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6/5 StarsThe panel of experts stated that preventing or controlling diabetes with the keto diet was minimally effective. One expert went as far to say that the ketogenic diet isn’t safe for those with diabetes. Ironically, the explanation in the article did include the disclaimer that research has proven that decreasing carbohydrates can help with the disease. Counter: Of all the areas for these experts to lend support to a low carb, ketogenic diet, this should be the one. The data is OVERWHELMINGLY clear that a ketogenic diet can not only help prevent diabetes but actually has been shown to reverse it. 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. 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.
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Some grains and refined grain-based products have a much higher carb count and are lower in fiber, making them off-limits on keto, such as:White breadRefined pastaWhite riceGrain-based breakfast cerealPizza doughInstant oatmealWheat flour muffins and cakesCrackersAdding Grains to a Keto DietThe easiest and best way to determine if a little portion of carbs will kick you out of ketosis is by testing your ketone levels. People are different, and you might be sensitive to certain types of carbs, while others have little to no effect. Generally speaking, if you are certain that grains are suitable for your health and results, choose unprocessed, unrefined, and lower carb whole grains like wild rice, popcorn, and bulgur. Those on a therapeutic ketogenic diet of less than 25-30 grams of carbs daily may choose to avoid all grains, while those following a more standard ketogenic diet may decide to consume smaller amounts of lower carb grains. And others eliminate grains altogether out of concern for detrimental ingredients and possibly adverse effects on the microbiome. Wild rice is a low-carb grainIf you want to expand your palette or adopt a more paleo approach, you can use keto-compliant whole-grain alternatives like almond flour and coconut flour.
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After four months
of eating a keto diet, 85% of subjects lost >10% of their body weight while only 17% in the low-calorie group accomplished the same.  Not to mention, their HA1C levels dropped by nearly a point in the ketogenic diet group which was significantly better than the low-calorie group, only in the same time period. These findings aren’t too surprising as the Standard American Diet (SAD) includes hundreds of high-glycemic, processed carbohydrates per day. When carbohydrates and sugar are drastically reduced, weight loss happens quickly. Also, when one consumes fatty foods such as avocados, the healthy fats and fiber help
regulate blood sugar levels, leading to less cravings and naturally less calories consumed. Long-term Weight Loss: 2. 2/5 StarsOne of the biggest criticisms of the keto diet is people claiming, “it’s unsustainable. ” In research, long-term is considered greater than one to two years. Experts stated there was lacking evidence that indicates sustained weight loss for long periods of time. The keto diet was given a below-average ranking for this category. Counter: There are several short-term (less than two years) studies showing weight loss in those who follow the keto diet.