know whats more dificult to do. I chose insulin and a less restrictive diet.
So from the paper;
Also what is interesting is that c-peptide was dropping(as usual)
The authors conclude;
Patient was treated with insulin for a total of 5 weeks.
So we know that;
- The average calorie consumption per day was 7085 KJ
- Distrubution was 24% energy from carbohydrates, 26% from protein and 49% from fat
Therefore (please correct me if Im wrong);
1. 17kJ/g=energy density for carbs (http://en.wikipedia.org/wiki/Food_energy)
2. 0.24*7085=1700 kJ / 17kJ/g=100grams of carbs per day.
The blog that I used to follow is called : Naturally type 1
It seems you are correct, in fact, this 6 year old's diet consisted of:
100 g Carbohydrate
108 g Protein
91 g Fats
However, in my defense, I wasn't asking about this case study specifically - only that gluten-free doesn't necessarily mean "many carbs".
In any event, this diet seems to be a very high protein, high fat and relatively low carb diet. Do we know what type of carbs? I have seen "low GI" mentioned.
All I can take away from this is that the child had a long honeymoon. You can search these forums and find kids who were completely off insulin for months and months. The only difference is that they don't have published case studies for us to read.
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