Variety of media have popularized restrictive diets in diabetes mellitus reporting that carbohydrates are the cause of glycemic excursion, excessive insulin dosage, and weight gain. We report 2 cases of children with type 1 diabetes where adherence to restricted carbohydrate diets caused growth failure. Two prepubertal patients with type 1 diabetes presented at follow-up visit during the honeymoon period with no weight increase and low height velocity. Dietetic evaluation revealed a low-carbohydrate diet had been introduced in an attempt to achieve less postprandial excursions in the blood glucose readings. The 2 patients started to improve weight and height when the appropriate amount of carbohydrates was given. There are few published data to support not to restrict carbohydrate; therefore, we report 2 cases of children with type 1 diabetes where adherence to this diet caused growth failure. We want to emphasize the importance of educating families of children with type 1 diabetes on this aspect, particularly when they are in the honeymoon phase or this one is concluding.
Dubai Diabetes Endocrinol J

中文翻译：

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两名儿童1型糖尿病的碳水化合物限制和生长衰竭：病例报告

各种媒体已在糖尿病患者中推广限制性饮食，据报道，碳水化合物是血糖波动，胰岛素剂量过多和体重增加的原因。我们报告了2例1型糖尿病儿童，其中坚持严格的碳水化合物饮食会导致生长衰竭。两名蜜月期前青春期前患者在蜜月期间进行随访，体重没有增加，身高速度也较低。饮食学评估表明，已引入低碳水化合物饮食，以减少餐后血糖读数。当给予适量的碳水化合物时，这2例患者开始改善体重和身高。很少有公开数据支持不限制碳水化合物。因此，我们报告2例1型糖尿病儿童的坚持饮食导致生长衰竭。我们要强调在这一方面对1型糖尿病儿童家庭进行教育的重要性，特别是当他们处于蜜月期或这一阶段即将结束时。
迪拜糖尿病内分泌J