Asploro Journal of Biomedical and Clinical Case Reports
Article Type: Case Report
Asp Biomed Clin Case Rep. 2023 Oct 24;6(3):248-53
Michael Wood1,2iD*, Koji Ebe1,2, Hiroshi Bando1,3iD**
1Japan Low Carbohydrate Diet Promotion Association (JLCDPA), Kyoto, Japan
2Takao Hospital, Ukyo Ward, Kyoto, Japan
3Medical Research/Tokushima University, Tokushima, Japan
Corresponding Author: Michael Wood ORCID iD and Hiroshi BANDO ORCID iD
Address: *Takao Hospital, Ukyo Ward, Kyoto, Japan; **Tokushima University /Medical Research, Nakashowa 1-61, Tokushima 770-0943, Japan.
Received date: 17 September 2023; Accepted date: 12 October 2023; Published date: 24 October 2023
Citation: Wood M, Ebe K, Bando H. Prolonged Honeymoon Period in Type I Diabetes (T1D) Patients on Low-Carbohydrate Diet (LCD). Asp Biomed Clin Case Rep. 2023 Oct 24;6(3):248-53.
Copyright © 2023 Wood M, Ebe K, Bando H. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Honeymoon Period, Type 1 Diabetes, Glutamic Acid Decarboxylase Autoantibody, Super-Low Carbohydrate Diet, Japan LCD Promotion Association
Abbreviations: T1D: Type 1 Diabetes; GADA – Glutamic Acid Decarboxylase Autoantibody; LCD: Super-Low Carbohydrate Diet; JLCDPA – Japan LCD Promotion Association
The presented case is a 68-year-old female with Type 1 diabetes (T1D). She was admitted for an emergency case with acute distress in January 2018 and was diagnosed with T1D with a blood glucose (BG) level of 459 mg/dL, HbA1c of 13.7%, glutamic acid decarboxylase autoantibody (GADA) level >2000 U/mL (<5 U/mL), and C-reactive protein (CRP) level of 1.10 ng/mL. She received Multiple Daily Injections (MDI) of insulin for 3 months, and then her HbA1c decreased to 7.3%. After that, she has been on a super-low carbohydrate diet (LCD) and received only Lantus XR and ipragliflozin. Serum CRP showed 0.2 ng/mL, suggesting a prolonged honeymoon period for years through continuous LCD.