PT - JOURNAL ARTICLE AU - Lauren Anne Buehler AU - Dawn Noe AU - Shannon Knapp AU - Diana Isaacs AU - Kevin M. Pantalone TI - Ketogenic diets in the management of type 1 diabetes: Safe or safety concern? AID - 10.3949/ccjm.88a.20121 DP - 2021 Oct 01 TA - Cleveland Clinic Journal of Medicine PG - 547--555 VI - 88 IP - 10 4099 - http://www.ccjm.org/content/88/10/547.short 4100 - http://www.ccjm.org/content/88/10/547.full SO - Cleve Clin J Med2021 Oct 01; 88 AB - The jury is still out on whether a low-carbohydrate, ketosis-inducing diet is an effective and safe adjunctive therapy to insulin in type 1 diabetes. The limited published literature reports an association with weight loss and improved glycemic control and may, over the long-term, lead to reduced macrovascular and microvascular harm. However, the attendant increased risk of dyslipidemia, diabetic ketoacidosis, and hypoglycemia warrant caution, close monitoring of patients who embark on the diet, and further research.