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What is Diabetes?When you think of diabetes, you probably think of insulin injections or eating too much sugar, but it’s much more complicated than that. There are many different types of diabetes including type 1 diabetes mellitus, type 2 diabetes mellitus, diabetes insipidus, and gestational diabetes. Diabetes as a whole describes abnormal blood glucose regulation and hyperglycemia (high blood glucose levels)gestational diabetesHow Are Blood Glucose Levels Regulated?Glucose is a simple sugar (monosaccharide) that all carbohydrates are eventually broken down into. For example, lactose in the milk you drink is a disaccharide made of glucose and galactose (monosaccharide). Lactose is broken down into these two sugars and then galactose is further broken down into glucose (or glycogen).  Once carbohydrates are broken down into glucose, they are in the blood (extracellular–outside of the cells); however, cells need that glucose in order to carry out certain processes so it has to be brought inside (intracellular). Through the process of glycolysis, glucose is broken down to produce ATP. ATP is the currency system of the cell (like dollar bills). It fuels the work that cells need to do. While glucose is a simple sugar, it is still a relatively large molecule, therefore it needs certain transporters in order to allow it to enter a cell. These are known as GLUTs (glucose transporters).
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More significantly, the keto group lost three times the amount of weight than the Weight Watchers group after 24 weeks and had substantial improvements in metabolic health. Cholesterol and other lipids showed no changes of concern. To read more about the trial, click on the article here. Coming in at number 20 was the infamous Biggest Loser diet. It ranked . 8 points higher on “Easy to Follow” and 1. 6 points higher in the “Heart Healthy” categories. These rankings come, despite the research showing persistent metabolic adaptations after the Biggest Loser competition–six years later!  This study showed that the majority of the weight lost on the show was regained, yet their metabolisms were still suppressed/slowed. Further, while I agree that exercise is extremely important, on the Biggest Loser diet, it’s a “key part” of the success. So, in essence, this diet requires putting people on an unsustainable caloric restriction protocol combined with exercise to induce fast weight loss that is likely to be regained long term while also suppressing your appetite–and it really only works if you exercise enough to overcome your metabolism slowing down from the caloric restriction (aka Jillian Michaels screaming in your face). According to these experts, this diet/protocol ranks higher than the keto diet.
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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. 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.  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. 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.