AAP Releases Low-Carb Diet Recommendations for Pediatric Diabetes

Elana Gotkina

MONDAY, Sept. 18, 2023 (HealthDay News) — In a clinical report published by the American Academy of Pediatrics and published online Sept. 18 in Pediatricsrecommendations are presented for the use of low-carbohydrate diets in children with type 1 diabetes, prediabetes, and type 2 diabetes.

Anna Neyman, MD, and Tamara S. Hannon, MD, of the Indiana University School of Medicine in Indianapolis, developed practical recommendations for pediatricians regarding the use of low-carbohydrate diets in patients, including those with type 1 diabetes and those with obesity, prediabetes. and type 2 diabetes.

The authors note that there are safety concerns to consider for young diabetics who limit their carbohydrates, including slowed growth, poor bone health, nutritional ketosis that is indistinguishable from ketosis resulting from insulin deficiency and disordered eating behaviors. Low-carbohydrate diets (<26 percent energy) and very low-carbohydrate diets (20 to 50 g) are only recommended for children with type 1 diabetes under the close supervision of a health care team. diabetes. For the prevention and treatment of prediabetes and type 2 diabetes, it is recommended to reduce the intake of nutrient-poor carbohydrates by minimizing the consumption of processed foods containing high amounts of refined grains and added sugars. In children and adolescents, eliminating sugary drinks and juices significantly improves blood sugar levels and weight management. Any dietary restriction has physical, metabolic and psychological consequences, including the risk of eating disorders, and poses an additional risk for people with diabetes. An energy-reduced diet is particularly important for achieving weight loss in individuals for whom weight loss is medically indicated, regardless of carbohydrate content.

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“This statement is not about restrictive diets, but rather about providing evidence to clinicians so they can help parents and families make informed decisions,” Hannon said in a statement.

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