Endocrinology, Diabetes & Metabolism Case Reports (Aug 2023)

Managing type 1 diabetes mellitus with a ketogenic diet

  • Clemens Gardemann,
  • Sonja Knowles,
  • Thorsten Marquardt

DOI
https://doi.org/10.1530/EDM-23-0008
Journal volume & issue
Vol. 1, no. 1
pp. 1 – 7

Abstract

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Traditional guidelines for type 1 diabetics do not restrict carbohydrates to improve clinical outcomes for patients. This paper highlights the favorable blood glucose control outcomes when a type 1 diabetic focuses on caloric intake from protein and healthy fats instead of the traditional carbohydrate-focused meals. We followed a male type 1 diabetic in his 20s adopting a ketogenic diet through a process of slowly lowering total daily carbohydrate intake. Diabetes-related biomarkers were measured throughout the process. Diabetes-related biomarkers saw massive improvements and ended up in the official non-diabetic range. Total daily insulin requirements dropped by 70%. The patient also experienced great improvements in his quality of life. This study demonstrates the possibility of improving diabetes-related biomarkers through dietary changes, which have positive effects on health outcomes in patients living with this disease.