Before the discovery of insulin in 1921, strict carbohydrate restriction was the only way people with Type 1 diabetes could survive. A century later, some patients are revisiting ketogenic diets—not as replacements for insulin, but as experimental tools to improve blood sugar control.

In this episode of The Health Pulse, we explore the science, promise, and pitfalls of ketogenic diets in Type 1 diabetes. We unpack the crucial distinction between nutritional ketosis (a controlled, safe metabolic state with adequate insulin present) and diabetic ketoacidosis (DKA), a life-threatening emergency caused by insulin deficiency.

We highlight the potential benefits patients report: reduced blood sugar variability, lower HbA1c, decreased insulin requirements, and more time in optimal range. But we also confront the real risks, including increased vulnerability to DKA, hypoglycemia from insulin miscalculations, nutrient deficiencies, and unresolved questions about long-term safety.

The key takeaway? Ketogenic diets are not a cure for Type 1 diabetes, but they may hold promise as a highly personalized strategy—when paired with close medical supervision, continuous monitoring, and professional guidance.

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Disclaimer: The information provided in this podcast is for informational purposes only and should not be considered medical advice. The content discussed is based on research, expert insights, and reputable sources, but it does not replace professional medical consultation, diagnosis, or treatment. We strive to present accurate and up-to-date information, medical research is constantly evolving. Listeners should always verify details with trusted health organizations, before making any health-related decisions. If you are experiencing a medical emergency, such as severe pain, difficulty breathing, or other urgent symptoms, call your local emergency services immediately. By listening to this podcast, you acknowledge that The Health Pulse and its creators are not responsible for any actions taken based on the content of this episode. Your health and well-being should always be guided by the advice of qualified medical professionals.