Type 1 Diabetes

They say it's too difficult. That you have to accept the blood sugar swings. What if they're wrong?

A practical step-by-step guide for Type 1 diabetics transitioning to a very low-carb ketogenic diet safely.

How a ketogenic approach transformed my diabetes management

Why the gold standard of diabetes management doesn't work in real life

Lower-carb diets in type 1 diabetes are linked to better HbA1c and lower insulin needs, with no changes in LDL, HDL, or triglycerides. Very‑low and low‑carb studies most often hit the ADA HbA1c target of less than 7%

Reducing carbs can markedly improve blood sugar and cut insulin needs in diabetes; strong long‑term trials are the missing piece.

Advanced carb counting brings only modest gains; everyday experience and feedback often matter more. Real‑world routines beat perfect math for type 1 diabetes control.

Low‑carb, dietitian‑guided eating in type 1 diabetes improved HbA1c, time‑in‑range, and cut insulin—without more hypos or ketoacidosis. Short‑term, promising, needs larger trials.

Fat, protein, and GI meaningfully shift post‑meal glucose in Type 1 diabetes—often demanding more insulin than carb counting alone. The same carbs don’t mean the same insulin when meals are high in fat or protein.

Near-normal HbA1c and low acute complications reported by type 1 diabetics on a very low–carb diet. Findings are strong but need clinical trials to confirm.

A 1797 case report by John Rollo describes treating diabetes with a strict animal‑based, low‑carbohydrate diet and monitoring urine sugar, noting rapid symptom improvements.

Therapeutic carbohydrate reduction (low-carb to very low‑carb) in type 1 diabetes can lower blood sugars, reduce insulin needs, and improve A1C—often with fewer highs and lows—when done with proper medical oversight. This comprehensive guide (96 page) available in full text is an excellent paper to bring to your doctor.