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Lastly, it’s even been published and shown to be safe in children with intractable epilepsy. Moreover, the primary criticism (from the experts) regarding safety lies in the high-fat content. We must keep in mind that the ketogenic diet relies heavily on healthy monounsaturated fats and omega-3 fatty acids. Those fats have been shown, time and again, to improve cholesterol and decrease mortality risk from cardiovascular disease. The majority of fat sources found in the ketogenic diet stem from salmon, other fatty fish, nuts, seeds, olives, olive oil, and avocado. Heart Healthy: 1. 9/5 StarsThe keto diet was ranked near the bottom of the heart-healthy category and one of the primary reasons was an outright piece of misinformation. The expert stated that one who follows the keto diet gives up non-starchy vegetables. In addition, he or she said that giving up fruits, whole grains, and starchy vegetables ‘and this “is the opposite of what we want for diabetes and heart disease prevention. ”Counter: As previously stated, the ketogenic diet urges that most of its carbohydrates come from low-carbohydrate, fibrous green vegetables, as well as nutrient-dense, low-sugar fruits such as berries, bell peppers, avocado, and olives. The keto diet is certainly lacking in grains and starchy but are they necessary to maintain heart health? May they possibly even harm heart health? Refined grain-based foods such as bread, cereal, and pasta are highly processed and strip nutrients and fiber, resulting in a pale version of what the intact whole grains resembled before processing.
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Ezekiel bread is a sprouted ancient grain bread containing organic grains and legumes, including soybeans, lentils, millet, wheat, and barley. Some people might be able to incorporate one slice of Ezekiel bread on keto. Off-Limits High Carb GrainsGrains that are less processed and refined also usually have a lower carb content. 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. Read our article for info on ideal grain substitutes for your favorite grain-based foods like noodles, pasta, cereal, and bread. Use lettuce wraps or make keto burger buns with coconut flour.
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 Contrary to popular belief, not all cells require insulin
in order to transport glucose inside of a cell. Some organs and tissues are insulin-independent, meaning insulin is not required, whereas others are insulin-dependent, meaning they require insulin.  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. 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.