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The key focus is to improve blood glucose levels by limiting the consumption of high-carbohydrate foods. Keto and Gestational Diabetes: Can a Ketogenic Diet Help?One key way to improve blood glucose regulation is to reduce carbohydrates consumed. By reducing carbohydrates consumed, insulin sensitivity is improved, and blood glucose regulation is improved. One clinical study found that reducing carbohydrate consumption may improve blood glucose regulation, without increasing the risk of ketonemia (abnormal blood ketone levels). [8] Research has shown that the ketogenic diet can be tremendously helpful in improving type 2 diabetes, as well as improving insulin sensitivity. Because of this, it might prove beneficial for individuals suffering from gestational diabetes.
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[3] GLUT 4 transporters are located on skeletal muscle, adipose tissue, and the heart and do require insulin. In order for glucose to be transported into these cells, insulin must bind to insulin receptors and signal for this process to occur. Insulin is produced by beta cells in the pancreas in response to high blood glucose levels. Once it is released, it binds to insulin receptors and triggers a response to allow glucose to be transported into the cell. [4]GLUT 1 Insulin independentBloodBlood-brain-barrierHeart (partially) GLUT 2Insulin-independentLiverPancreasSmall IntestineGLUT 3Insulin-independentBrain NeuronsSpermGLUT 4Insulin-dependentSkeletal MuscleAdipose tissue (fat)HeartDysfunctions in Glucose RegulationGlucose regulation can become dysfunctional at many different steps. If insulin is not produced sufficiently, glucose is unable to enter insulin-dependent cells and these cells can starve. This is known as type 1 diabetes mellitus. If insulin is produced sufficiently, but receptors are damaged or are insulin resistant, they can not signal to allow glucose transport, and again cells become starved for energy. This is known as type 2 diabetes. [5]What is Gestational Diabetes?Gestational diabetes is dysfunction in blood glucose regulation specifically in pregnant women. Women who have gestational diabetes do not have to have a history of diabetes; however, it does put them at higher risk for developing diabetes later in life.
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Despite the fact that the CDC still recommends that those with type II diabetes consume 225 grams of carbohydrates per day, doctors are speaking out against this recommendation as it
keeps patients on the vicious cycle of diabetes medication requiring carbohydrates to prevent hypoglycemia, followed by needing the medication for insulin that is released after the consumed carbs. A recent meta-analysis which
included 20 years of published research studying the effects of a ketogenic diet on patients with type 2 diabetes. The review concluded that ketogenic diet is ‘superior’ in terms of glycemic control—the results were significant enough to recommend the keto diet as a treatment for type 2 diabetes. [15]Another recent study concludes that in addition to reduction in body weight and improving lipid profile, there was a significant improvement in HbA1c and reduction in the intake of insulin and oral antidiabetic drugs in patients with type 2 diabetes. [16] Not only does this research show how the keto diet can lead to weight loss and improved metabolic health, it’s also monetarily cost effective as it reduces the need for insulin and oral antidiabetic drugs. Lastly, our friends at Virta Health are doing incredible work reversing type 2 diabetes with their low carb protocols. One of their
studies shows that this dietary monitoring protocol lowered glycemic control medication from 55. 7 to 26. 8% including insulin (-62%) and sulfonylureas (-100%). There was also resolution of diabetes (reversal, 53. 5%; remission, 17.
