Thursday, September 29, 2022

Why Is Keto Diet Bad For Diabetics

Adherence Can Be A Problem

IS KETO DIET GOOD FOR TYPE 2 DIABETES? The good, bad and ugly of KETO for insulin resistance

If you have tried keto , even for a day, you can probably resonate with this. You hang in through the first few hours. Maybe through the first day. Maybe even day two or three. Maybe its been three months. It really doesnt matter it is inevitable that eventually, the cravings startand they are STRONG.

Oh, I can have some carbs now, it wont matter much, you justify to yourself. You cave.

The results are like the pop-up ads on your Internet browser. Congratulations! Youve just restarted the keto adaptation process. Anything you previously did is now for naught. Thanks! *browser closed automatically*

Granted, the longer youve been keto, the easier the re-adaptation process, but during that initial transition, it is IMPERATIVE that one maintains the correct macronutrient split or the adaptation will not occur.

Since that process is neither glamorous nor comfortable, not many can push through with near perfect consistency, myself included.

As you can hear, I found keto to be rough going but, again, your experience may be different.

What Is Diabetic Ketoacidosis Exactly

is caused by a lack of insulin available for the cells to adequately uptake the sugar in the blood to use for energy, explains Malkoff-Cohen. Without enough insulin, your body begins to break down fat for energy, and ketones are then released into the bloodstream, where they cause a chemical imbalance in the blood called metabolic acidosis.

Whereas ketosis is natural and harmless, diabetic ketoacidosis can be life-threatening if left untreated. Too much acid in the blood can poison the body, causing loss of consciousness and death. Ketoacidosis is most common in people who have type 1 diabetes, but it can sometimes develop in type 2 diabetes due to low insulin levels.

RELATED: Everything You Need to Know About Insulin if You Have Type 2 Diabetes

Ketoacidosis is rare in people without diabetes, but it might occur in cases of starvation. A study published in October 2015 in the Journal of Medical Case Reports found that a low-carbohydrate diet combined with lactation could potentially induce ketoacidosis in women without diabetes, but more research is needed.

  • Confusion

Keto Diet And Diabetes: Do They Work Well Together

By Annie Price, CHHC

Do a keto diet and diabetes make a perfect match? Some experts and diabetics think so! When you follow a keto diet, your body converts fat, rather than sugar, into energy which may improve blood sugar levels while also reducing the need for insulin.

In many ways, a ketogenic diet seems like its made for people trying to avoid or manage diabetes because it takes away two of the most concerning aspects of most diets sugars and carbohydrates. While following this new way of eating, diabetics have seen drastic reductions or even elimination of their medications .

And dont worry this diet doesnt make you feel deprived. If anything, it has a reputation for making people feel very satisfied and energetic once they reach a state of ketosis. Lets take a look at whether or not the keto diet may be a healthy choice for you and your diabetes management!

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Keto Diet And Exercise

Starting on a ketogenic diet can influence your exercise performance in multiple ways, both positive and negative. During the first 1-2 weeks , you will most likely see a decrease in energy and athletic performance across the board while your body adjusts to the new diet. This is perfectly normal and should NOT be a cause for concern or make you abandon the diet.

When your body has adapted to the ketogenic diet, you will most likely experience that cardio returns to its previous level of difficulty, but strength training may or may not be harder.

What Is The Keto Diet

Is the ketogenic diet dangerous?

Itâs a low-carb, high-fat eating plan. Most of what you eat is fat, whether thatâs unsaturated fats like nuts, seeds, and avocados, or saturated fats like butter and coconut oil. About 20%-30% of your diet is protein, either lean or fatty . Youâre supposed to strictly limit carbs, even those that are typically considered healthy, such as beans, whole grains, milk, and many types of fruits and vegetables. On the keto diet, you eat less than 50 grams of carbs a day. To put that in perspective, one medium apple has 25 grams of carbs.

How does it work? Normally, your body fuels itself from sugar, or glucose, that it gets from carbs. After a few days of the keto diet, your body runs out of glucose. So it starts burning body fat instead. This is called nutritional ketosis. It creates fatty acid substances called ketones, which your body can use for energy.

Also Check: Does Keto Raise Blood Pressure

Keto Adaptation Is Rough

It takes a while to become what is known as keto adapted, which is your bodys way of saying hey, I got this, Im ready to mainly burn fat!

According to keto expert Ariel Warren, RD, CD, the exact length of the adaption period usually depends on how many carbohydrates you are used to eating. Around 2 weeks if you have eaten a relatively low-carb diet previously, 2-4 weeks for a more moderate-carb diet, and 4+ weeks for high-carbohydrate diet.

At the start of the adaption period, your body is rebooting what it has known for pretty much your entire life. Your brain is used to running on glucose and suddenly it doesnt have it. Now, it CRAVES it. Youre in glucose WITHDRAWAL.

Some describe this phenomenon as the keto flu, where you basically feel the opposite of everything promised sick, fatigued, nauseous, mental cloudiness, etc. its not very pleasant.

Oh, and I should probably also mention that low carb means low fiber pooping could be an issue. Its often recommended to add extra magnesium, potassium & sodium to your diet to help help your digestion elimination process.

However, if we look positively, it also means youre doing something right if you experience this, butwho wants to self-inflict that kind of discomfort? I did, and it was not fun. On this note

The Keto Diet And Medication

Certain medications just dont mix with a keto diet.

Your doc will be able to tell you if any of the medications youre taking will react negatively to ketosis or a low carb intake.

If youre on any of the following meds, a keto diet probably isnt a viable option:

  • Sodium-glucose cotransporter 2 inhibitors. These are common medications given to people with type 2 diabetes. Even on their own, SGLT2 inhibitors increase the risk of ketoacidosis, so combining them with the keto diet is extremely dangerous.
  • Certain antipsychotic meds. Medications like risperidone , aripiprazole , and quetiapine fumarate may increase insulin resistance, which makes it harder for your body to break down ketones. Again, combining a keto diet with these drugs massively increases ketoacidosis risk.
  • Some epilepsy drugs. In particular, divalproex sodium , zonisamide , and topiramate may interact with the effects of the keto diet.

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What Is The Ketogenic Diet

Despite its recent rise in popularity for weight loss, diabetes and more, the ketogenic diet was developed as a medical nutrition therapy intervention for epilepsy in the 1920s. Though it may seem like a fad diet, this approach has true clinical application in the appropriate settings .

The ketogenic diet is a high-fat, moderate-protein, low-carbohydrate diet. Usually 5 percent or less of energy intake is from carbohydrates. In contrast, the Dietary Guidelines recommend that 45-65 percent of daily calories come from carbohydrates.

The body prefers to use carbohydrates, broken down to glucose, as its main energy source. When your carb intake is extremely low and glucose is not available for energy, the body enters a metabolic state called ketosis where it breaks down fat for energy instead. In this state, the body uses ketone bodies for energy instead of glucose until you start eating carbohydrates again.

Meat Meat And More Meat

Ketogenic Diet for Diabetes (Part 1)

So what makes Keto unlike other diets? Meat, meat and more meat. There is no meat or fish that is off limits on keto, including the usually verboten bacon. Non-starchy vegetables like Brussels sprouts and cauliflower are encouraged, as are oils, butter and lard. Cheese and Greek yogurt can also be staples of a keto diet.

However, this diet isnt for everyone. If traditional bread, pasta, rice, potatoes and/or fruit are what you live for, then you might just be miserable on keto. However, if youre open to exploring different tastes, then the good news is there are substitutes for many of these foods. Cauliflower pizza crust, rice, and even gnocchi zoodles almond flour bread and almond milk are all readily available from most stores now. A small amount of berries is acceptable, but for the most part say goodbye to apples, melons, plums and peaches. Booze and sugar are also out, but if youre living with diabetes, you likely already know how to manage these desires.

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Enjoy Our Delicious Low

Though the keto diet may seem like a magic bullet for people with diabetes, life is rarely that simple. Instead, the best option may be eating a balanced diet designed with your nutritional needs in mind. However, if you are curious about the keto diet, ask your healthcare provider about what you should do to get started.

Are you interested in finding high-quality, low-carb recipes that have been written specifically for people with diabetes? US MED has put together a collection of these recipes for you. Our recipe database is easy to use and 100% free try it out today!

US MED is also your one-stop shop for diabetes testing supplies, insulin pumps, and continuous glucose monitors, always shipped for free with 90-days supplies.

Medical Review by Shirley DeLeon, Certified Diabetes Care and Education Specialist

Different Types Of Keto Diets

What all of these types of the keto diet have in common is their goal to get your body into the natural metabolic state of ketosis so you can burn fat, instead of carbs, for energy.

Standard ketogenic diet

Consuming a high-fat, moderate-protein and low-carb diet. The percentages of your daily diet should be about 75% fat, 20% protein and 5% carbs.

High-protein ketogenic diet

Similar to the SKD, but with added protein. The ratio is about 60% fat, 35% protein and 5% carbs.

Cyclical ketogenic diet

Involves 5-6 days of the SKD followed by 1-2 days of refeeding days where the majority of calories come from carbohydrates.

Targeted ketogenic diet

Eating carbohydrates around the times that you exercise. Meant for people who are regularly working out at a very high-intensity or for an extended period of time.

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What Is Ketosis And How Does The Process Work

Ketosis vs. Ketoacidosis: The Diference and Risks

Ketosis is a natural state that occurs when you start to metabolize fat instead of sugar, says Michael Greenfield, MD, endocrinologist and chief medical officer at El Camino Hospital in Palo Alto, California. It occurs often when people fast and use up the stores of sugar in their body.”

To understand ketosis, it helps to understand how the body burns energy. Carbohydrates and fat are both energy sources, and the body typically burns carbs first, and then fat. If there arent enough carbohydrates in your system, it begins to break down fat for energy, which puts your body into a state of ketosis.

While in this state, the body becomes a fat-burning machine. For this reason, ketosis is the goal of many diets, particularly those that restrict carbohydrate intake and rely on fat for energy, such as the ketogenic diet.

RELATED: What to Eat and Avoid on the Keto Diet

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You Have Access To More Energy For Cardio

Your body stores a lot more energy as fat than it does as glycogen . A keto diet allows you to tap into that reservoir of stored fat energy more easily.

This is why you sometimes hear about endurance athletes who have successfully switched to keto and continued to perform at a high level because they no longer hit the metaphorical wall. They have access to a gigantic reservoir of fuel that was previously more difficult and took longer to access

Can Ketosis Be Beneficial For Diabetic Patients

The Ketogenic Diet has been recommended to patients with Type 2 Diabetes to ensure that they have a sufficient fuel supply from the high-fat intake. This is because there is usually not enough insulin to process the glucose.

However, diabetic patients need to monitor their ketone levels as ketoacidosis may occur due to high concentrations in their urine. Furthermore, a ketogenic diet comes with unwanted problems such as nausea, excessive thirst and hunger, fatigue, and headaches. If you have diabetes, you will not want to struggle with all these possible side effects and risks.

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The Story Behind How The Ketogenic Diet Came To Be

The ketogenic diet was originally formulated by doctors to help treat people with epilepsy, and it was found especially effective in children who didnt respond to medication.1,2 Indeed, the keto diet has been found to reduce the frequency and intensity of seizures, which are common complications of this condition.

This high fat/low carb diet may also help improve certain other neurological disorders like Alzheimers disease and Parkinsons disease,3 according to the Epilepsy Foundation. More than half the children with epilepsy who were put on the diet experienced half as many seizures, while 10 to 15 percent of the patients who followed this diet became seizure-free.

The keto diet has also been studied as a possible cancer therapy. In a study focusing on people with cancer who followed the ketogenic diet as a medical therapy,4 the authors reported: There is a great need for complementary approaches that have limited patient toxicity while selectively enhancing therapy responses in cancer versus normal tissues.

Ketogenic diets could represent a potential dietary manipulation that could be rapidly implemented for the purpose of exploiting inherent oxidative metabolic differences between cancer cells and normal cells to improve standard therapeutic outcomes by selectively enhancing metabolic oxidative stress in cancer cells.

The keto diet is not for children or adolescents either, and a long-term complication can be growth retardation in children.5

What Is Type 2 Diabetes

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Type 2 diabetes is a metabolic disorder characterized by high blood sugar and insulin levels. Often, the risk of type 2 diabetes is increased by obesity, and may additionally lead to high blood pressure, and high triglyceride levels. This state of metabolic unrest can also be known as metabolic syndrome.

When someone has type 2 diabetes their risk for chronic disease skyrockets. This means a higher risk of heart disease, cancer, Alzheimers, and many other degenerative conditions.

At its core, the problem of type 2 diabetes is a problem with insulin function. Insulin is your blood sugar boss. It gets released by the pancreas after you eat to store excess blood sugar as either glycogen or fat.

But when blood sugar keeps spiking , your glycogen storage capacity in muscle and liver tissue quickly fills up, like an overhead compartment stuffed with luggage. As a result, insulin has only one place to shove the excess sugar when you over-consume calories or simple carbs: Into the belly of the plane as body fat.

In other words, the cells that normally hold blood sugar as glycogen stop listening to insulin. They just cant store any more of it! But fat cells still can.

This is called insulin resistance, and its at the center of type 2 diabetes. When someone is insulin resistant, blood sugar stays high, insulin levels stay high, and runaway fat storage ensues.

Deep Dive: Insulin Resistance, Inflammation, and Obesity

Where Keto Comes In

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Here Are Three Specific Ways That Keto Improves Diabetes:

#1: Weight loss

Standard diabetes protocols attempt to stimulate weight loss through calorie reduction. Unfortunately, long-term calorie restriction leads to a sustained metabolic slowdown, and the weight comes back when normal portions are resumed.

Keto, however, has been shown to help with weight loss and weight maintenance in obese and diabetic populations. In one study sponsored by Virta Health, type 2 diabetics lost an average of 30.4 pounds after one year of supervised Keto dieting.

Why does Keto get these results? One big reason: By reducing hunger hormones like ghrelin and neuropeptide Y. The result is less hunger, less overeating, less weight gain.

#2: Blood sugar control

High blood sugar, or hyperglycemia, is the primary clinical feature of type 2 diabetes. Its diagnosed by measuring fasting blood glucose or average blood glucose .

What raises blood sugar? Carbs! Diets high in simple carbs like sugars, refined flours and grains, high-sugar fruits, and dairy have been shown to worsen hyperglycemia in diabetics.

Keto is the opposite of a high-carb diet. By keeping carbs low, the Keto diet removes the dietary driver of diabetic hyperglycemia.

#3: Insulin function

Those with late-stage type 2 diabetes often need insulin injections to manage their blood sugar levels. But since insulin itself isnt the problem, but rather the bodys healthy management OF insulin, this is more of a bandaid than a cure.

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