Life with type 1 diabetes can feel a lot like being trapped on a rollercoaster that you never wanted to be on in the first place – especially when the person who’s been diagnosed is your child
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Whether they’ve been navigating T1D for 10 minutes or for 10 years, the stress you’re carrying as their parent simply does not relent.
Between the constant waking up in the middle of the night to administer insulin or to treat a hypo, agonizing about how their future might be impacted, facing down fears around life-or-death complications, and worrying about whether your child will ever feel like themselves again… well, “overwhelmed” would be an understatement.
We understand what it’s like, because we’ve been there, too.
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Education and Support for Families Navigating Type 1 Diabetes
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Starting with real, nutrient-dense food
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We’re Beth McNally and Matt Miernik, the team behind T1D Nutrition, and when we say we understand the immense stress and strain you’re under, we mean it.
Our journey with type 1 diabetes and nutrition began back in 2015, when our son, Lachlan, was diagnosed at age 9.
After months of Lachlan’s blood sugar swinging from high to low (and back again), stress, research, and pulling all-nighters, we – along with the support of his incredible care team – implemented a very low-carb diet to see if it could help normalize our son’s blood glucose levels.
It worked. Lachlan’s blood glucose levels were steadier. His A1C was in normal range, and he finally felt like himself again. Fast forward to age 17: he’s a healthy, happy competitive athlete, and the stress and anxiety we were all experiencing has dissipated.
Now, between Beth’s work as a Certified Nutrition Specialist & Licensed Nutritionist and Matt’s experience coaching athletes around sports and T1D management, we’re here to provide you with the information and resources we wish we could have had when our son was first diagnosed.
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Low-Carb Nutrition Strategies for Type 1 Diabetes
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Ready to safely achieve normal blood sugar levels, nourish your child’s growing body, feel more confident in your understanding of T1D, and alleviate stress on the whole family? Our programs, services, and free resources were all created with families like yours in mind.
Programs
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Self-paced and guided group programs to help you understand and successfully implement a Therapeutic Carbohydrate Reduction nutrition strategy designed specifically for safe, effective T1D management
Services
Get expert answers to your specific nutrition and T1D management questions and concerns in a 60-minute, 1:1 session with Beth
T1D Sport -
coming soon
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Learn to manage your type 1 diabetes for optimal health and performance while playing sports, exercising, and engaging in physical activity – for parents of children with T1D and adults with T1D
Free Resources
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Boost your knowledge and take the mystery out of T1D management with conference presentations, webinars, educational videos, recipes, and more
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Why Therapeutic Carbohydrate Reduction?
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Therapeutic Carbohydrate Reduction – often abbreviated TCR – is just a clinical way of saying “a low-carb way of eating.”
To put it simply: by relying on foods that have little effect on blood sugar, you’re helping to keep your child’s blood glucose levels as close to normal as possible. And, by keeping your child’s blood glucose levels as close to normal as possible, you’re reducing the chances of both short- and long-term diabetic complications.
Now, if you hear the words “low-carb” and immediately worry that Therapeutic Carbohydrate Reduction might be limiting, boring, repetitive, or restrictive, we understand!
Here’s the good news, though: TCR is all about choosing flavorful, nourishing foods that stabilize blood glucose and meet the nutritional needs of your growing child.
“exceptional glycemic control” with low rates of adverse events
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Mean HbA1C: 5.67% ± 0.66%
CGM Average BG: 104 ± 16 mg/dl (5.8 ± 0.9mmol/l)
CGM Standard Deviation: 28 ± 12 mg/dl (1.6 ± 0.7mmol/l)
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Lennerz, B. S., Barton, A., Bernstein, R. K., Dikeman, R. D., Diulus, C., Hallberg, S., Rhodes, E. T., Ebbeling, C. B., Westman, E. C., Yancy, W. S., Jr, & Ludwig, D. S. (2018). Management of Type 1 Diabetes With a Very Low-Carbohydrate Diet. Pediatrics, 141(6), e20173349. https://doi.org/10.1542/peds.2017-3349
"reductions in HbA1c, insulin doses , glycemic variability, and time spent in hypoglycemia"
Lennerz, B. S., Barton, A., Bernstein, R. K., Dikeman, R. D., Diulus, C., Hallberg, S., Rhodes, E. T., Ebbeling, C. B., Westman, E. C., Yancy, W. S., Jr, & Ludwig, D. S. (2018). Management of Type 1 Diabetes With a Very Low-Carbohydrate Diet. Pediatrics, 141(6), e20173349. https://doi.org/10.1542/peds.2017-3349
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"demonstrated efficacy in terms of glycemic control and attainment of glycemic targets with good safety profile in terms of lower rates of hypoglycemic events"
Shaker Mahmood, B. (2023). Impact of low carbohydrate diet on patients with type 1 diabetes. E3S Web of Conferences, 391, 01132. doi:10.1051/e3sconf/202339101132
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