What help we can get from the ketogenic diet in diabetics?
Diabetics is a typical disorder, where the body finds it very difficult to manage, rather in other
words utilize carbohydrates, in net results, it leads to a higher percentage of remained sugar in
almost every part of the body and its consequences is that even blood sugar gets increased, its very alarming situation, which if allowed to be continued, can lead to life-threatening situations
In some situations, this disease can be managed by using some drugs, which are basically
sugar reducing drugs, and this condition normally referred to as DIABETIC-type-2
In other cases, drugs do not work and sot of insulin, becomes very necessary and this condition
we refer to DIABETIC-type-1
However, in both these conditions, the most important common happening is that body is
almost unable to manage carbohydrates, and in a ketogenic diet, we force the body to stop
managing carbohydrates, there is a lot of similarity in both situations, so what we can very
easily pinpoint is
-in conditions of diabetics we have to take minimum carbohydrates because the body has lost
its ability to manage carbohydrates
-in the ketogenic diet, we force the body to manage itself without the presence of carbohydrate
so, in both situations, we have to worry only and only about carbohydrates, in the ketogenic diet
cases where we expect ketosis to happen, the most important emphasis is on carbohydrate
the percentage we use in diet, and usually, our target is only 5%, while proteins are at 20% and the maximum is fats that go to 75%
So we are addressing here a diet which is almost most on fats, you can say food almost super
saturated in fats, or in dipping fats, so now the question is whether this ketogenic diet can
provide some hope to diabetic patients, let's see what research data says all about.
let's see
ketogenic diet and diabetics
What research findings say?
A study has been conducted, which is for 24- week study, between the ketogenic diet and low
glycemic index diet,(means a diet containing low possible carbohydrates content), and in the
end the out cum came in the favor of ketogenic diet, means greater improvements with the
persons who were on a ketogenic diet rather than those who were on a low-glycemic-index diet
-very significant improvements in blood sugar control
-reducing the levels of insulin requirements
-it creates weight loss in persons having obesity
-much better control on A1c
-reduces the cardiovascular disease risk factor
-increases insulin sensitivity
-increases gut performance
-reduces inflammation
-reduces C-reactive protein
So it means its very great help or hopes whatever you want to call it for diabetic patients
- most people feel better with less troublesome diabetic symptoms
-most of them need fewer amounts of medicins
-they can reduce, the amount and frequency of insulin sots
So. where is the problem, why not many diabetic patients get benefits out of this?
There are several problems, and one basic problem is that the ketogenic diet in these cases
must be done in very proper supervision, and more so the supervision from a good expert
doctor,and more often it's not very easy, there are not many good experts around
The second problem is the ketogenic diet, with normal persons its already very difficult, and now
with diabetic cases, it's really hard, at the end of the day its very restricted diet, and to adhere to
that for few months is not easy for diabetic patients but however, in good supervision it's possible
let's see
ketogenic diet and diabetics
Are there any adverse reactions, in cases of diabetics?
When ketosis occurs and too many ketones around, although it's very rare but it some patients
particularly in the cases of diabetics-type-1, a very typical risk develops and that is a possibility
of diabetic ketoacidosis, DKA
So, what should be done?
If you have diabetics, and you are trying ketosis with the help of a ketogenic diet then this is
what something you must do
-monitor blood sugar levels through the day and make sure they are within limited only not
very low or high, this is very important
-must consider monitoring ketone levels in the blood, it's very important, it can also be done
by urine test strips
- as American Diabetics Association, recommend a must test for ketones if your blood sugar
levels are higher than 240 mg/dL
- you should not take any risk as for as DKAin concerned, again its very rare but still don't
forget it happens with diabetics cases, and it's an emergency situation
What are the warning signs of DKA?
It's very much an emergency situation, if you are experiencing these symptoms, contact your
doctor or hospital very immediately, diabetic complications can occur
warning signs
-consistently very high blood sugar, not getting down
-dry mouth
-frequent urination
-nausea
-breath that has sweet fruit like odor
-breathing difficulties
What to be done on the safe side?
Don't go too hard or in other words very high restricted ketogenic diet, start with a middle level
plans mean carbohydrates, not 5% but maybe 20%, and watch very carefully, monitor sugar
and ketones levels, and inform your doctor, very well in advance
So, where do we stand?
The first place now, we know that the ketogenic diet has great benefits, and that too for
diabetics also but what is most important from the ketogenic diet facts point of view, that this transition from carbohydrates to fats, should not happen in a very sudden way, it should be
done in a very regulated way means a more progressive reduction in carbohydrates, which
gives the body enough time to adjust itself, and the second part is very carefully monitoring of sugar and, ketone and the third part in the end doctor must be informed beforehand
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