Health
High-carb plant-based diet improves type 1 diabetes
Published in Journal of diabetes and metabolismBoth case studies tracked individuals with type 1 diabetes who had a plant-based diet rich in total carbohydrates, including fruits, vegetables, whole grains, and legumes. The patient’s healthcare team followed glycemic control, heart disease risk factors, and other health conditions before and after dietary changes.
One case study followed a female patient diagnosed with type 1 diabetes in 2018. At that time, her A1c (average blood glucose level over the past three months) was 8.7%. She initially opted for a high-fat diet low in carbohydrates (less than 30 grams of carbohydrates per day) and high in meat and dairy. Her blood sugar was stable, but she needed more insulin per gram of carbohydrates she consumed.
Her total cholesterol was also increased from 175 mg to 221 mg / dL. In January 2019 she switched to a plant-based diet, eliminating dairy products, eggs and meat. The patient was able to reduce his insulin dose, maintain his A1c level at 5.4% and his cholesterol level to 158 mg / dL.
“This study challenges the misconception that carbohydrates are the enemy of diabetes.” The research author of Hana Kaleova, MD, who is head of clinical research for the Physician’s Committee, said. “Patients in this case study had the opposite experience: the addition of healthy carbohydrates to their diets helped stabilize glycemic control, reduced insulin requirements and improved overall health.”
Another individual, a 42-year-old man diagnosed with type 1 diabetes at the age of 25, eliminated animal foods from his diet and switched to natural foods based on vegetable foods. He increased his carbohydrate consumption from 150 grams to 400-450 grams per day.
After adopting a carbohydrate-rich plant-based diet, he lost weight, reduced insulin needed, and reduced A1c from 6.2% to 5.5-5.8%.
As a next step, the authors examined the results of case studies, evaluated their generalizability, and quantified the effectiveness of plant-based diets in the management of type 1 diabetes by randomizing clinical trials. Suggests testing is needed.
Previous studies have shown that a low-fat plant-based diet Can improve glycemic controlBecomes Useful for people with type 2 diabetes.Studies also show that people who eat a plant-based diet are at about half the risk of developing type 2 diabetes compared to nonvegetarians.
The report describes the mechanism of behavior understood: “A high-fat diet may inhibit glucose utilization as a result of down-regulation of required genes Mitochondrial oxidative phosphorylation in skeletal muscleIt also causes insulin resistance by increasing serum endotoxin levels.
“By contrast, a high-carb, high-fiber diet Increases postprandial metabolismIt improves glucose handling through increased insulin signaling and causes the GLUT4 translocation. Therefore, a high-carbohydrate, high-fiber diet appears to increase insulin sensitivity and glucose oxidation in type 1 diabetes. “
Dr. Kaleova concludes: “Decades of research have shown that a plant-based diet can benefit people with type 2 diabetes. Today, these groundbreaking case studies do the same for people with type 1 diabetes. I hope that applies.”
Source: Journal of diabetes and metabolism
Kaleova. H., etc.
“Plant-based diet for type 1 diabetes”
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