ISSN: 2578-4641
Authors: Kulvinder Kochar Kaur*, Allahbadia G and Mandeep Singh
The incidence of diabetes mellitus (DM) in developing countries like Asia has increased over the past few years. This is secondary to the changing development along with lifestyle of the younger generation who prefer to take up the western style of eating high calorie fast food with minimum exercise. Previously, the rate of DM was very low but is increasing at significant rates which are a cause of concern in Asia. There is not much literature available regarding T1D in Asian countries in view of lack of lower field surveys and absence of quantitative data. However in USA approximately 30% of subjects having T1D don’t achieve the aimed glycaemic targets and lot of comorbidities exist which suggest some novel treatment avenues which include lifestyle modifications. Recent nutritional guidelines implicate a flexible approach in carbohydrate intake which is in relation to intensive insulin therapy. Basically these guidelines are meant to get more freedom in nutritional choices but may result in greater calorie intakes and unhealthy eating patterns which are resulting in higher prevalence of obesity and Metabolic Syndrome in people living with T1D, a phenomenon observed worldwide, so that recently the term diabesity got coined to understand the importance of treating the 2 together. Low carbohydrate /day (LCD<130g/day) might be a better way of getting a glycaemic control and metabolic health in subjects with T1D. Recreational exercise on a regular basis or getting a high athletic performance might be of importance in many people living with T1D. Work done on subjects not having T1D implicates that if athletes do training using decreased carbohydrates enhance adaptation in contrast to that with normal/high carbohydrates. Yet this train low aspect has not been checked in T1D subjects. Further use of low restricted/ periodised carbohydrate diets in T1D athletes is discussed.
Keywords: T1D; Diabesity; LCD; VLCD; Exercise Training
