There are however conflicting studies about the keto diet and gut health. The diet is low in fiber and restricts some nutrient-dense foods including whole grains, fruits, legumes, and starchy vegetables. The keto diet may alter the gut microbiome. It’s also true that people can be in ketosis with different levels of protein and carb intake. The lines get blurred between low-carb and keto diets. This can lead some people to follow an unhealthy high- fat diet and not be in ketosis. One problem with the keto diet is that there are many versions of the diet. The keto diet may not be the best diet in the long run. Most of these benefits are from short-term studies. People with type 2 diabetes have been able to decrease the use of diabetes medication. The keto diet has been associated with lower blood glucose, decreased insulin resistance, decreased hunger and cravings, weight loss, decreased triglycerides, increased HDL (“good” cholesterol). Higher carb foods like rice, pasta, bread, cereal, potatoes, and fruit are out. So, what about carbohydrates? Carbohydrate intake should come from non-starchy vegetables such as leafy greens, broccoli, cauliflower, peppers, asparagus, mushrooms, and green beans. Typical foods on a keto diet include eggs, meat, poultry, seafood, oils, butter, avocado, olives, nuts, seeds, cheese, plain full- fat Greek yogurt, cottage cheese, and coconut. Carbohydrates need to be spread throughout the day and not all consumed at one time. Total carbohydrates are limited to 20-50 grams to induce ketosis.

When protein is digested some amino acids can be converted to glucose, so too much protein can take you out of ketosis. The keto diet is not a high- protein diet. Around 75% of daily calories are from fat, 20% from protein, and 5% from carbs. The keto diet is a high- fat, moderate- protein, and very low- carbohydrate diet. So, ketosis is safe for most people with type 2 diabetes, but ketoacidosis is not. DKA is more common in people with type 1 diabetes, but it can happen in people who have type 2 diabetes. DKA is a life-threatening situation and requires immediate medical attention. DKA causes dehydration and electrolyte (sodium and potassium) and acid imbalances in the blood. Ketone levels can be 20 times higher in DKA compared to the levels in NK. Typically DKA happens when blood glucose levels are elevated (>250 mg/dL) with a lack of insulin. So, ketones are produced, but at a low level, and blood glucose levels are also low in people without diabetes. The liver converts fat into ketones which can be used by the brain for energy.

NK is when the body shifts to using fat instead of glucose for energy, such as after a prolonged fast. Let’s start by clarifying the difference between nutritional ketosis (NK) and diabetic ketoacidosis ( DKA).

Ketosis is simply the presence of ketones in your blood. When there is not enough glucose, your body can use ketones. Normally your body uses glucose for energy. Keep reading to learn more about the types of ketosis and the keto diet. You have probably heard of the dangers of ketosis with diabetes. However, the keto diet can be confusing for people with type 2 diabetes. While the diet is still used for epilepsy, it is also now used for weight loss, improved brain function and memory, cancer therapy, and type 2 diabetes. The ketogenic diet originated as a treatment for epilepsy in the 1920s.

The keto diet craze is the latest diet hype, but it isn’t a new diet. Is it possible to eat more fat and lose weight? The answer is yes according to all the “keto” claims.

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