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Endocrine and metabolic consequences due to restrictive carbohydrate diets in children with type 1 diabetes: An illustrative case series
Author(s) -
de Bock Martin,
Lobley Kristine,
Anderson Donald,
Davis Elizabeth,
Donaghue Kim,
Pappas Marcelle,
Siafarikas Aris,
Cho Yoon Hi,
Jones Timothy,
Smart Carmel
Publication year - 2018
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/pedi.12527
Subject(s) - medicine , type 2 diabetes , diabetes mellitus , type 1 diabetes , low carbohydrate , endocrine system , promotion (chess) , carbohydrate , pediatrics , endocrinology , obesity , weight loss , politics , hormone , political science , law
Low carbohydrate diets for the management of type 1 diabetes have been popularised by social media. The promotion of a low carbohydrate diet in lay media is in contrast to published pediatric diabetes guidelines that endorse a balanced diet from a variety of foods for optimal growth and development in children with type 1 diabetes. This can be a source of conflict in clinical practice. We describe a series of 6 cases where adoption of a low carbohydrate diet in children impacted growth and cardiovascular risk factors with potential long‐term sequelae. These cases support current clinical guidelines for children with diabetes that promote a diet where total energy intake is derived from balanced macronutrient sources.