Choosing a ketogenic diet for diabetes management has a number of advantages. According to research, being in a state of nutritional ketosis significantly improves blood glucose control and weight loss.
Other common advantages include:

• Medication dependency is reduced.
• Insulin sensitivity improvements
• Reduce your blood pressure
• Generally, cholesterol levels improve.

We will go into the science behind the ketogenic diet and how it works to deliver all of these varied benefits in this article.

Weight loss and maintenance

The ketogenic diet's potential to accomplish quick weight loss is one of its key advantages. Restricting carbs enough to achieve ketosis results in a large reduction in body fat as well as an increase or retention of muscle mass.
Low-carb, ketogenic diets have been shown in studies to achieve significant weight loss over time. An Australian study found that obese adults might lose 15 kg on average over a period of a year. This was 3 kg more than the low-fat diet used in the study achieved.

Blood glucose control

The capacity of a ketogenic diet to decrease and stabilise blood sugar levels is another major reason why patients with diabetes should follow it.

Carbohydrate is the nutrient (macronutrient) that has the greatest impact on blood sugar levels. Because ketogenic diets are low in carbohydrates, they eliminate the bigger blood sugar spikes.

Ketogenic diets have been shown in studies to be particularly effective for lowering HbA1c, a long-term marker of blood glucose management. In a 6-month research conducted by Eric Westman and colleagues in 2008, persons with type 2 diabetes saw an average reduction in HbA1c levels of 17 mmol/mol (1.5%).

Other types of diabetes, such as type 1 diabetes and LADA, should also show a significant decrease in blood sugar levels and an improvement in control.

It is important to note that if blood glucose control improves over time, the risk of problems can be reduced.
It is critical that anyone on insulin or otherwise at risk of hypos take care to avoid hypos. Consult your doctor for assistance.

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Insulin sensitivity

A ketogenic diet has been demonstrated to help restore insulin sensitivity by removing the core cause of insulin resistance, which is excessive insulin levels in the body.

This diet promotes extended periods of low insulin since low carbohydrate levels equal lower insulin levels.

A high carbohydrate diet is like throwing gasoline on the fire that is insulin resistance. A high carbohydrate diet results in a larger need for insulin, which exacerbates insulin resistance.

A ketogenic diet, on the other hand, lowers insulin levels since fat is the macronutrient that requires the least insulin.

Lowering insulin levels also aids in fat burning because high insulin levels hinder fat breakdown. When insulin levels fall for a few hours, the body can break down fat cells.

Reducing reliance on diabetes medication

Because ketogenic diets are so effective at lowering blood sugar levels, they also assist persons with type 2 diabetes minimise their reliance on diabetes medication.

In the above-mentioned Westman trial, 95% of participants were able to reduce or discontinue their diabetes medication.

To avoid hypos, those taking insulin or other hypo-causing medications (such as sulphonylureas and glinides) may need to lower their doses before beginning a ketogenic diet. Consult your doctor for guidance on this.

High blood pressure control

In the United Kingdom, it is estimated that 16 million people have high blood pressure.

High blood pressure is linked to a number of health problems, including heart disease, stroke, and kidney disease. It is also a characteristic of metabolic syndrome.

Several studies have demonstrated that a ketogenic diet helps lower blood pressure in patients who are overweight or have type 2 diabetes.

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Cholesterol levels

Overall, ketogenic diets typically result in lower cholesterol levels. It is normal for LDL cholesterol levels to fall while HDL cholesterol levels rise, which is a good thing.

The ratio of total cholesterol to HDL is one of the most reliable indicators of good cholesterol. This is simply determined by dividing your total cholesterol result by your HDL value.

If your cholesterol level is 3.5 or lower, you have good cholesterol. According to research, ketogenic diets are usually helpful at improving this measure of cholesterol health.

It should be noted that some persons may see an increase in LDL and total cholesterol after beginning a ketogenic diet. This is normally viewed as a bad omen, but if your total cholesterol to HDL ratio is good, it does not always indicate a decline in heart health.

Cholesterol is a tricky subject, and if your cholesterol readings fluctuate drastically while on a ketogenic diet, consult your doctor.

In the United Kingdom, your cholesterol levels should be checked at least once a year so that any detrimental effects on cholesterol can be identified and addressed.

Stronger mental performance

Other often stated benefits of a ketogenic diet include improved mental clarity, enhanced ability to focus, and improved memory.

Increasing your consumption of omega-3 fats, such as those found in oily fish like salmon, tuna, and mackerel, can boost your mood and learning abilities. This is because omega-3 boosts DHA, a fatty acid that accounts for 15 to 30% of our brain.

The formation of beta-hydroxybutyrate, a kind of ketone, aids in the maintenance of long-term memory function.

Candida

Ketogenic diets can help prevent thrush and yeast infections by lowering blood sugar, which reduces the amount of glucose excreted in the urine.

The glucose in urine that bacteria feed on creates a breeding ground for yeast and bacterial diseases.

Furthermore, a larger consumption of lauric acid, a saturated fatty acid present in coconut oil, a staple keto diet, has been demonstrated to have anti-microbial characteristics. It has the ability to kill candida albicans and aid in the treatment of yeast infections.

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