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Prolonged Honeymoon Period in Type I Diabetes (T1D) Patients on Low-Carbohydrate Diet (LCD)

Michael Wood^1,2iD*, Koji Ebe^1,2, Hiroshi Bando^1,3iD**
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

Abstract

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.