Much has been written about the ketogenic diet in which calories are derived from protein and fat, rather than carbohydrates that can cause blood sugar levels to spike. A keto diet reduces the amount of easily digestible carbs and sugars contained in items such as bread and pastries, which can have distinct benefits for some individuals with diabetes that includes weight loss.

Individuals should always consult with their healthcare provider before making changes in their diet, especially when transitioning to a keto diet. Those changes can affect blood glucose levels, how often individuals need to test and the amount of insulin they inject, along with their activity levels.

A keto diet creates a metabolic state known as ketosis that causes the body to burn fat for energy. Consuming a keto diet can result in constipation and nutrient deficiencies, increase the potential for heart disease, and lower blood pressure. The diet isn’t suitable for everyone, making it imperative that diabetics discuss it with their doctor first.

Diabetic ketoacidosis is a serious complication for diabetics, occurring when the body accumulates too many ketones. Over the counter ketone test kits are available and it’s critical that diabetics test for ketones and monitor their levels. Keto diets can drastically reduce insulin levels. Symptoms indicating that ketosis has been entered include dry mouth, increased thirst, frequent urination, and decreased appetite or hunger.

There are four types of ketogenic diets: standard keto diet (SKD); cyclical keto diet (CKD); targeted keto diet (TKD); and high protein keto diet (HPKD). Only the first two have been extensively studied in relation to diabetes. The latter two are primarily utilized by athletes and bodybuilders.

A ketogenic diet can be beneficial for some diabetics, but it must be approached with caution. The diet can help diabetics lose weight and lower blood glucose levels. However, it can also result in diabetic ketoacidosis that can lead to coma or death if ketones aren’t properly monitored.

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