T1 Diabetes and Children


Shelton, CT

I found Dr. Attar after years of frustration managing my daughter's diabetes. Her endocrinologist was okay with her having an A1c of 7.5 and blood sugars that were often very high. Dr. Attar spent a lot of time educating us about diabetes and was very attentive to us as we followed his recommendations and took on a better approach to managing my daughter's blood sugars.  I'm happy to say that her last A1c was 5.2%, her numbers are very stable, and we are VERY happy.


Burlington, CT

Loved meeting Dr. Attar with my type 1 son. He had great advice and suggestions, and even got my son to put on his dexcom for the first time. Will recommend him 1000%.


Las Vegas, NV

Dr. Attar is smart, kind and one who literally practices what he preaches. My son has Type 1 diabetes and we have learned so much about managing this disease from Dr. Attar. From the science to food and fitness advice, the man clearly knows his area of practice, and we are so grateful to know him.

(For info about t1 and t2 diabetes in adults click here)

T1 diabetes used to be called "Juvenile Diabetes". It was believed that it mostly occurs in youth. We now know that T1 diabetes can start at any age. It is very important that children with T1 diabetes manage their blood sugars and A1c properly. High blood sugars, hyperglycemia, can have dangerous effects a child's development and health. Studies show that in more than half of children with T1 diabetes reduced growth is found, this correlates with poor blood sugar control. We also see a correlation with glycemic control and brain dynamics and memory in children. Looking at this A1c to average glucose chart which is based on formulas used by Dr. Richard Bernstein, I recommend all those with diabetes, both children and adults, and T1 or T2, maintain blood sugars in the green, and preferably dark green zone.  Using a continuous glucose monitor, like a Dexcom, this would mean an average blood sugar in the 80s.


In contrast to studies showing poor health and development in most T1 children, who are following a standard high carbohydrate, endorsed by nearly all endocrinologists and diabetes educators, a 2018 study shows amazing results following the approach that I use with my patients. This study conducted by Harvard in the journal Pediatrics found exceptional blood sugar control, great lipids/cholesterol, low rates of hypoglycemia (low blood sugars), and high levels of overall health & satisfaction. What I find the most interesting about this study is that the children in it were at the top of their growth chart. Not only were they not succumbing to poor growth like many T1 youths, but they were outgrowing their peers. The participants in this study follow a low carbohydrate approach, and use Dr. Richard Bernstein's methods for managing blood sugars. The fact that growth was above average and incidents of hypoglycemia are reduce tells me that this approach is very safe and effective for children. I can help your child and family use these methods to normalize blood sugars to live a happy and healthy life.


-Dr. Ryan Attar