Abstract
Introduction: Currently, type 1 diabetes mellitus (T1DM) is treated with insulin and a high carbohydrate diet. In literature, there are studies indicating that low carbohydrate diets may be beneficial in reducing hypoglycemic episodes as well as the need for insulin. Previously, we reported a case of a 19-year-old T1DM patient who was successfully treated with a modified version of the ketogenic diet we refer to as the Paleolithic ketogenic diet. Case Report: A nineyear-old child with T1DM who initially was on an insulin regime with high carbohydrate diet then was put on the Paleolithic ketogenic diet. Following dietary shift glucose levels normalized and he was able to discontinue insulin. No hypoglycemic episodes occurred on the diet and several other benefits were achieved including improved physical fitness, reduction of upper respiratory tract infections and eczema. Currently, he is on the diet for 19 months. Conclusion: Adopting the Paleolithic ketogenic diet ensured normoglycemia without the use of
Highlights
SUMMARYType 1 diabetes mellitus (T1DM) is a chronic disease resulting from autoimmune destruction of insulin secreting beta cells of the pancreas
Type 1 diabetes mellitus (T1DM) is treated with insulin and a high carbohydrate diet
We are aware of four case studies in literature where epilepsy co-occurring with type 1 diabetes mellitus (T1DM) was treated with the classical ketogenic diet [5,6,7,8]
Summary
Type 1 diabetes mellitus (T1DM) is a chronic disease resulting from autoimmune destruction of insulin secreting beta cells of the pancreas. After six weeks the child switched to the paleolithic ketogenic diet under our close control. He was able to discontinuate insulin while maintaining normoglycemia. Stimulated C peptide level was in the normal range at 14 months after diet onset He is on the diet and is without insulin for 19 months which is well beyond the “honeymoon” period. We assume that in new-onset cases of T1DM adopting the paleolithic ketogenic diet may be feasible and effective in managing this condition. It seems that the autoimmune process may halt when strictly adhering to the diet. Website: www.ijcasereportsandimages.com (This page in not part of the published article.)
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