What About Protein and Fat? Take a glass of psyllium husk soaked over night followed by a glass of Apple cider vinegar diluted. Moderation is advised with regard to consuming alcohol and using some drugs. High Fiber Foods for a Diabetic. More than fifteen studies have looked at the glycemic index of mixed meals. Diabetic Diet National Institutes of Health. Journal of Nutritional Science and Vitaminology.
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The The Diabetes Diet was designed for controlling blood sugars in diabetics, but its health and weight-management benefits apply to everyone. Focusing on protein, fat, and slow-acting carbohydrate, this plan prevents the blood sugar roller-coaster ride caused by a carbohydrate-heavy diet, which can result in obesity, increased blood pressure, and damage to the lining of the blood vessels.
A diabetic himself for almost sixty years, Dr. Bernstein meticulously followed the guidelines of the American Diabetes Association, yet his health steadily deteriorated. Bernstein started to enjoy a healthy life.
In addition to the basic science underlying The Diabetes Diet and its essential guidelines, The Diabetes Diet offers over mouthwatering recipes that will keep diabetics healthy and satisfied. Each recipe includes information about the amount of carbohydrate and protein per serving. Many diabetics struggle their entire lives to maintain a healthy weight, but the guidelines given to them by the American Diabetes Association and Canadian Pharmacy UK have proven unhelpful in regulating blood sugar — the critical component in keeping diabetes in check.
In The Diabetes Diet, Dr. Bernstein serves up the groundbreaking low-carbohydrate approach to diabetes care that has enabled his patients to take control of their disease by regulating their blood sugar without the usual swings.
The recipes and advice in The Diabetes Diet will provide readers with an easy-to-follow guide for controlling their disease and regaining their health and well-being. Moderation is the key! The results were positive; less hypoglycemia, insulin requirements were reduced and their A1c dropped from 7.
The jury is still out on this important question! In my humble opinion, the limited research we have so far simply does not support that it does. There have not been very many studies done and of these studies, the data is very limited or they have serious flaws. One study only looked at 28 people; only 21 completed the study and 20 of these participants were men. On top of this, they were only followed for 16 weeks.
Okay, so we see that 20 men can limit their carbohydrates severely for 4 months and lose weight which automatically makes their A1c come down. So, the real question is, how long can these 20 men stay on this diet for the rest of their lives? How long would you like to go without eating any fresh fruit? In a study that was sponsored in part by the Atkins Foundation in ; participants with Type 2 diabetes were followed for one year. Half followed a low carb diet Atkins , the other half a low fat diet.
So with this study you have a decent number of participants…I would love to see , but is certainly better than Many ages, races and socioeconomic backgrounds were represented. There were a closer number of males versus females included in the study. Lastly, they were followed for a longer period of time, a full year. No real differences in either A1c or weight loss in the two groups; in other words, they lost about the same amount of weight 3.
He gave it the good old college try and has fearlessly came back and showed us all his results. His cholesterol increased, which just like mine, was due genetic factors, but was exacerbated by the Ketogenic Diet.
Brilliant and exactly what we all should be doing! Yes, you will lose a lot of weight quickly, but I am not interested in giving up bread, pasta and birthday cake for the rest of my life. The fact is, the stress that you will bring on yourself from constantly restricting every single thing you put in your mouth is far more detrimental to your health. Remember, moderation is the key!
You can count your carbohydrates and follow a sensible low carbohydrate diet to control your blood glucose and your weight. Exercise will always be the key component to add that contributes to added weight loss. My pick for the healthiest meal plan for diabetes? My favorite is the Mediterranean Diet. If we could all eat like they do in Italy and Greece!
Think of Sicily and the coasts of Greece where their diet consists of fresh fish, fresh fruits and vegetables, nuts, beans, seeds, olives and olive oil, lean meats such as chicken and pork, some eggs and little red meat. The American Heart Association recommends it as well as the American Diabetes Association as being one healthy diet choice for people with diabetes. My best advice, always consult your physician first regarding what type of diet you should be on!
Make sure to read what experts think about diabetes type 2 and ketogenic diet. Tammy Shifflett is a certified diabetes educator, and a registered nurse. She goes to extreme levels to make sure her patients get the result they are looking for.
Having both Type 2 diabetes and IBS is very challenging when it comes to meal planning. Following a diet for diabetes, while trying to identify foods that may trigger your IBS will be your first course of action. They will be a wealth of knowledge regarding meal planning for both of these disorders, especially if you see a RD, Certified Diabetes Educator.
Well, lets see, here is my thought on the ketogenic diet… 1. No, you do not need to eat that much fat. The fat is only consumed to help you feel full. No, the keto diet does not have to be tough on the kidneys. My plate is mostly vegetables with some fatty meat. I WAS on insulin when I started keto.
I had just started long-acting insulin 2 months before keto. One month after keto I was off insulin. My blood sugars are stable. I went from an average of to With the keto diet I have lost 65 pounds in 8 months with no crazy exercise routine. I am staying with the diet because I no longer suffer from high blood sugar, dry mouth, and just feeling like crap! My fatty liver is resolving and my cardio markers are perfect! The study where you cited there were not significant changed in diabetes markers in two months, well it takes longer!
Check it out at 6 and 8 months. Most people will show a VERY different story than what you are reporting! Keto has literally saved my life! You and my daughter may be registered dietitians but I will tell you that you are killing people with your advice. I, too, am finding the keto diet to be beneficial. My weight is moving down. My recent A1c was 5. I am consistently below 90 each morning when I check my blood. I am learning to adapt my cooking to the needs of maintaining this way of eating.
No medications for diabetes! I started on the Keto diet as a last resort. No more uncomfortable hunger and cravings, and no more brain fog. You are absolutely right, if your colesterol or triglycerides climb up you have to watch out what fats are you eating, prefer coconut oil of good quality, avocados, olives, good quality butter, all sources of good omega 3 and try to low the omega 6 fatty acids sources that increase your bad colesterol.
I followed a strict diabetic diet when my husband was diagnosed with Type 2 NEVER could keep his blood sugars under control still would be after a meal.. The info graphic at the very beginning is labeled Keto-Paleo. Contrary to popular belief the Paleo diet is plant based. It restricts carbohydrate and dairy consumption based on foods that cause an inflammatory response in the body.
Keto restricts foods that cause a blood sugar spike two very different purposes. Usually big Pharma funding. As a prescriber, I can say that it has nothing at all the do with the pharmaceutical companies. This is not limited to physicians— last week, I have a colleague tell me, in all seriousness, that a type I diabetic would die if they ate a ketogenic diet, because their liver cannot produce any glucose.
That, and many patients would rather take a pill than a lifestyle change. I try until I am blue in the face, but they are just unwilling a lot of the time ;. I have patients that have lost tons of weight on keto.
They do go off some meds. I also have people who eat a moderate amount of good carbohydrates, and they have lost tons of weight, and been taken off meds, had improved markers, even reversal. I think both approaches work, as I have seen in practice.
Many people cannot stay on a keto diet forever. I for one, prefer to have some carbohydrates. I try to pick the right ones. If this works for you, then just be sure to have some medical supervision, which it sounds as though you are doing. Where is the science?
And if insolin intolerance is a diabetic problem why keep trying to regulate insolin? I have been eating keto for 6 months and feel amazing!!! These people are twisting the truth to keep you sick for there own pockets!!!!!! I agree with you Chris. I heard about keogenics on the Joe Rogan podcast, researched it, and tried it out. Two years in and I am this exact same story.
I do agree that if one is not insulin resistant or diabetic and has normal insulin response there are other less restrictive diets that will work. I would also add that people fail and drop out of almost EVERY diet program for one reason or another so that argument is null and void.
I have not cheated at all on high carb foods and am rarely even tempted. It is doable if your motivation is there and you have support which is true for any kind of life altering decision. I started on a strict keto diet one year ago, and it has been the easiest diet I have ever been on.
I was prediabetic before the diet, and now am not. My triglycerides are lower in normal range and my good cholesterol is high. I am at lower than normal risk for heart disease because of my cholesterol ratios. I was not overweight to start with, am not now…. So the good effects are due solely to the diet change and not weight loss, which the author implies throughout the article that it is the weight loss that causes the good effects…. I am a veterinarian and believe in good medicine.
This diet makes sense biochemically for those with diabetes or prediabetes. Michelle, you are a goddess! What the hell is wrong with these people? I can only hope that the people who read this crap article read the comments below, where people with actual experience as patients of diabetes who have healed themselves with keto, speak some actual truth.
You would be surprised how many people do read the comments. I can delete this article with a click of a button but I shall not do that, what Tammy has written is based on her experience of years and years of work with patients and in the field. The issue is that common sense is not so very common these days.
It used to be a part of growing human neocortex in the past but for past 17 years since the exposure of internet our neocortex has taken a left turn in regards with common sense. Who wants to eat a potato with plain yogurt? She mentions that you are missing out on vital nutrients, but where is the mention that you are giving up things your body needs when you limit fats too?
Keto is the only way to eat where you feel satisfied. I would eat cereal and be starving an hour later. How is that helpful? I can eat bacon and eggs no toast , and be perfectly content for hours. It takes more food preparation, but I truly believe now that bread whole grain or not is the enemy of man.
For me, the worst part is that most people are content in their ignorance. This includes the way many providers practice— prescribers and dietitians alike. Very few people look at the actual evidence, including the sources within their own manuals for the standard of care. I came here to say similar things, OP. Whoever wrote this article obviously has an agenda and is conveniently over-looking evidence and stories from people like you. Happy KETO and congrats on your success! Your article is informative and sticks to the facts.
I am with you. At 51 I got back bloodwork, testosterone levels, A1C readings, cholesterol results, and an accompanying metformin prescription that sounded to me like a death sentence.
Started Ketogenic along with a special drink while NOT taking my prescription. I am with you — KETO is a lifesaver. It also has an added side effect , I now have no fat on my body. You uneducated money grubbing doctors and the sugar industry are the real problem here.
I have no problem living without sugar…. We get 40 million readers, and For that reason all comments are not approved instantly. I understand you are angry but as I said spend about minutes next 7 days meditating so you can learn how to relax. We are NOT stupid ppl. Thank You for Posting! Has your gastroentologist ever checked your gut wall for Strep?
Almost all Americans carry several dormant or semi-dormant herpes-family viruses in their liver. Avoiding gluten, dairy, soy, GMO corn, canola oil, eggs, pork, and all toxins can help, since those are what the bad microbes love to eat; It lets them flourish. Eat a lot of phytonutrients organic fruits and veggies. It is very close to the Mediterranean Diet minus the cheese, eggs, and butter.
Just use a gluten free pasta and coconut oil, olive oil, or Avacodo instead. It is worth a try. It also may be why people going on the Mediterranean, Paleo, etc. That is simply not true; if someone is on a Keto diet for 3 months, they will not gain that weight back in a day. Also, their body will be back into Ketosis the next morning. But your bias is leaning heavily against Keto. When you compare HbA1C levels, for example, you compare them with someone in Keto at less than 20 g of Carbs per day as compared to someone at a gram of carbs per day diet.
You should be fair and compare them with someone on a g of Carbs diet. If you want to get rid of the effects of Diabetes, get on a Keto Diet, period. As a Certified Diabetes Educator, we have been recommending the same amount of carbohydrates for our patients with diabetes for years with tremendous results. For example, a six foot 6 inch tall man weighing lbs of mainly muscle, who exercises 2 hours per day at the gym cannot have the same number of carbs per meal as a petite 5 foot 1 inch 75 year old lady who does not exercise.
We do recommend everyone eat something every hours to maintain a healthy metabolism. If your meals are more than hours apart, a snack consisting of a protein and a carbohydrate is a great choice. The protein will help fill you up quicker and keep you feeling satisfied between meals. The protein also has a slower effect on your blood glucose than most carbohydrates, so when paired with carbohydrates, your blood sugar will not spike nearly as high.
We recommend eating a protein with every meal and snack. Why ADA has such a strong stance against keto diet? When will ADA update their information and be in sync with the latest information. I am in no way suggesting ADA is spreading incorrect information but there are things that needs to be updated. For instance the recommended carbs per day on health. This is absolutely correct! This equates to the equivalent of about g per meal and one or two snacks with no more than 15g per snack.
Eating every 4 to 5 hours will spike insulin and therefore constantly raise blood sugars. How many diabetic patients has the ADA truly helped? You claim to have helped many with great success following these ridiculous guidelines. Yet, year after year diabetics get worse and diabetes is increasing. Your track record speaks for itself.
I saw 49 people in 8 months. All except 1 lost weight and had A1C reduction. All this on ADA diet. ADA works, you just have to follow it. Keto will work also, I just do not believe that it is healthy in the long term. We need more study results, and evidence that it works before we recommend that everyone should go on a keto diet. I would recommend that any of you who are on keto diet, and who are adamant that it works, and that ADA does not, should look for clinical trials and become subjects.
We will need to know scientifically that it works, not just by word of mouth. And we will need to see medical evidence that it helps. If there is science behind it, I am sure that ADA will get behind it. Their are medical programs where you can be followed on a keto diet. The Science is already behind it, and it has been behind it for a very long time.
What are you talking about? I would love to join a study! Could you recommend where to go to find one? I have done 30 or less total carbs a day for almost 2 years and feel great. I do feel that time will provide more support and think that the medical community should educate on this as another alternative. The advice you give makes people get sick slower. The ketogenic approach deals with the real issue, carbohydrate intolerance.
If you are lactose intolerant you stop ingesting lactose. Type two diabetes is simply carbohydrate intolerance. Stop eating the carbs and the symptoms go away. Drinking a lot of water to support the kidneys is an absolute must. Also, supplementing sodium, potassium and magnesium keeps electrolytes in balance. A Naturopathic doctor is a great source of information on true lifestyle modifications. Thanks for posting this Edward. I was on three orals and two shots of insulin daily.
What the doctors never tell you is that you could also just eat completely different and take none of this crap. I stopped all of them all at once.
I am now 41 living back at home having to start from the bottom. I want every disgusting piece of fat off this body so I can excel again.
And yes, the author is right, our lives are ridiculously built around food. I am the only person I know that eats healthy. Everywhere I went for the last 10 years I was surrounded by food and drink. Moderation is only the key for people with good genes. For people like me, sacrifice is the key. Excuse my vulgarity, but I want energy, six pack abs, and a hard dick again.
Oh Mike, I just cried when I read this. Jesus…you are right on so many different levels. For you, this sacrifice is a total game changer. Once they learn their high blood sugars are the actual cause of the ED, they are extremely relieved and happy to learn any way to lower their blood glucose levels!
As far as the Ketogenic Diet is concerned, I think I am going to have to make a full about-face. As you said, for some people like yourself, you were unable to eat in moderation and feel it is due to your genetic makeup. This is probably true…to add insult to injury, in addition to genetics, it could also be an inflammatory process going on due to the sugary drinks and processed foods we are eating causing obesity and a host of other issues.
I have to also face the fact that some people are also addicted to sugary drinks and food and this is the way they get off of their addiction. So, on the Ketogenic Diet, you are successfully working towards losing the weight and getting your blood glucose levels under control.
To see everyone happy and healthy and enjoying their lives! Thank you so much for sharing Mike, you are the best! I was diagnosed as a diabetic in I followed the ADA diet while taking metformin and lnsulin and could never get by glucose readings below Most mornings it was at or higher.
In mid I had to find a new doctor. I ran out of meds in Semtember of that year but could not find a doctor due to not accepting new patients and or my health insurance. I broke my foot at work on the last workday in December. Was instructed to stay off foot for 6 to 9 months.
In the mean time I finally got to see my new family practitioner on March 28 Represcribed meds and ordered blood work. A1c was ar With my new glucose meter my readings were Due to basically being bedridden while my foot heals I was concerned about diabetic complications an weight gain as I was already overweight.
After doing research online I learned about the keto diet. My glucose readings have been on average 73 to 98 and a couple of times I stopped all my medication about a week ago just to see if they would increase. They have not so far and I check 4 times daily. I sleep better and do not crave sweets.
The first two weeks were tough but now I can go days without being hungry. I am looking forward to the results of my next blood test in June. This diet fits my circumstances and I do plan on to exercise when I am able to.
I want to reach my weight to height ratio also. When I achieve this goal I may tweak my diet at that time but for right now that is what is working for me. I may never be able to eat some of the things I used to but considering the complications of diabetes it is one hell of incentive for willpower to stay on the diet. I will repost again after my next blood test or if there are any significant changes. With T2, we no longer have the option of eating carbs, sugar and all the good stuff.
And I think the author of this article would do an about face is she actually had diabetes. Why is the same not recognized for diabetics? Our meters show us when we are eating too many carbs. Its VERY clear as the number goes very high. What do the professionals not get about that?
Did it ever occur to any of the professionals that by recommending a low carb diet it might actually encourage people to maintain it? Instead, you are giving them excuses and reasons to eat way too many carbs!! My last blood test showed an A1C of 6. I am still working on lowering my numbers. The whole process has been a slow progression to keto and I had to stumble on the whole thing myself through my own research.
I tried vegan at first and quickly realized that I was eating too many carbs. Then I went low carb but knew I could do better. When I tried the Keto diet, my numbers went much lower. You get over the sweet addictions. You get over the bread addictions and you find suitable substitutions. You do what you have to do. And then, because you are the authority, you are giving them reasons to not even try. You defeat them before they even begin. It just amazes me! It will take you to a year and another year.
I am pre-diabetic myself and have IBS which many doctors have no explanation for many of my questions because IBS triggers everyone differently and with different foods. I immediately feel the difference if I indulge in anything more then I should. You dont give up everything forever but you learn to fit them into your macros. I have learned to make Keto ice cream and fat bombs if the urge comes along. I have learned to take keto friendly foods along to potlucks that everyone loves.
Keto can be a way to follow forever but everyone has their own needs for their bodies. I am new to this but finding it easier and easier to remain keto. A Mooney on pinterest they seem to have lots and lots of keto ,sugar free and low carb desserts. Should I wait until my sugar levels are at a safe point? I am sure you know the difference between nutritional ketosis and ketoacidosis yes?
One is the natural fat burning state, and the other is toxic. Right now i am in ketosis but not ketoacidosis. One has a natural balance of Ph level, the other not.
Once you make that statement, i have a sick feeling i am not getting the right information here. Yes, it was a typo and thank you so much for pointing it out; we have corrected it. I do address the differences between Nutritional Ketosis and Diabetic Ketoacidosis DKA in the beginning and later near the end of the article:.
I really love teaching preventive care to my Type 1 patients in the outpatient setting to ensure they have all the skills they need at home to never get to the point of DKA. As far as the the Ketogenic Diet goes, it is a very personal decision between you and hopefully your physician.
I would just recommend working closely with your physician for all the recommended lab tests to make sure you remain healthy while on the diet. This is why we normally always recommend moderation with everything…moderation in the foods you eat along with moderate amounts of exercise equals a healthy lifestyle that will prevent diabetes or help you control your diabetes if you already have it.
This article is a perfect example of the misinformation regarding diabetes and insulin resistance. Ketogenic diets are a great way to reduce insulin levels and get to the root of the problem. Moderate amounts of ice cream or sugar that can trigger insulin spikes for days. This article is ignorance at its finest! I suffered through a year on 20 grams of carbs per day and it was the worst year of my life.
Yep, I lost weight, but at my current weight of lbs and eating 30 carbs per meal and remaining in a prediabetes state for 15 years, I am healthy AND happy now. None of us know the long term effects of most of what is offered to us…medications, diet drinks, processed foods, restrictive diets. Fat has the longest effect on blood glucose levels. Pizza may be one of the worst, but would never effect your BG longer than 4 hours more than likely. No food has the ability to effect your BG for days!
Please check your facts before scaring people from ever eating ice cream again! So, you like sweets too much to take care of yourself and are happy being a pre-diabetic for so long? THAT is what you want for others? Keep eating your carbs if you want, but stop giving people bad information that will also leave them continuously sick. You choose to be a pre-diabetic, and likely diabetic as you get older. Tammy, It sounds as if you may have been following a very strict keto protocol.
Based on some of his blog post, both keto related and otherwise, it seems that women do better with slightly more carbs than men. That is under Articles, on the drop down menu, click on Personal. I know a few people who struggle with keeping on the low carb diet and staying in ketosis. It gets you into ketosis within an hour!!! This can be tested in the blood and they showed me the results and it works!!! Not only that but it dropped their blood sugars as well.
I am now on the product myself for other reasons but just thought I would share it. Let me know if you want more info. People this is crap.
There is no Keto drink that will get you into ketosis within an hour. Which definitely does not include a magic fix drink. People that eat Vegan, Paleo and Keto have one core thing in common… to try their best to eat whole, natural, unrefined and unprocessed foods.
Travis, get off this feed. This is a helpful article. But there are some inaccurate things too. I have type two diabetes and use a keto genie diet to lose weight 45 so far. I was able to get my cholesterol down, Triggs down, and my A1C to 6! I went off and followed a Mediterranean diet for a year. I gained back 15 and my diabetes got worse. So I am back on keto. I am using a closer to Mediterranean keto both then and now. Studies not mentioned in your article. As for gaining weight back, The truth is anyone who stops a Healthy diet and returns to a crappy one will gain weight back.
Also your keto food pyramid is off; protein is not the base! Duke University has done a lot of clinical work and research with positive results. Thank you for your feedback! First of all, I want to congratulate you striving so hard to find a diet that works for you. It is true that before we had insulin, people with Type 1 Diabetes in particular were treated by severely restricting carbohydrates…so restrictive however, it was semi-starvation.
Some patients actually died of starvation. Luckily today, we do not have to treat any type of diabetes with this barbaric method. There are so many healthy food options for most people today in modern society.
In America, most of us are blessed to have access to healthy food options. I did see the research that Dr. Westman has completed at Duke University and did reference one of his articles above reference 7 https: You will lose weight which will have wonderful effects on every aspect of your health.
Do you think every author of all those books actually does that? My question is, what quality of life do they really have if they have? After seeing thousands of patients now for years and from personal experience, I still believe it comes down to staying away from processed foods and cooking at home whenever possible. Eating a variety of fresh fruits, vegetables, proteins, and fiber.
Also, cutting out any sugary liquid calories; staying away from sodas, juices and the infamous sweet tea! Keeping stress levels under control and incorporating exercise into your routine will also be key to breaking through challenging times when you are having trouble with continued weight loss. Also recognizing what worked 6 months to 1 year ago may not work today.
Our bodies change over time and we have to adapt to those changes. Many of my patients throughout the years have came to me feeling so defeated because now they have to go on medication or insulin. They are so relieved to hear this may not be due to anything they have caused by overeating or weight gain, it may be just the unfortunate natural progression of diabetes. Until we discover cures for the different types of diabetes, this is what we face.
I hope this has helped some and good luck to you Kate! I had ketogenic pizza the other night and it turned out great. Lots of great resources out there for food options. There are a lot of wrong ways to do keto though, and doing the diet correctly has a moderate learning curve.
It means everyone out there know what is real and what is not…. You keep saying how can you stay on keto for life. Well if I were an achoholic I better not drink alchol ever again. It is choices you make. Do I want to feel good and live longer or do I eat anything and die early or worse yet go blind, have a limb amputated ect.
I choose to live longer. I am T2D, and my doctor, who specializes in diabetes, told me to stop eating sugar, carbs and she said that in a perfect world, I would stop eating fruit, as it contains sugar. This has been my answer, and I truly think that if we did live in a perfect world, more things like this would be taught to those of us who need better choices than medications.
Your pyramid is wrong. Fats should be on the bottom and protein above it. Protein as your largest Macro would be something like an Atkins diet. High protein can convert to glucose and would not be effective.
I see several inconsistencies, one being a strict 20 grams or less of carbs, most Keto followers I see aim for closer to 30, and even as high as 40 per day. The writers hatred for this w. She recommends consulting your physician before attempting this w. The 60 grams of complex carbs in meals, and 20 or so with snacks. That way allowed me to ride a dangerous daily rollercoaster, with damaging highs, and very dangerous lows. Yet my Endo was pleased with my sub 7 a1c, even though I was always tired.
Did they die strictly from lack of nutrition? Or did they die from diseases that we have eradicated? You say keto is a highly controversial topic. For those of us following a keto diet, there is no controversy whatsoever because the diet proves itself efficacious very quickly.
You say there are not many studies on the keto diet, and I disagree with you. One aspect that is not often mentioned is carb cravings.
The high-fat keto diet has pretty much eliminated those carb cravings. It is wonderful to not be under the control of those cravings anymore. I think the high success rate of keto diets is that you are not hungry and have no cravings. We have all heard of essential fatty acids EFAs and essential amino acids EAAs , but have you ever heard of essential carbohydrates?
The human body is capable of burning fat for fuel. If the body can burn fat for fuel, why would you ingest a substance carbohydrate that raises your blood sugar, raises your insulin levels, and makes you sick? Why would the ADA advocate the very diet that made us sick in the first place? One of my favorites is Keto Mocha Mousse https: One of the keto researches commented, I think it was Steve Phinney that change will come about only because enough of the the public will be become educated about this and will demand that the ADA change their recommendations because those recommendations are just wrong.
What is the proof they are wrong? If you eat g of carb daily, you will continue to have diabetes, and the epidemic will continue as it has for the last 25 years. I know you have to earn a living, Tammi, and there is nothing wrong with that. However, would you consider that what you are advocating, which was taught to you by mainstream medicine, might actually be harmful? And if it is, what will you do about it? That is the real controversy. I can tell how passionate you are about this subject.
This is the major difference between Ketogenic diets and a consistent, low carbohydrate diet CDEs advocate for. Eating this in the form of a Mediterranean diet is what I recommend and what my article outlined. In a perfect world, we try to have people steer clear of anything artificial or processed when possible.
Just eat fresh foods, like our grandparents did, who never had these types of health problems. There are many physiological reasons for eating enough carbohydrates throughout the waking hours to maintain a steady blood glucose level…a couple of important reasons are to minimize the hepatic release of glucose from the liver and to help prevent hypoglycemia which can be very dangerous and lead to hypoglycemic unawareness over a short period of time.
Each person is different of course.. The reality is, most people with diabetes do; it can be very dangerous for some to not get enough carbohydrates at each meal. We are all supposed to be eating 5 servings of fresh fruit and vegetables per day. That provides you with all the essential vitamins and nutrients needed to run a healthy body along with the protein you choose to consume alone with them.
I guess if you can fit those into a Ketogenic diet and make that work for you for a lifetime, I would have to say that is absolutely wonderful! I just know, I have a lot of willpower and I only made it 1 year back when I tried. It was just too restrictive. I see too many stories like that. The blogger I wrote about, all the studies, most participants had dropped out at 6 months. No study I have seen has shown anyone who has stayed on it for 10 years, 15, 20, 30, 40 years.
If you know one, please let me know! Elizabeth lays it all out quite nicely — my favorite part is having almost no cravings whatsoever — talk about freedom! On the other hand, being in ketosis does make low blood sugars less negative as an experience. This is not unawareness but it is less reactive. The crazy thing is it is not hard, if it matters. Sure I can see it being hard for someone who does it to lose weight, then when they get closer to their ideal, they want to have treats, etc.
Thanks so much for starting this conversation and continuing to explore and learn along with the rest of us. The comments defending the keto diet suggest that the individuals are successfully using the keto diet to help them maintain a healthy weight and a healthier A1C level.
The individuals also suggest that they view it as a way of life rather than a diet. This is good news for many of us who are facing the question of whether it will be helpful and necessary to reduce carbohydrate intake to keto producing levels in order to halt or reverse the onset of type II diabetes. I think like those individuals, Tami is speaking from her own personal experience where she had success losing weight, but had difficulty maintaining the keto diet long-term.
I am sure that though you have been successful, you can understand that there are many who might find it difficult to maintain. I too have been given very bad guidance by Medical Doctors who lean on old Med School information to practice medicine rather than continuing to broaden their knowledge base and learn more about nutrition. Those years are gone and the destruction to my body is not reversible.
But I think that expressing anger toward those who disagree with our personal experience, is not solving the problem. Hopefully we can change the ADA guidelines by respectfully urging them to reconsider their position based on the sheer volume of the comments they receive from successful people like you, who are living the keto diet lifestyle and living better.
I commend you for becoming your own best health advocates. Thanks for your encouragement and your passion. And thanks to Tami as well for sharing her personal experience and the information she had collected. We all have to be true to what we believe and we all have a right to come to our own conclusions.
It is good to know that there are success stories out there. I wish you all good health and continued success. The system is failing so many of us. I will only believe diabetic advice from diabetics. Thank you for your wonderful comments Marcia.
To share more about me personally with you all…I am not a completely non-diabetic Certified Diabetes Educator. I tested my own A1c and found it was 5. There have been years when my A1c dropped to a normal level of 5. My last A1c in May was 5. I feel it everyday, I wonder what my A1c is going to be just like you every 6 months when I go to have it drawn.
My A1c did jump to 6. The constant pain and inflammation for 6 months caused the increase. Once I had the manipulation done, completed physical therapy and the pain was gone, my A1c dropped back to 5.
Most already wear an insulin pump and continuous glucose sensors CGMs also. When I first became certified on each new pump and CGM, I would wear them and check my BG times per day for weeks, not only to learn the technology really well, but to gain a sense of how my patients must feel having to wear them 24 hours per day. These are the units where most of the people with diabetes are, so I had seen every horrific complication that diabetes can cause.
We really do only want to try and share the knowledge we have through seeing thousands of different patients with complex issues over decades with all of you. Physicians jump at the chance to have a CDE see their patients in their practice or in the hospital because they know our value.
They know how thorough we are when assessing their patients and often find issues that may have been overlooked for years. We live and breathe it and are very passionate about helping people overcome their hurdles. I do hope sharing some of my personal experience with all of you will help, but I am here if you all have more questions anytime!
I have type 1 diabetes, diagnosed in when I was 24 years old. I have to say that following a keto diet has made managing my diabetes A LOT easier.
Trying to manage by covering 45g of carbs per meal, then watching my BG spike, then plummeting soon after, was a daily norm for me. If you have diabetes, you know how fatiguing of a disease it can be. That alone tells me that keto is working for me.
I hope my story has helped someone in some way. Keep up the good work. And, I have to say again, choosing the keto way of life as a type one diabetic is a lot easier than one would think, right?!. It is so rewarding, as you point out, and actually quite easy lose the carb cravings and enjoy eating everything that you can! Also the decrease in inflammation is awesome. Fruit is tasty and enjoyable, but it is not a necessity.
Also, there are plenty of vitamins and minerals in vegetables and nuts and seeds and eggs, etc. Fruit is mostly sugar, not mostly nutrition. I love keto and I wish someone could have made me see the light many years earlier than I did.
I was diagnosed in with Brittle Type 1 diabetes, peripheral and autonomic neuropathy, and Hypothyroidism. A short time later with Gastroparesis due to the nerve damage from diabetes.
Since then, I had followed every guideline and rule that the Endocrinologist and Primary Care Doctors had told me to follow. In fact, I was gradually getting worse. So many ups and downs. Extreme highs bgl to seizures from crashes drop from to 13 in no time. It was a constant battle with adjustments in insulin intake and different insulins NPH, R, Novolog, Humalog, Lantus , carb intake, exercise and one contributing factor was the Gastroparesis.
Meds were taken for the Gastroparesis but I always had side effects from meds. I was kicking a dead horse and I told them this. My sister and mom had come across the ketogenic way of eating and it dramatically improved thier lives.
Mom was diagnosed way back with Type 2 and within a week or two she was off of her meds completely. I was totally interested. So, I decided to go for it on April 17, I did go through some rough patches of what they call Keto Flu. It did pass after a couple weeks. I was gaining so much energy like never before as well as mental focus. I was on a sliding scale of Humalog or Novolog.
From units per meal and then there were the corrections throughout my day some daily totals could be up to 40 UNITS! No more nights up stinging, burning and RLS restless leg syndrome. So, in my life, there are no questions or hardships on whether I can get off of this way of eating. If someone truly wants to have a better life, they can.
I am in the uk and a diagnosed t2d. I am also a nurse, although I am in end of life care. Up until my diagnosis I am ashamed to say the I believed in exactly th. Our health service actively promotes a carb rich diet for t2d. It was not until I did some actual research and looked at the science that I came to see that what I had been taught and what I really did believe to be the best advice was quite simply wrong.
I am not going to go on about the benefits of keto, because everyone else has admirably covered that, but I would like to address some comments made in the article. One simple thing is that at the beginning it says that most of the vegetable s are root veg. Also, as I believe is mentioned, this diet has been around for along time and was the only way to treat diabetes.
And some people did die. However, people still end up dead from t2d even after all the diet advice from educators and with all that pharmacy has to offer. An industry which gains nothing if people just choose to eat less. But has lots to gain if we just keep taking the tablets.
It is a very useful tool for epilepsy. It is extremely successful in reducing the number of seizures per day, mainly in children but also in adults. I am sure that followers of the epilepsy diet, which has been used since the s have not all starved to death.
Iwould also think that the followers of this diet are also motivated to stay on it, not eat a slice of birthday cake and keep all thier brain cells. I think what bothered me most about the article was the way in which the writer has put her own fears about living without cake onto the shoulders of any diabetic she might treat. I must admit that when I was researching this diet I did worry that I would not have the stamina, but the thought of going blind is a useful motivator. Iwould hope to meet a diabetic nurse in the uk who was open minded about keto, but that has not been my experience as a patient.
As a nurse speaking to colleagues as an equal and frmy experience has been very different. All have said they would do keto. It is very difficult to admit that something you have believed to be true is wrong.
Even harder when you have made your living by telling people that you knowhow to keep them healthy when in fact your advice has done the exact opposite. But that is no reason not to research, look at and try and understand the science.