04/08/2025
On World Diabetes Day, we recognize the immense burden of diabetes, a disease impacting over 500 million people globally. Diabetes is not only common, but it’s also deadly, and type 1 patients are among the most vulnerable. People with type 1 diabetes face serious health risks throughout their lives: heart disease, kidney failure, mental health struggles, blindness, and amputations. On average, they die 15 years earlier than people without diabetes—an unacceptable statistic that calls for immediate action.
For type 1 patients, the fight to maintain blood glucose control is constant, requiring not only insulin but a complex management plan to prevent the life-threatening complications associated with high and fluctuating blood sugar. Despite these efforts, they face disproportionate rates of cardiovascular disease, with estimates showing they are ten times more likely to experience a heart attack compared to the general population. Their risk of blindness is nearly 20 times higher, and amputations from complications are far too common.
The cost to these individuals isn’t just physical. Rates of depression among those with type 1 diabetes are double that of the general population, and anxiety from blood sugar instability is often a daily reality. Living with the knowledge that one’s lifespan may be cut short by 15 years or more adds a weight that’s difficult to imagine.
While it’s widely accepted for type 2 diabetes, TCR for type 1 patients remains less common due to outdated guidelines and a hesitancy in the medical community to promote dietary change. However, a growing body of research supports that TCR can work for both type 1 and type 2 diabetes by improving blood glucose stability and reducing complications that often lead to early mortality.
Every single patient deserves a normal a1c and every single patient deserves access to resources to help with carbohydrate reduction. The time is gone where a blanket recommendation to lower calories or eat vegetarian were acceptable.
The need for change is real, and the time for action is now.