{"doi":"10.1111/pedi.13407","title":"A pragmatic low carbohydrate diet intervention changes neither carbohydrate consumption nor glycemia in adolescents and young adults with type 1 diabetes in a randomized trial","abstract":"OBJECTIVE: Despite enthusiasm for low carbohydrate diets (LCDs) among patients with type 1 diabetes (T1DM), no prospective study has investigated outcomes in adolescent T1DM. We aimed to quantify a pragmatic LCD intervention's impact on glycemia, lipidemia, and quality of life (QOL) in adolescents with T1DM. RESEARCH DESIGN AND METHODS: At an academic center, we randomized 39 patients with T1DM aged 13-21 years to one of three 12-week interventions: an LCD, an isocaloric standard carbohydrate diet (SCD), or general diabetes education without a prescriptive diet. Glycemic outcomes included glycosylated hemoglobin (HbA1c) and continuous glucose monitoring. RESULTS: There were no significant differences in glycemic, lipidemic, or QOL parameters between groups at any timepoint. Median HbA1c was similar at baseline between groups and did not change appreciably (7.9%-8.4% in LCDs, 7.9%-7.9% in SCDs, and 8.2%-7.8% in controls). Change in carbohydrate consumption was minimal with only one participant reaching target carbohydrate intake. CONCLUSIONS: This pragmatic LCD intervention did not alter carbohydrate consumption or glycemia. Although this study was unable to evaluate a highly controlled LCD, it indicates that adolescents are unlikely to implement an educational LCD intervention in routine clinic settings. Thus, this approach is unlikely to effectively mitigate hyperglycemia in adolescents.","journal":"Pediatric Diabetes","year":2022,"id":266003,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":10,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9538,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":237696,"name":"James C. Slaughter","orcid":"0000-0002-8770-980X","position":1,"is_corresponding":false},{"id":96732,"name":"William W. Cooley","orcid":null,"position":2,"is_corresponding":false},{"id":925611,"name":"Navila Sharif","orcid":"0000-0003-1200-8299","position":3,"is_corresponding":false},{"id":926170,"name":"Kimberly Rainer","orcid":null,"position":4,"is_corresponding":false},{"id":250516,"name":"Katie C. Coate","orcid":"0000-0002-6604-3906","position":5,"is_corresponding":false},{"id":237700,"name":"Sarah S. Jaser","orcid":"0000-0002-7958-7662","position":6,"is_corresponding":false},{"id":237705,"name":"Daniel J. Moore","orcid":"0000-0002-6889-9345","position":7,"is_corresponding":false},{"id":264402,"name":"Kevin D. Niswender","orcid":"0000-0001-6994-8738","position":8,"is_corresponding":false},{"id":237695,"name":"Justin M. Gregory","orcid":"0000-0003-2700-0062","position":9,"is_corresponding":false},{"id":237697,"name":"Sara H. Duffus","orcid":"0000-0002-7167-2643","position":0,"is_corresponding":true}],"reference_count":24,"raw_metadata":null,"created_at":"2026-07-19T00:26:54.081997Z","pmid":"36004391","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}