Saturday, November 16, 2013

KETO: Ketogenic Eating and Type 2 Diabetes

 As a non-diabetic ketoer, I am enjoying the numerous other benefits of a low-carbohydrate diet. I have a clearer mind, am able to more readily retain information, I sleep better, I am losing weight without feeling like I'm hungry constantly, my skin is clearer, I have more energy.

This ketogenic/low-carb diet can be even more beneficial to those who are type 2 diabetics. A number of studies have shown that patients were able to reduce (or even completely halt) their intake of diabetes medication, and also get to a healthier weight, have better blood cholesterol, better fasting glucose, and better fasting insulin. If you are type 2 diabetic, or even pre-diabetic, consider a ketogenic approach.

Here are a few resources:

Extremely Low-Carb “Ketogenic Diet” Leads to Dramatic Reductions in Type 2 BG Levels, Medications

Extremely Low-Carb “Ketogenic Diet” Leads to Dramatic Reductions in Type 2 BG Levels, Medications

This article discusses a university's study regarding obese adults with type 2 diabetes switching to either a ketogenic diet or a low-glycemic diet. The results were that 95.2 percent of the patients on the ketogenic diet and 62.1 percent of the low-glycemic diet were able to reduce or even altogether stop taking their diabetes medications (first paragragh). This study consisted of 84 individuals over 24 weeks' time. Either diet provided substantial results, but the ketogenic diet is more effective in terms of lowered A1cs, greater weight loss results, and a larger increase in "good" cholesterol.

The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus.

This is a more straightforward link to the results of the Duke  University study from the previous article.
Results:  "Forty-nine (58.3%) participants completed the study. Both interventions led to improvements in hemoglobin A1c, fasting glucose, fasting insulin, and weight loss. The LCKD group had greater improvements in hemoglobin A1c (-1.5% vs. -0.5%, p = 0.03), body weight (-11.1 kg vs. -6.9 kg, p = 0.008), and high density lipoprotein cholesterol (+5.6 mg/dL vs. 0 mg/dL, p < 0.001) compared to the LGID group. Diabetes medications were reduced or eliminated in 95.2% of LCKD vs. 62% of LGID participants (p < 0.01)."

A low-carbohydrate, ketogenic diet to treat type 2 diabetes

A separate study from an outpatient clinic that tested 28 participants with type 2 diabetes. This study lasted only 16 weeks, but the results were also substantial. 7 of the participants were able to completely stop taking their diabetes medication, and 10 reduced their intake. There was significant weight loss as well - averaged at about 6.6% lost. This article has a great detailed breakdown of the participants' demographics, as well as more specifics of how the study was conducted. 

Short-term effects of severe dietary carbohydrate-restriction advice in Type 2 diabetes--a randomized controlled trial.

This is a quick summary of a study of 102 patients with type 2 diabetes and a ketogenic diet versus low-fat, reduced-portion diet. This study focused mainly on weight loss. 
Conclusions: "Carbohydrate restriction was an effective method of achieving short-term weight loss compared with standard advice, but this was at the expense of an increase in relative saturated fat intake."

For further information, here are a few books to check out:
TED Talk: Reversing Type 2 Diabetes Starts with Ignoring the Guidelines

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