Endocrine Abstracts

In recent years, Low Carbohydrate Diets (LCD) and Very Low Carbohydrate Diets (VLCD) as management strategies for Type 1 diabetes have been gaining popularity. Whilst now acceptable as an option amongst adults with Type 1 diabetes, the situation in paediatrics is more complicated. While this option is not currently recommended or endorsed by international diabetes experts, paediatric diabetes teams need to be aware of the potential risks of following such restricted diets in the long term, to support children and families who choose to do so. The evidence base is limited, but sufficient to advise enhanced monitoring of physical, biochemical and nutritional parameters, over and above usual annual screening. Discussions should be honest and open to build a positive collaborative relationship with families, for the ultimate best outcome for the child.