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A child with type 1 diabetes mellitus (T1DM) successfully treated with the Paleolithic ketogenic diet: A 19-month insulin freedom
Csaba Tóth1, Zsófia Clemens1,2
1MD, Paleomedicina Hungary Ltd, Evolutionary Medicine Working Group, Hidász u. 3, H-1026, Budapest, Hungary.
2PhD, Department of Neurology, University of Pécs, Rét u. 2, H-7623, Pécs, Hungary, Paleomedicina Hungary Ltd, Evolutionary Medicine Working Group, Hidász u. 3, H-1026, Budapest, Hungary.

doi:10.5348/ijcri-2015121-CR-10582

Address correspondence to:
Zsófia Clemens
Department of Neurology, University of Pécs
Rét u. 2, H-7623, Pécs, Hungary Paleomedicina Hungary Ltd
Evolutionary Medicine Working Group, Hidász u. 3, H-1026, Budapest
Hungary
Phone: 0036306894192

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How to cite this article
Tóth C, Clemens Z. A child with type 1 diabetes mellitus (T1DM) successfully treated with the Paleolithic ketogenic diet: A 19-month insulin freedom. Int J Case Rep Images 2015;6(12):752–757.


Abstract
Introduction: Currently, type 1 diabetes mellitus (T1DM) is treated with insulin and a high carbohydrate diet. In literature, there are studies indicating that low carbohydrate diets may be beneficial in reducing hypoglycemic episodes as well as the need for insulin. Previously, we reported a case of a 19-year-old T1DM patient who was successfully treated with a modified version of the ketogenic diet we refer to as the Paleolithic ketogenic diet.
Case Report: A nine-year-old child with T1DM who initially was on an insulin regime with high carbohydrate diet then was put on the Paleolithic ketogenic diet. Following dietary shift glucose levels normalized and he was able to discontinue insulin. No hypoglycemic episodes occurred on the diet and several other benefits were achieved including improved physical fitness, reduction of upper respiratory tract infections and eczema. Currently, he is on the diet for 19 months.
Conclusion: Adopting the Paleolithic ketogenic diet ensured normoglycemia without the use of external insulin. The diet was sustainable on the long-term. Neither complications nor side effects emerged on the diet.

Keywords: C peptide, Ketogenic diet, Ketosis, Low carbohydrate diet, Paleolithic diet, Paleolithic ketogenic diet, Type 1 diabetes mellitus


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Author Contributions
Csaba Tóth – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Zsófia Clemens – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Csaba Tóth et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.