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[17]Overall Ranking: 2/5 StarsThe experts placed the keto diet in the bottom half in all but the short-term weight loss category primarily because of the diet’s emphasis on fat-rich foods. One expert noted, “This diet is excessively high in saturated fat. ” In addition, the diet was falsely stated to be low in fiber and calcium. Counter: The keto diet is higher in fat-rich foods as the metabolic state of ketosis uses fat for fuel instead of carbohydrates which will help your body turn into a fat burning machine. While it could be higher in saturated fat based on how one employs the keto diet, it may not necessarily be the case. Even if one’s keto nutrition plan is higher in saturated fat, recent research shows that mortality from cardiovascular disease does not decrease with the reduction of dietary saturated fat. [18] In fact, studies show that replacing saturated fat with carbohydrates is associated with an increase in cardiovascular disease risk. [19]The American Heart Association suggests that total dietary fiber intake should be 25 to 30 grams per day, while the average American consumes only 15 grams per day. While the keto diet typically allows for no more than 50 grams of total carbohydrates per day, most of the allotted carbohydrates come from fibrous carbohydrates. For example, one can consume a cup of cooked spinach, two cups of chopped romaine lettuce, two cups of cooked broccoli, and ½ cup of raspberries in one day to achieve a total of 46 grams of carbohydrates, and whopping 24 grams of fiber. More fiber is likely to be added by way of other keto-friendly foods such as nuts, seeds, avocado, and dark chocolate.
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Net carbs are the carbs your body actually absorbs. To calculate net carbs, subtract the grams of fiber from the total grams of carbs. [1](Total grams of carbs – grams of fiber = net carbs)Some grains are lower in carbs and higher in fiber, while others are higher in carbs and should definitely be avoided on keto. Carbohydrates are categorized into simple and complex. [2] Starch and fiber are complex carbs, and sugar is a simple carb. To simplify: fiber is a type of carb, but you can’t digest it; rather, it feeds the healthy bacteria in your gut. Starch is more like long chains of sugar molecules connected together (envision a sugary pearl necklace), and your body breaks starch down into individual sugar pearls or units. [3]Simple CarbsRefined white flour is simple carbsSimple carbohydrates have one or two sugar molecules. Fructose (the fruit sugar) or glucose have one sugar molecule, whereas disaccharides like lactose (the milk sugar) and sucrose (table sugar) are made up of two. [4]Simple carbs come from added sugars like white and brown sugar and honey and from naturally occurring sugars found in milk and fruits. Refined grains and foods like white rice and white flour have been stripped of most of their nutrients and contain mostly sugar rather than starch or fiber, leading to a high blood sugar spike that would kick you out of ketosis.
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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. 6%) in the intervention group but not in usual care group.
