Ketogenic Diets and Diabetes

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What is a Ketogenic Diet?
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The ketogenic diet, also known as the “keto diet,” is a very low carbohydrate and higher fat and protein dietary pattern. Carbs are restricted to as little as 50 grams per day. This means carbohydrate-rich foods like bread, rice, pasta, and dairy are replaced with high protein foods such as fish, meat, eggs, nuts. 

Why Restrict Carbohydrates? 

Carbohydrates are quickly and easily turned into glucose in our bodies. Getting rid of a large number of carbs at a time forces the body to switch its main source of fuel.  Glucose is our cell’s first and quickest source of energy. Without “free” access to glucose, the body switches over to a different energy source: ketones and fat. 

Is the Keto Diet Something to Consider for Those with Diabetes?  

Because there is a shift from glucose to ketones and fat, the keto diet can be an option for those with type 2 diabetes to help lower blood sugar, lose weight and decrease hemoglobin A1C. A1C is a measurement of how much glucose or sugar is attached to the red blood cells.  Fewer carbs mean less glucose and less glucose on cells.  

As for Type 1 Diabetes, check with your primary physician first before starting the Keto Diet. On this diet, the body begins to use ketones from fat as a source of energy instead of glucose, this is called ketosis.  

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Ketosis versus Ketoacidosis

The chemical process that converts fats to ketones is called ketosis. Blood lipids levels can increase and too many ketones in the blood can result in ketoacidosis. Diabetic Ketoacidosis also referred to as DKA, means a large number of ketones in the blood changed the blood pH which is life-threatening. DKA progresses slowly.

Warning signs of DKA include thirst or dry mouth, frequent trips to the bathroom, high blood glucose levels, high levels of ketones in the urine, sweet or fruity smelly breath, fatigue, nausea, vomiting, or confusion. 

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How to Check for Ketones
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Checking for ketones involves a urine test strip. You can purchase ketone test strips at your local pharmacy. Ask your primary care physician for guidance on how and when you should check your ketone levels. If you find you have high levels of ketones in your urine, ask your primary care physician what they recommend.  

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