Belinda Lennerz MD - Children Living With T1DM: Current, Future Research Questions Pertaining To TCR

Presenter: Dr. Belinda Lennerz

In this insightful presentation, Dr. Belinda Lennerz delves into the complexities of managing Type 1 diabetes in children, focusing on the potential benefits of Therapeutic Carbohydrate Reduction (TCR) and low-carb approaches. She discusses the current guidelines from major nutrition and diabetes associations in the US, highlighting the challenges in endorsing a low-carb approach despite emerging research. Dr. Lennerz emphasizes the need for more research to inform guidelines and improve care for children with Type 1 diabetes.

Dr. Lennerz addresses common concerns about cholesterol levels, ketosis, and hypoglycemia associated with low-carb diets. She explains the differences between physiological ketosis and ketoacidosis, reassuring viewers about the safety of low-carb diets when managed properly. Drawing on studies and clinical experience, she discusses how a low-carb approach can positively impact cardiovascular risk factors and glycemic control in Type 1 diabetes.

The presentation also explores the psychosocial aspects of managing Type 1 diabetes, including the risk of eating disorders and the potential benefits of a low-carb diet in reducing stress and improving quality of life. Dr. Lennerz highlights the need for individualized care and support, particularly for children at higher risk for eating disorders.

Dr. Lennerz shares her research initiatives, including a randomized controlled trial (RCT) in adults and a planned study in children with new-onset Type 1 diabetes. These studies aim to evaluate the effects of a low-carb ketogenic diet on glycemic control, hypoglycemia, lipid profiles, and beta cell function. By studying these outcomes, Dr. Lennerz hopes to contribute valuable insights into the safety and efficacy of low-carb diets in children with Type 1 diabetes.

Throughout the presentation, Dr. Lennerz emphasizes the need for collaboration and further research to address key questions in pediatric diabetes care. She acknowledges the contributions of her colleagues and collaborators and invites others to join the effort to improve the lives of children living with Type 1 diabetes.

This presentation is a must-watch for healthcare professionals, researchers, and anyone interested in the latest developments in managing Type 1 diabetes in children. Dr. Lennerz's comprehensive review of current research and future research questions provides valuable insights into the potential benefits and challenges of implementing a low-carb approach in pediatric diabetes care.

CHAPTERS

0:00 Introduction and Dr. Lennerz's Background
2:13 The Conundrum of Nutrition Research
7:28 Nutrient Update and Diabetes Care Strategy
9:36 State of Type 1 diabetes Control
14:35 Interested Risk of Overweight in Type 1 diabetes Children due to Higher Insulin Exposure
15:30 Very Low-carbohydrate Diet for Type 2 diabetes
16:54 History of Carbohydrate Recommendations in Type 1 diabetes Care
19:16 Research into Very Low-carbohydrate Diet for Type 1 diabetes
25:00 Concerns and Common Misconceptions About Low-Carb Diets for Children with Type 1 Diabetes
35:50 Need for Further Research and Future Directions