Management of Type 1 Diabetes With a Very Low–Carbohydrate Diet: A Word of Caution

The public often looks to nutrition to improve health, and reporting on nutrition findings from the scientific literature in the popular media often reveals unproven benefits.1 Lennerz et al2 present data collected via an online community and conclude that exceptional glycemic control in type 1 diabetes with a low risk for adverse events is possible with a VLCD, and research is needed to confirm the generalizability of these findings. Although it may be true that a VLCD can be useful, we find the study of Lennerz et al to fall well short of the level of scientific evidence that merits \ldots E-mail: mayerdav{at}email.unc.edu