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Fruitarian Diet and Blood Glucose Control in Type 1 Diabetes: A Case Report

Diet is a key determinant of blood glucose control in individuals with type 1 diabetes. Although dietary education is part of their clinical follow-up, many patients show a propensity to self-treatment, adopting dietary changes, often extreme, that do not consider the overall impact on health. Here,...

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Autores principales: Vetrani, Claudia, Bozzetto, Lutgarda, Della Pepa, Giuseppe, Rivellese, Angela Albarosa, Annuzzi, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8904176/
https://www.ncbi.nlm.nih.gov/pubmed/35273984
http://dx.doi.org/10.3389/fnut.2022.752832
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author Vetrani, Claudia
Bozzetto, Lutgarda
Della Pepa, Giuseppe
Rivellese, Angela Albarosa
Annuzzi, Giovanni
author_facet Vetrani, Claudia
Bozzetto, Lutgarda
Della Pepa, Giuseppe
Rivellese, Angela Albarosa
Annuzzi, Giovanni
author_sort Vetrani, Claudia
collection PubMed
description Diet is a key determinant of blood glucose control in individuals with type 1 diabetes. Although dietary education is part of their clinical follow-up, many patients show a propensity to self-treatment, adopting dietary changes, often extreme, that do not consider the overall impact on health. Here, we describe the case of a patient with type 1 diabetes who switched to a fruitarian diet because of ideological beliefs. A 25-year-old man with type 1 diabetes on an insulin pump and continuous glucose monitoring on optimal blood glucose control (HbA1c 6.5%, 48 mmol/mol; glucose time-in-range 70–180 mg/dl, TIR, 90%; coefficient of variation, CV, 36%) switched to a fruitarian diet because of ideological beliefs. After 3 months on this diet, blood glucose control was still optimal (TIR 88%, CV 33%), while plasma triglycerides and liver enzymes were above normal values. After 3 more months, blood glucose control had worsened (TIR 72%, CV 37%), plasma triglyceride and liver enzymes were within normal values, and hyperkalemia was detected. In this case report, a strict fruitarian diet was associated with early negative changes in some biochemical parameters, also in presence of optimal blood glucose control. Dietary counseling remains essential in the follow-up of patients with type 1 diabetes to ensure personalized medical nutrition therapy and monitor dietary changes that may affect health but with no major impact on blood glucose control.
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spelling pubmed-89041762022-03-09 Fruitarian Diet and Blood Glucose Control in Type 1 Diabetes: A Case Report Vetrani, Claudia Bozzetto, Lutgarda Della Pepa, Giuseppe Rivellese, Angela Albarosa Annuzzi, Giovanni Front Nutr Nutrition Diet is a key determinant of blood glucose control in individuals with type 1 diabetes. Although dietary education is part of their clinical follow-up, many patients show a propensity to self-treatment, adopting dietary changes, often extreme, that do not consider the overall impact on health. Here, we describe the case of a patient with type 1 diabetes who switched to a fruitarian diet because of ideological beliefs. A 25-year-old man with type 1 diabetes on an insulin pump and continuous glucose monitoring on optimal blood glucose control (HbA1c 6.5%, 48 mmol/mol; glucose time-in-range 70–180 mg/dl, TIR, 90%; coefficient of variation, CV, 36%) switched to a fruitarian diet because of ideological beliefs. After 3 months on this diet, blood glucose control was still optimal (TIR 88%, CV 33%), while plasma triglycerides and liver enzymes were above normal values. After 3 more months, blood glucose control had worsened (TIR 72%, CV 37%), plasma triglyceride and liver enzymes were within normal values, and hyperkalemia was detected. In this case report, a strict fruitarian diet was associated with early negative changes in some biochemical parameters, also in presence of optimal blood glucose control. Dietary counseling remains essential in the follow-up of patients with type 1 diabetes to ensure personalized medical nutrition therapy and monitor dietary changes that may affect health but with no major impact on blood glucose control. Frontiers Media S.A. 2022-02-22 /pmc/articles/PMC8904176/ /pubmed/35273984 http://dx.doi.org/10.3389/fnut.2022.752832 Text en Copyright © 2022 Vetrani, Bozzetto, Della Pepa, Rivellese and Annuzzi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nutrition
Vetrani, Claudia
Bozzetto, Lutgarda
Della Pepa, Giuseppe
Rivellese, Angela Albarosa
Annuzzi, Giovanni
Fruitarian Diet and Blood Glucose Control in Type 1 Diabetes: A Case Report
title Fruitarian Diet and Blood Glucose Control in Type 1 Diabetes: A Case Report
title_full Fruitarian Diet and Blood Glucose Control in Type 1 Diabetes: A Case Report
title_fullStr Fruitarian Diet and Blood Glucose Control in Type 1 Diabetes: A Case Report
title_full_unstemmed Fruitarian Diet and Blood Glucose Control in Type 1 Diabetes: A Case Report
title_short Fruitarian Diet and Blood Glucose Control in Type 1 Diabetes: A Case Report
title_sort fruitarian diet and blood glucose control in type 1 diabetes: a case report
topic Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8904176/
https://www.ncbi.nlm.nih.gov/pubmed/35273984
http://dx.doi.org/10.3389/fnut.2022.752832
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