Is it true that a ketogenic diet can reverse type 2 diabetes?

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Is it true that a ketogenic diet can reverse type 2 diabetes?

The ketogenic diet treats diabetes mainly by controlling the intake of carbohydrates, reducing the intestinal absorption of monosaccharides, lowering blood sugar levels, reducing glycosylated hemoglobin levels and increasing insulin sensitivity.

Is it true that a ketogenic diet can reverse type 2 diabetes?

Diabetes mellitus is a metabolic disease characterized by chronic hyperglycemia caused by a group of multiple causes.

The etiology and mechanism of diabetes are complicated, and there are many complications.

Diabetes has gradually developed into one of the three major health hazards leading to premature death in the world.

It is mainly divided into four types: type 1 diabetes, type 2 diabetes, special type diabetes and gestational diabetes, of which type 2 diabetes is the most common.

Long-term hyperglycemia in patients with type 2 diabetes can cause major and microvascular disease throughout the body, involving the heart, kidneys, brain and other organs, leading to complications such as diabetic nephropathy and diabetic neuropathy.

Epidemiological studies have shown that obesity, high-calorie food, and insufficient physical activity are the main influencing factors of type 2 diabetes.

In the early 20th century, studies found that starvation therapy (20% protein, 70% fat, 10% low carbohydrate) can achieve the effect of rapidly reducing urine sugar levels, and was considered the only treatment for diabetes at that time.

At the same time, it was found that a high-fat, low-carbohydrate ketogenic diet can reduce the weight of obese patients.

Therefore, dietary intervention can improve the blood sugar control ability of diabetic patients and achieve the goal of weight loss, and effectively prevent the occurrence of diabetes and its complications.

The ketogenic diet, as a new treatment method, breaks the outside world’s directional thinking that diabetes can only rely on drugs or insulin treatment.

The ketogenic diet is a special medical diet composed of high fat, low carbohydrates, appropriate amounts of protein and other nutrients.

It is mainly divided into four modes: the classic ketogenic diet (KD), the medium-chain triglyceride diet ( MCT), Modified Atkins Diet (MAD), Low Glycemic Index Diet (LGIT), and develop personalized dietary recipes according to the disease characteristics and eating habits of different populations.

Closely monitor the patient’s blood glucose and blood ketone levels to facilitate timely adjustment.

In the process of ketogenic intervention for diabetic patients, with the establishment of a good lifestyle, blood glucose will generally decrease steadily and well controlled.

The regimen and dosage of hypoglycemic drugs can be adjusted according to the patient’s blood glucose, and hypoglycemic drugs can even be stopped. drug.

The ketogenic diet treats diabetes mainly by controlling the intake of carbohydrates, reducing the intestinal absorption of monosaccharides, lowering blood sugar levels, lowering glycosylated hemoglobin levels and increasing insulin sensitivity.

The ketone body, an intermediate product produced by fat metabolism, provides energy for the body. The ketone body can suppress appetite to enhance satiety.

At the same time, it can generate glucose through gluconeogenesis to maintain the stability of blood sugar.

Some adverse reactions that may occur during the implementation of the ketogenic diet are mainly manifested in gastrointestinal reactions (nausea, diarrhea, abdominal pain), most of which are short-lived.

Special attention should be paid to hypoglycemic reactions, so calories and carbohydrates are generally not The limit is too low.

If ketoacidosis occurs, you need to add a little sugar, and then adjust the proportion of fat and carbohydrate in the diet. The above possible reactions are all reversible.

Following the recommendations in the “2019 China Expert Consensus on Ketogenic Diet Intervention for Type 2 Diabetes”: The indications for the application of ketogenic diet to diabetes are: age 18-65 years old, with overweight or obesity (BMI>24kg/m2), high body fat rate Patients with type 2 diabetes who are at the same age with normal standards, liver and kidney functions, and no serious chronic complications of diabetes.

Main contraindications: type 1 diabetes, gestational diabetes, porphyria and other diseases related to lipodystrophy. It should not be used for patients with major liver and kidney damage, history of pancreatitis, active gallbladder disease, frequent gout, lipodigestion, history of renal failure, pregnancy and breastfeeding, infection or very poor physical condition and cannot cooperate.

According to a number of studies, the ketogenic diet can lower blood sugar, reduce blood sugar fluctuations, and improve insulin resistance.

It has broad application prospects in the treatment of type 2 diabetes.

Only when your body’s sugar content becomes less and less can you have a chance to really lower your blood sugar and reverse your diabetes.

It is a very stupid behavior to consume rice noodles while taking insulin at the same time.

Question:

A ketogenic diet can also produce ketosis. Is this the same as the diabetic ketoacidosis we hear every day?

The production of ketosis is caused by hunger under normal circumstances or the diet contains too low a proportion of carbohydrates. And when the fat content is too high.

Ketoacidosis occurs as a direct result of the oxidation of certain fatty acids in the absence of sufficient oxidation to decompose glucose.

In the case of diabetic ketoacidosis, the body’s inability to use glucose leads to high blood sugar, which causes dehydration and chemical imbalances in tissues, which can lead to coma and death.

But these results obviously do not occur in starvation and use. In the case of a keto diet, because glucose intake is restricted under these conditions.

Is it true that a ketogenic diet can reverse type 2 diabetes?

(source:internet, reference only)

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