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Is it true that keto diet can cause diabetes?

What’s the Keto Diet?

The keto diet is a low-carbon, high-fat diet. Low carbohydrate and modest protein consumption result in the development of small molecules known as “ketones.” This ketones are used for energy purposes when the body does not contain enough glucose (blood sugar).

During a keto diet, the body runs on fuel and burns fat all the time. This method, in which the body uses fat as a fuel and creates ketones, is known as ketosis. Ketone production increases as insulin levels decrease as people stick to the keto diet. In this article we will conclude that is it true keto diet can cause diabetes?

What causes diabetes mellitus?

Carbohydrates and starches are usually broken down into glucose by the liver. Insulin allows the glucose to be released into the cells to be used as a supply of energy. Insulin also plays a part in inhibiting the production of sugar in the liver. However, if the blood glucose level is higher than average, it can lead to diabetes.

Type 2 diabetes is characterised by resistance to insulin. This is distinct from type 1 diabetes, which is an autoimmune disease that inhibits the development of insulin. Type 2 diabetes is also caused by over-consumption of sugary drinks, which allows the pancreas to over-produce insulin to keep blood glucose levels under control. As insulin levels in the blood are constantly high, the body is immune to insulin. Ketones developed during the ketogenic diet have been found to decrease the need for treatment in patients with type 2 diabetes.

Is there a correlation between the diet of keto and the progression of diabetes?

The keto diet is close to starvation since both glucose and insulin plasma levels are poor. Some studies indicate that 1 to 3 days of malnutrition or reduced carbohydrate intake is sufficient to minimise the need for medications to control type 2 diabetes.

Several studies of keto diets have found that there is an elevated chance of type 2 diabetes early in the diet. In a research performed by the ETH Zurich and the University Children’s Hospital Zurich, mice were given one of two separate diets-a ketogenic diet or a high fat diet. Metabolic studies have found that elevated glucose levels and insulin tolerance have improved in the livers of mice fed keto diets relative to those of mice fed high fat diets. Since the liver was unable to cope with normal glucose regulation insulin levels, the risk of type 2 diabetes has also increased.

In another study, a ketogenic diet has been introduced to mice for several days. Researchers also discovered that the liver has begun to resist insulin, and mice have not been able to maintain their normal blood sugar levels. Insulin Tolerance is a key marker for type 2 diabetes. This means that there could be an elevated chance of type 2 diabetes with a keto diet. The research did not, however, examine whether a keto diet would contribute to obesity in the long run. In addition, the aetiology of type 2 diabetes and its ultimate causes are not well known. It is necessary to explore the connection between keto diets and type 2 diabetes. Furthermore, the mechanism through which low carbohydrate and high fat diets induce biochemical changes contributing to insulin resistance remains unexplored.

Contrary to these results, a report by Westman et al. in 2018 found that keto diets could decrease the symptoms of type 2 diabetes rather than raise the risk. Low carbohydrate, ketogenic diets have been documented to be beneficial in increasing glycemia and decreasing insulin requirements for people with type 2 diabetes. The diet introduced in adults with type 2 diabetes has been shown to enhance glycemic regulation. This resulted in the reduction and in some cases discontinuation of type 2 diabetes meds. In addition, the diet has had beneficial effects on weight loss and glycemic regulation. It was recommended, however, that diets be tailored for each patient.

Earlier, a 2017 report by Saslow et al. found that HbA1c levels were lower with keto relative to the control diet. Patients with type 2 diabetes have increased their glycemic regulation and lose more weight. Researchers have suggested that self-management of type 2 diabetes could be feasible with a ketogenetic diet.

Inconsistency in the outcomes of the research requires additional, well-controlled human trials to determine if a keto diet is healthy for people with type 2 diabetes or at risk for type 2 diabetes.

Naeem Ur Rehman

Pakistan's youngest blogger and the CEO of Raabta.net. He is currently the student of BS Environmental Sciences at University of the Punjab, Lahore. He is also working as a senior advisor to Aagahi.pk, Mukaalma, and Pylon TV.
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