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Low carbohydrate diets in eating disorders and type 1 diabetes
Clinical Child Psychology and Psychiatry ( IF 1.8 ) Pub Date : 2020-12-22 , DOI: 10.1177/1359104520980778
Melissa Hart 1 , Kirrilly Pursey 1 , Carmel Smart 1, 2
Affiliation  

Dietary intake requires attention in the treatment of both eating disorders and type 1 diabetes (T1D) to achieve optimal outcomes. Nutritional management of both conditions involves encouraging a wide variety of healthful foods in the context of usual cultural and family traditions. In recent times, low carbohydrate diets have seen a rise in popularity, both in T1D and in the general population. Low carbohydrate diets involve dietary restriction, although the extent depends on the level of carbohydrate prescription. Although dietary restriction is a known risk factor for eating disorders, there is limited literature on the impact of following a low carbohydrate diet on the development and maintenance of eating disorders in T1D. The aim of this review is to discuss the impact of dietary restriction on the development and treatment of eating disorders and propose considerations to enable optimum health outcomes in individuals with T1D, an at risk group. In order to achieve this, clarity regarding strategies that allow both flexibility in dietary intake and facilitate healthy eating behaviours, whilst achieving glycaemic targets, are required.

中文翻译:

饮食失调和 1 型糖尿病中的低碳水化合物饮食

饮食摄入需要注意饮食失调和 1 型糖尿病 (T1D) 的治疗,以实现最佳结果。这两种情况的营养管理涉及在通常的文化和家庭传统的背景下鼓励各种健康食品。最近,低碳水化合物饮食在 T1D 和普通人群中越来越受欢迎。低碳水化合物饮食包括饮食限制,尽管程度取决于碳水化合物处方的水平。尽管饮食限制是饮食失调的已知风险因素,但关于遵循低碳水化合物饮食对 T1D 饮食失调发展和维持的影响的文献有限。本综述的目的是讨论饮食限制对饮食失调的发展和治疗的影响,并提出考虑因素,以实现 T1D 患者(一个高危人群)的最佳健康结果。为了实现这一目标,需要明确允许灵活饮食摄入和促进健康饮食行为,同时实现血糖目标的策略。
更新日期:2020-12-22
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