A ketogenic diet restricts carbohydrate intake to less than 25 to 50 grams per day in an attempt to enhance tissues to use fat or ketones acids produced by the liver as fuel during caloric restriction. Ketogenic diets were first used in the s to treat diabetes prior to the discovery of insulin. These diets were also used to treat difficult-to-control epilepsy in children. Recently, ketogenic diets have been promoted as weight-loss diets and to control blood glucose in patients with prediabetes and type 2 diabetes. Keto diets may lead to weight loss in the short term, but that weight loss is similar to what is achieved with other dietary approaches over the long term. Keto diets may improve blood glucose in the short term in patients with type 2 diabetes, but there is inconclusive scientific evidence that these diets are superior to other weight-loss regimens in the long term. Claims of benefits of the ketogenic diet for cancer, dementia, and Parkinson disease are not scientifically substantiated. Most fruits, legumes, and whole grains are also essentially off limit. Currently, long-term data on keto diets and cardiovascular, cancer, and other chronic disease risks are lacking, and low-carbohydrate diets have been linked to increased mortality. Individuals wishing to lose weight using a very structured approach may benefit from a keto diet.
Recently, many of my patients have been asking about a ketogenic diet. Is a ketogenic diet safe? Would you recommend it? Despite the recent hype, a ketogenic diet is not something new. In medicine, we have been using it for almost years to treat drug-resistant epilepsy, especially in children. In the s, Dr. Atkins popularized his very-low-carbohydrate diet for weight loss that began with a very strict two-week ketogenic phase.
She is very strict about adhering to her protocol and one can understand this. This food abundance precludes the need for nutritional ketosis. A ketogenic diet is a low-carb, moderate-protein, high-fat diet. Nothing wrong with that! StatPearls [Internet]. I have been on a low carb keto diet for more than a year. Enhancing Healthcare Team Outcomes To counter the obesity epidemic, some healthcare workers do recommend the ketogenic diet. I would very much like to hear more about carb restriction excluding the discussion on processed meats and processed high salt content foods because I consume neither. Furthermore, it is associated with a variety of chronic diseases 1 — 4. Am J Med.