If you live with type 2 diabetes, talking about your diet may be an everyday conversation. Our goal is to help you feel more empowered to make the changes that are right for you. We know what we eat affects blood sugar levels. And the ketogenic diet has gotten a lot of press over the past few years. Is the keto diet the right plan to follow if you have type 2 diabetes? Thanks to the many weight-loss plans out there, the word diet tends to be used to describe foods low in calories or plans that help you lose weight. Even so, there is another meaning of this word. Diet also refers to the food and drinks a person eats daily.
Yamazaki T. In addition, the initial rapid weight loss on ketogenic diets comes from a diuretic effect, but this water weight always returns when fluid balance normalizes after ketosis ends. Lerer-Metzger M. Long-term effects of a novel continuous remote care intervention including nutritional ketosis for the management of type 2 diabetes: a 2-year non-randomized clinical trial.
Low-carb and ketogenic diets are popular among clinicians and patients, but the appropriateness of reducing carbohydrates intake in obese patients and in patients with diabetes is still debated. Studies in the literature are indeed controversial, possibly because these diets are generally poorly defined; this, together with the intrinsic complexity of dietary interventions, makes it difficult to compare results from different studies. Despite the evidence that reducing carbohydrates intake lowers body weight and, in patients with type 2 diabetes, improves glucose control, few data are available about sustainability, safety and efficacy in the long-term. In this review we explored the possible role of low-carb and ketogenic diets in the pathogenesis and management of type 2 diabetes and obesity. Furthermore, we also reviewed evidence of carbohydrates restriction in both pathogenesis of type 1 diabetes, through gut microbiota modification, and treatment of type 1 diabetes, addressing the legitimate concerns about the use of such diets in patients who are ketosis-prone and often have not completed their growth. According to the International Diabetes Federation 8th Diabetes Atlas, about million people worldwide have diabetes and, if the current trends continue, million of people aged 20—79 will have diabetes by [ 1 ]. Nutrition is key for preventing type 2 diabetes T2D and obesity, but there are no evidence-based data defining the best dietary approach to prevent and treat these conditions. In the last decades, low carbohydrate diets LCD and ketogenic diets KD have become widely known and popular ways to lose weight, not only within the scientific community, but also among the general public, with best-selling dedicated books or intense discussion on social media networks staying at the top of the diet trend list for years. These dietary approaches are effective for losing weight, but there is growing evidence suggesting that caution is needed, especially when these diets are followed for long periods of time, or by individuals of a very young age or with certain diseases [ 2, 3 ]. Various diets with a low content of carbohydrates CHO have been proposed, such as the Atkins diet, the Zone diet, the South Beach diet and the Paleo diet [ 5 ].
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