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Type 2 Diabetes And Keto Diet



Diabetes, Sugar, Splash, Insulin

Keto diet

Special diets for 
type 2 diabetes often focus on weight loss, so it might seem crazy that a high-fat diet is an option. The ketogenic (keto) diet, high in fat and low in carbs, can potentially change the way your body stores and uses energy, easing diabetes symptoms.
With the keto diet, your body converts fat, instead of sugar, into energy. The diet was created in the 1920s as a treatment for 
epilepsy, but the effects of this eating pattern are also being studied for type 2 diabetes.
The ketogenic diet may improve blood glucose (sugar) levels while also reducing the need for insulin. However, the diet does come with risks. Be sure to discuss it with your doctor before making drastic dietary changes.

Lots of individuals who have type 2 diabetes are heavy, so a diet that is high in fat may not be beneficial.

The aim of the ketogenic diet is to get the body to burn fat for energy rather than carbohydrates or glucose. In the keto diet, fat is the primary source of energy, with only a small portion of the diet consisting of carbohydrates.

The ketogenic diet does not necessitate the consumption of high amounts of saturated fats. Heart-healthy fats are the key to sustaining overall health. Some healthy foods that are commonly eaten in the ketogenic diet include:

  • eggs
  • fish such as salmon
  • cottage cheese
  • avocado
  • olives and olive oil
  • nuts and nut butters
  • seeds

The ketogenic diet may bring about a reduction in blood sugar levels. It is common for individuals with type 2 diabetes to be advised to monitor their carbohydrate consumption as carbohydrates are converted to sugar, and when consumed in high amounts can lead to abrupt increases in blood sugar.

One’s carb intake should be decided with the guidance of a medical professional.

If you have elevated blood sugar levels, consuming too many carbohydrates can be hazardous. By shifting the emphasis to fat, some individuals have noticed a decrease in their blood sugar levels.

It has been demonstrated that drastically reducing carbohydrate consumption and adhering to a rigid ketogenic diet can bring about a decrease in blood sugar levels. Matteo warns those with diabetes to prevent low blood sugar.

She cautions that individuals with diabetes need to be wary in case their blood sugar dips too low. You should keep an eye on your glucose levels all the time if you take insulin or particular diabetes medications, since they can cause your sugar level to drop. Speak with your doctor to decide if you need to make any modifications in your medication.

When the amount of glucose in the blood is below the usual 70 milligrams per deciliter, it is referred to as hypoglycemia. This is a risky situation that could be experienced by diabetics if the amount of food they consume and the dose of medication are not properly regulated.

Symptoms of hypoglycemia can include:

  • Weakness or shaking. 
  • Moist skin or sweating. 
  • Fast heartbeat. 
  • Dizziness. 
  • Confusion. 
  • Unsteadiness. 
  • Nightmares, bad dreams or restless sleep. 
  • Blurred vision. 
  • Headaches and seizures. 

Ketosis vs. ketoacidosis 

When discussing the ketogenic diet and diabetes, there are a few terms that may be hard to understand (particularly when they all start with “keto”). Let’s review a few before we get started:

  1. Ketones are the fats your body burns when you run out of carb-power. 
  2. Ketosis is the sweet spot you’re looking for when you’re on the keto diet. It means your body has run out of the glucose it gets from carbohydrates and, instead, is burning ketones to create energy.  
  3. Ketoacidosis is when things go too far and ketones build up too much, turning your blood acidic. This is more common for people with Type 1 diabetes when blood sugar levels are too high and insulin levels are inadequate, but it can also happen when you have Type 2 diabetes. Symptoms to look out for include excessive thirst, urinating often, confusion, weakness and fatigue. Diabetes-related ketoacidosis is a dangerous condition. If you think you might be developing it, call your healthcare provider immediately. 
The Atkins diet and diabetes

The Atkins plan is well-known among the low-carb, high-protein eating regimens and often equated to the ketogenic diet. However, the two diets have some major differences.

Dr. Robert C. Atkins created the Atkins diet in the 1970s. It is usually suggested as a means to shed pounds and also manage many health conditions, including type 2 diabetes.

Reducing unneeded carbohydrates is a beneficial move, however, it is uncertain if this eating regimen by itself will be beneficial for diabetes. Any weight reduction method will be advantageous for those suffering from diabetes and elevated blood sugar, regardless of whether it’s the Atkins diet or some other program.

The Atkins diet does not necessarily require an increase in fat intake, unlike the keto diet. You might increase the amount of fat you consume by cutting back on carbohydrates and consuming more protein from animals.

The potential drawbacks are similar.

In addition to consuming a lot of saturated fat, there is the risk of low blood sugar levels, or hypoglycemia, if carbs are limited too much. Particularly, this is accurate if you are taking drugs which raise insulin levels in the body and you don’t alter the amount.

Reducing carbohydrates when following the Atkins diet plan may potentially be beneficial for weight reduction and managing diabetes indications. No sufficient research has been conducted to show that following the Atkins diet is beneficial for controlling diabetes.

Potential dangers

Switching your body’s main source of fuel from carbs to fat leads to an increase in ketones in the bloodstream. This “nutritional ketosis” is distinct from ketoacidosis, which is an incredibly hazardous state.

When there is an abundance of ketones present in the body, it could potentially lead to the development of diabetic ketoacidosis (DKA). DKA is a condition that is usually seen in people with type 1 diabetes when their blood sugar is elevated due to a lack of insulin.

Although not common, it is possible for those with type 2 diabetes to experience DKA (Diabetic Ketoacidosis) if the levels of ketones in their blood are too high. If you are following a low-carb diet and become ill, you may be at a higher risk of developing DKA.

It’s important to monitor your blood sugar if you’re following the ketogenic diet to make sure it stays within the desired range. Think about measuring the amount of ketones in your body to make sure you are not prone to DKA.

The American Diabetes Association advises people to check for ketones if their blood glucose level is higher than 240 mg/dL. You can test at home with urine strips.

DKA is a medical emergency. If you have any indications of DKA, it is vital that you go to your doctor right away. Complications can cause diabetic coma.

The warning signs of DKA include:

  • consistently high blood sugar
  • dry mouth
  • frequent urination
  • nausea
  • breath that has a fruit-like odor
  • breathing difficulties

The ketogenic diet seems straightforward. An alternative to a normal low-calorie eating plan is a high-fat diet, but it needs to be monitored closely. It is possible to commence the diet plan in a medical facility.

Your physician has to check both blood sugar and ketone levels to make sure the diet is not leading to any bad outcomes. Once you have adapted to the dietary plan, it might be necessary to visit your physician every one or two months to have tests done and to adjust your medication.

Even if you feel better, it is still important to continue testing your blood sugar levels regularly. For type 2 diabetes, testing frequency varies. Consult with your physician to decide the most suitable testing timetable for you.

Research, the keto diet, and diabetes

In 2008, a 24-week research project was conducted to evaluate the impacts of a low-carb diet on individuals with type 2 diabetes and obesity.

At the conclusion of the research, those who adhered to the ketogenic diet experienced more marked enhancement in blood sugar regulation and lessening of medication than those who followed a diet with a low glycemic index.

A 2013 study found that a ketogenic diet can be more beneficial than other diets when it comes to reducing blood sugar levels, A1c levels, promoting weight loss, and discontinuing the need for insulin.

A 2017 research project revealed that the ketogenic diet achieved better results than a regular, low-fat diet designed for diabetes patients over a period of 32 weeks in terms of weight reduction and A1c.

Studies have shown that the keto diet is beneficial for people with Type 2 diabetes, as it can help reduce their blood sugar levels and encourage weight loss. Researchers also warn, however, that the keto diet can be notoriously hard to maintain and that studies on the long-term effects and dangers of keto are still in its beginning stages.

Is the ketogenic diet safe for people with diabetes

Some diabetics can do the keto diet in a secure and productive manner. Matteo suggests that deciding if it is suitable for you is a matter of assessing the advantages and disadvantages, and consulting with your physician.

Matteo states that since diabetes is a long term illness, it is important to figure out how to incorporate it into your lifestyle. It can be advantageous to stick to a diet like the ketogenic plan, but this may not always be the most practical option when considering long-term health.

Pros 

  • Following a keto diet has been shown to be effective for blood sugar management. 
  • Following a keto diet has been shown to be effective for weight loss. If you have insulin resistance or a BMI (body max index) greater than 30, keto can be an option to get you to your target weight quickly.  
  • If followed in close consultation with your doctor, a keto diet can lead to reduced dependence on diabetes medication and insulin. 

Cons 

  • You may be at an increased risk for hypoglycemia (low blood sugar) while following a keto diet, especially if your medication and insulin aren’t in balance with your eating pattern. 
  • As a severely restrictive diet, keto can be difficult to stick to in the long term. Yo-yo dieting can keep you from developing the long-term healthy habits that will keep your diabetes well managed.  
  • Lack of nutrients while avoiding certain food groups may require supplementation. Speak with your doctor to see if vitamin and mineral supplements are needed. 
  • Constipation may result, as keto eating patterns are often low fiber. Consider low-carb fiber sources or fiber supplements. 

Is keto good for people with diabetes and high cholesterol

Individuals suffering from diabetes are already in danger of having elevated cholesterol levels and cardiovascular disease. The ketogenic diet, at its core, does not differentiate between “healthy” and “unhealthy” fats … however, it is still important to do so.

Matteo encourages that whatever type of carbohydrate-controlled eating pattern you may choose to follow, it should be beneficial for your heart health.

Your friend who is following the keto diet might say that it is acceptable to eat a lot of butter or the fattiest portions of red meat since the diet primarily consists of fats. We don’t recommend that for anyone.”

Matteo advises that people dealing with diabetes, particularly if they also have elevated cholesterol, ought to pursue a Mediterranean diet. This includes lots of fruits and vegetables, whole grains, legumes, nuts, and moderate portions of lean poultry, fish, and dairy.

Mateo emphasizes that controlling diabetes through diet necessitates a personalized plan. The most effective approach to controlling Type 2 diabetes is a plan that fits with your lifestyle, is supported by your doctor, and effectively manages your diabetes.

Matteo suggests consulting a doctor or registered dietitian before beginning any diet that involves limiting food intake. They can assist you in comprehending your choices, counsel you on whether a certain diet might be advantageous for you and explain any potential risks.

Other beneficial diets

Studies have demonstrated that the ketogenic diet may be beneficial for managing diabetes, while other research has suggested that a plant-based diet might be a better option.

A 2017 study discovered that those who have diabetes and consume a vegetarian diet saw considerable changes in their blood sugar levels and A1c, factors contributing to the risk of cardiovascular disease, insulin sensitivity-related gut bacteria, and inflammatory markers such as C-reactive protein.

Side notes

In the 1920s, the ketogenic diet (also known as the “keto diet” or simply “keto”) was designed as a remedy for epilepsy. Nowadays, this diet has become popular, as it emphasizes fats and proteins and eliminates carbohydrates and sugars almost entirely.

It may seem like the keto diet would be an ideal choice for individuals with Type 2 diabetes due to the emphasis on regulating carbohydrate intake.

Melissa Matteo, a registered dietitian, points out that although the keto diet may be advantageous for certain individuals with Type 2 diabetes, there are numerous other factors to take into account.


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