The keto diet is a low-carb, high-fat diet that aims to force the body into using fat, instead of sugar, as its primary energy source. This metabolic state is called ketosis, and it occurs when the body doesn't have enough glucose from carbs and is forced to burn fat for energy. This process produces ketones, which the body and brain use for energy. While the keto diet has been shown to aid weight loss and improve health, it is very restrictive and can be difficult to stick to. It can also lead to nutrient deficiencies and an increase in bad LDL cholesterol, so it's important to consult a doctor before starting this diet.
Characteristics | Values |
---|---|
Definition | Ketosis is a metabolic state in which the body uses fat and ketones as its main fuel source instead of glucose. |
How to Achieve Ketosis | Stay under 50 grams of carbohydrates per day. |
Time to Achieve Ketosis | It usually takes 2-4 days to enter ketosis, but it may take up to a week or longer. |
Benefits | Weight loss, increased energy, treating chronic illnesses (e.g. epilepsy, Alzheimer's, type 2 diabetes, heart disease, improved metabolic health). |
Downsides | "Keto flu," constipation, high cholesterol, micronutrient deficiencies, kidney stones, dehydration. |
Risks | Diabetic ketoacidosis (DKA), a dangerous and potentially fatal condition, can occur in people with Type 1 diabetes if ketone levels get too high. |
Testing Ketone Levels | Blood tests, urine tests, breath tests. |
What You'll Learn
Ketogenic diets may help with weight loss
Ketogenic diets can cause significant reductions in blood sugar and insulin levels, which can lead to weight loss. One review of 13 studies found that a ketogenic diet was slightly more effective for long-term weight loss than a low-fat diet. People who followed the keto diet lost an average of 2 pounds (0.9 kg) more than the group that followed a low-fat diet. Another study in 34 older adults found that those on a ketogenic diet for 8 weeks lost nearly five times as much total body fat as those on a low-fat diet.
The increased ketones, lower blood sugar levels, and improved insulin sensitivity may play a key role in weight loss. The keto diet is also very filling, so you can lose weight without counting calories or tracking your food intake.
However, it is important to note that the keto diet is not suitable for everyone and should only be done under medical supervision. It is also very restrictive, so it can be challenging to stick to for extended periods.
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Ketogenic diets may help with diabetes
The ketogenic diet can also improve insulin sensitivity and cause fat loss, leading to significant health benefits for people with type 2 diabetes or prediabetes. Additionally, the diet can help lower blood sugar levels and improve insulin sensitivity, which is crucial for managing type 2 diabetes.
Several studies have found that the ketogenic diet can lead to more significant improvements in blood sugar control, A1C levels, weight loss, and discontinued insulin requirements than other diets. The diet may also reduce the risk of developing type 2 diabetes by improving insulin sensitivity and lowering blood sugar levels.
However, it is important to note that the ketogenic diet should be approached with caution, especially for people with diabetes. The diet can be challenging to follow and may produce side effects such as "keto" breath and constipation. It is also important to consult a doctor or dietitian before starting any new diet, especially for people with diabetes, as there may be potential risks or interactions with medications.
Overall, while ketogenic diets may help with diabetes, it is important to approach them with caution and under medical supervision.
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Ketogenic diets may help with epilepsy
The ketogenic diet has been used to treat epilepsy since the 1920s. It is a high-fat, low-carbohydrate, and controlled-protein diet that can be adapted to suit different cultures and allergies. The diet is usually considered for children with seizures that have not responded to medications, but it can also be
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Ketogenic diets may have negative side effects
The keto diet may also cause what is known as the "keto flu", which includes symptoms such as an upset stomach, dizziness, decreased energy, and mood swings. Other possible side effects include digestive issues, constipation, nutrient deficiencies, kidney stones, impaired bone health, and an increased risk of heart disease.
Furthermore, the keto diet restricts fresh fruits, vegetables, whole grains, and low-fat dairy, which are important for long-term weight loss and overall health. It can also be socially isolating and may lead to disordered eating. The diet is not suitable for those with conditions involving the pancreas, liver, thyroid, or gallbladder.
In addition, the high intake of animal foods on the keto diet can cause the blood and urine to become more acidic, leading to an increased risk of kidney stones and potentially worsening chronic kidney disease. The keto diet may also negatively impact gut health due to its low fiber content.
While the keto diet has been linked to weight loss and other health benefits in the short term, it is important to be aware of the potential negative side effects and to consult a healthcare professional before starting this or any other diet.
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Ketogenic diets may be difficult to stick to
The keto diet is very low in carbohydrates, which normally account for at least 50% of the typical American diet. This means cutting out all bread, cereal, grains, beans, fruits, and starchy vegetables. The diet is also high in fat, with 70-80% of calories coming from fat sources such as oils, nuts, butter, and avocado.
Because of these stringent food restrictions, many people find the keto diet hard to stick to. The diet can be socially isolating, as it may be difficult to eat at restaurants or social gatherings without careful planning. Additionally, the high-fat nature of the diet can have negative impacts on heart health, and it may be difficult to get enough nutrients, leading to deficiencies and side effects like "keto flu."
The keto diet can be effective for weight loss in the short term, but it lends itself to yo-yo dieting, which is associated with increased mortality. For this reason, experts recommend balanced approaches like the Mediterranean diet for long-term weight loss and health.
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