Is a Low Carb Diet Sustainable to Manage Type 1 Diabetes

azure said:

We're all different I follow moderate carbs and my last three HbA1Cs were 4.6, 4.7 and 5.1

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Yep for sure, different things work for different people. We'd definitely be eating more carbs if we could get results like yours with it, fabulous. You really can have your cake and eat it...lol! But it doesn't work for us.x

Jaylee said:

They a
To be fair though. You are on a pump. As opposed to MDI.

What @CathP has pulled out of the bag for a no doubt tricky 5 year old is admiral too!

I wouldn't wanna be "calling the shots" on someone else's D...

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Cath P and all the other parents of Type 1s are doing a fantastic job It's hard enough being an adult with Type 1 let alone caring for a child with it.

Yes, I'm on a pump now, but my diet and HbA1C were very similar for the 10 years I wasn't

Thank you for the links @azure

Jaylee said:

You were offered a pump in spite of decent MDI A1c results? Did they feel you were getting too many lows with MDI. Hence the pump?

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No, I got a pump because no basal insulin could match my basal needs. Having a high HbA1C isn't necessarily necessary for a pump as you'll see if you look around the pump section.

If you're interested in a pump, you could also look at the INPUt site as that's exteremely helpful

Marika Sboros has written about Troy Stapleton and this video on the Foodmednet blog:
http://foodmed.net/2016/11/13/low-carb-best-type-1-diabetes-troy-stapleton/

My A1C has been 5.1 for over a year with bs between 75-105 most times. The year before it was 5.2 with bs between 50 and 220 when I ate 20 carbs per meal. This is why low carb is so valuable to me. Especially on MDI. Carbs are not worth it to me. My eyes, feet, liver, kidneys are not worth carbs.

Azure, it amazes me how well you do. Nothing works with carbs for me.

Yes, lchf is sustainable, but as was pointed out in the comments on the Sboros article, stories about a few individuals with diabetes of relatively recent onset do not prove this.
Doctors assert that high fat intake will lead to heart disease later in life. Troy's story doesn't prove them wrong. That can only be done by looking at a sufficient number of T1s with a high fat intake in an age group where heart disease is common.
There has been research on cohorts of successful older T1s, but it has either not collected, or not reported data on their diets.
Why not?
I want to know what sort of diet will give me the best health at age 70. Short term indicators like HbA1c are poor predictors of future cardiovascular disease, which is the thing most likely to kill us.
Unfortunately the research is not getting done, because both sides of the carb wars are convinced they already know the answer.

Carbs also contribute to heart disease. There is no perfect food of course.
Many of us have found replacing more plant/mono fats such as avocado olive oil olives and nuts instead of saturated fats makes a difference. All fats are not created equal just as all carbs or protein are not created equal.

Kristin251 said:

My A1C has been 5.1 for over a year with bs between 75-105 most times. The year before it was 5.2 with bs between 50 and 220 when I ate 20 carbs per meal. This is why low carb is so valuable to me. Especially on MDI. Carbs are not worth it to me. My eyes, feet, liver, kidneys are not worth carbs.

Azure, it amazes me how well you do. Nothing works with carbs for me.

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As you might have guessed, I'm going to say that pre-bolusing is the answer

Within a moderate carb range, tactically use of insulin can work wonders