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Is A Ketogenic Diet Good For Diabetics?

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Comparing Three Popular Diet Trends: Paleo Vs Keto Vs Mediterranean

If you’re looking to be the fittest you can be you’ve undoubtedly looked into the diets that are likely to support your goals. You’re interested in being lean, maintaining muscle, peak performance and blowing away your doctor every time at your yearly physical. Unless you really are a cave dweller, you have heard of the Paleo (or similarly named) diets before. If you follow biohackers and scientific diet research, you’ve heard of the Ketogenic diet. And, if you ever watch or read the news, you most certainly have heard of the Mediterranean diet. Have you given any of them a try, maybe skimmed the surface or are considering which one might be best for you? When it comes to these three popular diets, Christopher Gardner, Ph.D. Professor of Medicine and Director of Nutrition Studies at Stanford University says, “the public health community should be open to these, and every other diet. We have an obesity epidemic that we haven’t been able to solve, and this goes hand in hand with a chronic disease epidemic that is crippling the health care system of the US.” So let’s look at these three diet trends, two of which have reliable research to back them up. They all include Continue reading >>

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  1. xenia

    I have a few questions about a ketogenic diet.
    1) Lately, I have probably been eating less than 50 grams of carbs a day. Is this ketogenic?
    2) If someone is on a ketogenic diet, does this require urine testing at home? Is this suggested or necessary? Do you?
    3) Are there known risks for being on a severely carb restricted diet that one should be aware of?
    I seriously dont want to "hassle" with counting carbs, so I've thought to myself I will cut out the obvious ones then I wont have to count. Most recently, I've eliminated breads, rice, pototoes, sweets, and only eat carbs that end up in nuts, yogurt, low carb veggies, berries, etc. So based on that I am guessing that I eat 60 g of carbs a day, or less. Possibly much less on many days.
    Today for breakfast, I had scrambled eggs with sauteed peppers, and chedder cheese.
    Lunch was a small bowl of broccoli cheddar soup, with less than 10 grams of carbs (per the container)
    Supper was a 7 oz hamburger with about 3/4 cup strawberries. It was an early supper so I will have some Greek yogurt with nuts or something later.
    How does that sound?
    Yesterday, for breakfast I had a chocolate protein drink and 3 brazil nuts
    Lunch - turkey lunch meat, a couple slices of cheddar cheese, and a big handful of grape tomatoes.
    Now here is the clincher: For supper, I made some homemade "chicken pot pie mixture" and I didnt have it with the biscuit on top. I knew that I put flour in there, to thicken the sauce, and peas and carrots with carbs. I knew it was not a pristine choice (my husband couldnt stop raving, of course) I think it was the "Pizza Effect" I've heard about through this support community, as my BG didnt rise too much immediately after that - 118 at one hour, and 96 at two hours I was shocked, actually. But when I went to bed, it was 128! (I realize that it could have risen, "just because" as well.) For me, at that hour, that was a lot. And then all day today, higher than normal, even with low carb eating and a 30 minute walk.
    So I feel like I HAVE to basically eliminate most carbs from my life to maintain AS NEAR TO NORMAL NUMBERS AS POSSIBLE - is my goal. My ideal would be most of the day, under 100. Which means a very low carb, or ketogenic ? diet.
    Which is why I need to know more, from your perspective, about this diet. I LOVE my doctor, he's the greatest, but he is still suggesting 40 g of carbs at each meal. We've had plenty of discussion about that mindset. My dietician, too.
    So what do YOU think about a ketogenic diet - its safety, whether you need to test your urine for ketones, what numbers of carbs actually constitute a ketogenic diet? Does what I am doing sound like a ketogenic diet (minus the pot pie, no biscuit?)

  2. lowcarbwalking

    Hi Xenia,
    Here is my experience with doctors and a ketogenic diet:
    1. Internal medicine doctor who diagnosed me with diabetes:
    She had one patient who used the Keto eating method and it worked/s for him. She did not know enough about it to tell me how to do a ketogenic diet. She said, find info on the the web or get a book.
    2. My longtime endocrinologist:
    WHAT!?! A Keto Diet, that will make you sick. Very bad idea, don't do it, I don't recommend it.
    3. What I did:
    Read the book, "Art and Science of Low Carbohydrate Eating" and Dr Bernstein's book, " Diabetes Solution". Both were in my local library.
    4. MY RESULT: Stayed on a Keto diet for 18 months. Lost 72 pounds without counting calories. BLood glucose numbers returned to normal. Have had normal range a1c's for last 6.5 years eating 50-70 grams of carb a day. 50-70 grams a day of carb does not put me into the Keto range.
    5. Last Visit with the ENDO who told me KETO was a bad idea:
    Saw my Endocrinologist this past Monday. She praised me highly for another A1c in the normal range and fasting blood glucose test in normal range. She says she does not consider me to have diabetes any longer and writes in my chart each time I see her: No clinical evidence of diabetic disease
    I have Keto test strips but only use them when I am ill to check to see if I have ketones and need to go to urgent illness for rehydration and anti nausea medication
    Different people get to the stage of having ketones at different levels of low carb eating. It depends on your body size, activity level,and possibly other medical conditions. Most women will not be in the Keto range at 50 plus grams of carb. Most people will be in Keto range if they eat a total of 20-30 grams of carb a day. It takes a few days to maybe a week of eating very low carb to attain Keto range.
    There are a number of closed Facebook groups you can join that are all about the Keto way of eating.
    More and more doctors and other medical professionals are coming around to using low carb including Keto diet as a recommendation for people with diabetes.
    There are and have been a number of poeple on this forum over the years that have done Keto or are doing Keto.

  3. maryd98

    I've read quite a few posts here from different people who've either tried a keto diet or who follow it regularly. I've never done it myself, but it seems to work for some people.
    Personally, I feel like the more 'balanced' I can make my meals/snacks, the more I'm able to stick with the plan over the long haul. I don't like the idea of cutting out any food group --or even any particular foods--except the ones I don't like! I do avoid dairy, because I'm lactose intolerant, but I have things like soy milk and vegan/veggie/nut cheese. If I have regular dairy, I get sick, so it's easy to cut that out.
    I focus on my BG trends and patterns more than on specific numbers on specific days. I do not try to maintain non-diabetic BG numbers 100% of the time. Still, the goals I've set are attainable and have kept me in good health; after living with T2 diabetes for 18+ years, I manage it without meds and have no signs of compications (knock on wood!).
    We each have to find our own way to live with diabetes and manage it so that we avoid complications. I would not advise anyone to follow a ketogenic diet, but like I said, I have read of people who do follow it, and they seem to be happy with it. I've read some negative comments, too, by some who've tried it. There's no single plan that works for everyone with T2 diabetes.
    I wish you good luck and good health as you continue on your journey!

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