What is the ketogenic diet?The doctor tells you everything you need to know

Basic principles and essence of the ketogenic diet.

The human body uses two sources of energy: glucose and fatty acids.Fat can accumulate in the body and cause weight gain.Efficiently converting this fat into energy instead of consuming glucose is the key to losing weight.This idea is the basis of the ketogenic diet, which has gained popularity in recent years.

Before the advent of effective anti-seizure and diabetes medications, doctors used the ketogenic diet (high fat, medium protein, low in simple carbohydrates and sugar) to prevent seizures and control type 2 diabetes. Today we are rediscovering the benefits of reducing simple carbohydrates and total sugar in our diet, but for a broader segment of the population.

Who can benefit from the ketogenic diet?

Patients with the following diseases or conditions have been found to benefit from a ketogenic diet.And these observations are backed by scientific research:

  • high blood pressure;
  • diabetes of the first and second type;
  • inflammation (increased levels of C-reactive protein);
  • high cholesterol or triglycerides, low high-density cholesterol ("good" cholesterol);
  • obstructive sleep apnea syndrome;
  • overweight, obesity;
  • inflammatory bowel disease;
  • epilepsy;
  • migraine;
  • Alzheimer's disease;
  • Parkinson's disease.

NOTE:It is important to distinguish between ketosis and ketoacidosis.With nutritional ketosis, the required level of ketones in the blood is achieved, while maintaining normal glucose and insulin levels.This is exactly what the ketogenic diet aims to achieve.

In diabetic ketoacidosis, blood ketone levels are 10 times higher than the target value, glucose levels are significantly elevated, and insulin is insufficient.This condition can be life-threatening.

What is the ketogenic diet?

The ketogenic diet (ketogenic diet) is a diet that includes high amounts of healthy fats, moderate amounts of protein, and low amounts of carbohydrates.The diet is based on the idea that by consuming less than 30 to 50 grams of simple carbohydrates and/or sugar per day for more than a few days, the body will begin to produce ketones from fat.These ketones then serve as the body's energy source.

It is recommended to eat plenty of leafy green vegetables on the ketogenic diet.Due to their small amount of calories, they can make up up to a quarter of your diet, while making up only 5% of your calorie content.For example, two servings of spinach contain only 20 calories.

By traditional definition, a ketogenic diet is considered to be the following proportion in the diet:

  • 60-70% of calories come from fat (avocado, fish, nuts, chia seeds, flaxseed, cheese, MCT oil, etc.);
  • 20-25% of calories come from protein (meat, fish, chicken, nuts, green leafy vegetables);
  • 5% calories from carbohydrates (strawberries, blueberries, cherries, coconut, leafy greens, almond flour, etc.).

Benefits of the ketogenic diet

Jimmy Moore, author of Keto Clarity, cites the following benefits of the ketogenic diet:

  • feeling of hunger and appetite control;
  • mental clarity;
  • weight loss;
  • improved sleep;
  • stabilize blood sugar levels and improve insulin sensitivity;
  • decreased blood pressure;
  • more energy;
  • heartburn relief;
  • strengthen the immune system and slow down biological aging;
  • memory improvement;
  • improvement of skin condition;
  • less anxiety;
  • Strengthen self-discipline.

What are macronutrients?

Vitamins and minerals are considered micronutrients.Macronutrients are the three main components of any food:

  • carbohydrates;
  • fats;
  • protein.

Carbohydrates are divided into simple and complex.

Simple carbohydrates, unlike complex carbohydrates, are made up of shorter chains of sugar.When food is digested, it is absorbed more quickly by the intestines, causing blood sugar levels to rise faster than when consuming complex carbohydrates.Eating simple carbohydrates also causes the body to produce more insulin than complex carbohydrates, which contributes to weight gain.

Simple carbohydrates satisfy hunger for a short time;once you eat them, you often want more soon.

Examples of foods with simple carbs that are not keto-friendly:

  • processed foods;
  • dad;
  • bread;
  • cakes;
  • rice;
  • tortillas;
  • bakery;
  • fruits with high sugar content.

Complex carbohydrates are made up of longer sugar chains than simple carbohydrates.Because of this, they take longer to digest and do not raise blood sugar levels as quickly.This means they have a lower glycemic index and keep you fuller longer than simple carbohydrates.The ketogenic diet allows unlimited consumption of most complex carbohydrates.Just remember that beans and peas are not keto-friendly, although they do contain complex carbohydrates.

Examples of foods rich in complex carbohydrates:

  • cabbage;
  • Brussels sprouts;
  • broccoli;
  • kale;
  • lettuce;
  • onion;
  • spinach.

Fats: the second macronutrient.On a ketogenic diet, 60-70% of calories should come from fat.Contrary to popular belief, not all fats are bad.When you eat a lot of healthy fats, your body starts to burn fat better.Additionally, many doctors believe that eating fat does not necessarily lead to obesity.Apparently sugar contributes more to this.

Fat is important for our metabolism.However, there are “good” and “bad” fats.In recent years, the dangers of saturated or “bad” fats have been considered.

Examples of foods rich in fat:

  • avocado;
  • MCT oil;
  • olive oil;
  • coconut oil;
  • avocado oil;
  • almond;
  • pistachios;
  • Brazil nut;
  • chia seeds;
  • flax seed;
  • almond paste;
  • peanut butter;
  • macadamia oil.

Protein: The third macronutrient.Proteins are made up of amino acids and are broken down into them when absorbed by the body.They are extremely important for the body.Hair, nails, enzymes and hormones are mainly made of proteins.Additionally, protein is an important component of bones, cartilage, tendons, muscles and skin.

Examples of foods rich in protein:

  • dry protein;
  • bone broth;
  • milk products;
  • beef;
  • chicken;
  • seafood;
  • green leafy vegetables.

sugar problem

Many people get their energy solely from sugar (glucose).The body releases it from foods rich in sugar or simple carbohydrates.Simple carbohydrates are converted into glucose and when we consume more glucose than we can absorb, the excess sugar is stored in the body as fat.Let's dispel another popular misconception.In fact, not all fruits are the same.Constantly eating fruits rich in sugar can eventually cause problems for those who need to limit their sugar levels.

200 years ago, the average person consumed 3.2 kg of sugar per year.In 2020, this figure had skyrocketed to 47-55 kg.

Excessive sugar consumption almost certainly explains the current rise in certain diseases around the world: obesity, high cholesterol, sleep apnea, high blood pressure and other chronic diseases.

How does the ketogenic diet work?

Ketosis is triggered by the breakdown of adipose tissue into three fatty acids.These fatty acids then travel to the liver, where they are converted into ketones, molecules that provide an alternative source of energy.Ketones mainly include beta-hydroxybutyrate, acetoacetate and acetone.

Ketones are to the body like high-octane gasoline is to a car.This is cleaner fuel for the brain and body, available when sugar consumption is reduced.When the body uses ketones instead of sugar, oxidative damage to the body's cells is reduced.

Ketosis can help many people in many different ways.You can follow a ketogenic diet that includes large servings of leafy green vegetables, as well as healthy fats, seafood, meats, chicken, eggs, cheese, nuts and seeds.As with many things, moderation is key!As a general rule, sweets, sugar, bread, rice, tortillas, potatoes, beans and processed foods should be avoided.Fortunately, there are now great-tasting keto snacks and bars available that make it much easier to avoid simple carbs.

The ketogenic diet may not be right for everyone, but overall it is a great alternative for those who have trouble managing their weight or diabetes on other low-calorie diets.

Many people with carbohydrate sensitivity or insulin resistance who have difficulty controlling their blood sugar have benefited from switching to a diet low in carbohydrates and high in healthy fats.

NOTE:Before stopping any medication, be sure to consult your doctor first.

Recommended supplements for a ketogenic diet

  1. Exogenous ketones, including beta-hydroxybutyrate, magnesium and calcium salts.
  2. Medium chain triglyceride (MCT) oil is an excellent source of healthy fats that are easily converted into ketones.Many people following a ketogenic diet use MCT coffee creamer.
  3. Multivitamins: A good multivitamin is recommended for most children and adults.
  4. Magnesium: By consuming enough magnesium, you can avoid muscle cramps and spasms.
  5. Vitamin D: 80% of the population is deficient.Most people are recommended to take between 2,000 and 5,000 IU of this vitamin on a regular basis.
  6. Green Powders and Supplements: It's best to get all the nutrients you need through food, but these supplements and powders will help provide your body with the antioxidants it needs.
  7. Cook with coconut oil or avocado oil – they are great sources of healthy fats and are also great for sautéing vegetables.
  8. Omega-3 fatty acids have anti-inflammatory properties.
  9. Whey, soy or pea protein is an ideal meal replacement and a great addition to smoothies.
  10. Momordica charantia, cinnamon, chromium picolinate and berberine may be helpful, especially for insulin resistance.