DIETARY KETOSIS, THE KETOGENIC DIET
& SOCALLED "DANGERS"
These diets must be implemented under trained medical supervision.
Critics of these diets do not understand the above.
The The Ketogenic Diet was first used in the early 1920's in the management of Epilepsy in children due to metabolic error. Read the story in "The Charlie Foundation" or borrow the video "First Do No Harm" - the story of Charlie
Dietary Ketosis is essentially the same as the Ezrin, Bernstein, Atkins, Eades & Cabot Diets. These are all Low Carb, not high protein diets. Yes, higher percentage protein than before but not high caloric content; the caloric content from fats/oils/carbs must still exceed the caloric content from protein if weight reduction is not the objective; otherwise the carbs & fats are lowered to reduce total daily calories to achieve dietary ketosis without increasing protein. The aim is to achieve dietary ketosis in selected patients with intractable obesity or type 2 diabetes. This must be under medical supervision if longer than six weeks. The socalled "dangers" of this diet are
i) gout in susceptible individuals (ketones put an added burden on the kidneys; if the kidneys are have been adversely affected by IR, uric acid may accumulate and produce frank gout in susceptible patients; typically middle-aged male patients with a family history of gout; the diet should not be ceased; watch blood uric acid/urate levels and if rising despite drinking two litres of water a day, then allopurinol should be prescribed;)
ii) dizziness in patients on anti-hypertensives; preferably the patient should have their own blood pressure machine; since the commonest cause of hypertension is hyperinsulinemia and insulin resistance, the dosage of anti-hypertensives should be lowered in ongoing dietary ketosis;
iii) hypos in diabetes1&2; since dietary ketosis reduces the need for insulin, the dosage of insulin and oral blood glucose lowering drugs should be carefully monitored and adjusted.
These dangers are all avoided under medical supervision. The patient whether obese or diabetic will not go into dietary ketosis, a safe physiological dietary manoevre, if on a high protein diet because the excess protein is converted to glucose which stimulates insulin and this induces insulin resistance, elevates blood glucose and stores glucose as fat!
These diets have been wrongly labelled "high protein diet"; even the publisher of Atkins' book makes this mistake!
I advocate Dietary Ketosis, which is a Low Carb,
Not High Protein diet under medical supervision.
Do YOU, the doctor or dietitian or patient, understand the difference?
Many people don't!
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