The average blood glucose levels among the subset of patients who reported these values were 104 ± 16 mg/dL, the researchers reported in Pediatrics.
Followers of this diet also noted very few adverse events, with only 2% of the total respondents reporting a diabetes-related hospitalization within the past year -- 1% for ketoacidosis and 1% for hypoglycemia.
Following a switch from a regular diet to the VLCD, participants reported an average change in A1c of -1.45% ± 1.04% (P<0.001). There was also a roughly 0.1% increase in HbA1c for every 10 grams of additional carbohydrates consumed.
"The source and amount of carbohydrates consumed affect postprandial hyperglycemia and glycemic variability more than any other dietary factor, providing a conceptual basis for interest in carbohydrate-modified diets for T1DM," Lennerz et al wrote.
The survey included 316 responses from both adults with type 1 diabetes and the parents of children with type 1 diabetes. These individuals belonged to a Facebook group of people living with type 1 diabetes who adhere to a VLCD. While a VLCD is usually defined as ≤20 to 50 g per day of carbohydrates or ≤5% to 10% of daily caloric intake, the mean carbohydrate intake of these respondents was 36 ± 15 grams per day.
This is just part of this ideological march toward a policy that is not going to be effective and it’s only going to create more hardship for people who are impacted by it. That’s what we’ve seen here in Maine and that’s what we would expect to see from a similar policy in Medicaid.