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I was with my wife during her gestational diabetes nutrition session. The diet they recommended was for all intents and purposes a ketogenic diet. The only carb

by dcow 2y ago

I was with my wife during her gestational diabetes nutrition session. The diet they recommended was for all intents and purposes a ketogenic diet. The only carbs were from natural sugars in fruits and veggies. They just didn’t push the fat and squeeze the carbs as much as you see in keto enthusiast literature. I have a hypothesis though: the keto community does this as a “failsafe” way to instruct curious people how to experience ketosis for the first time. People practicing keto long term (once they’ve experienced the acute benefits and/or initial weight loss) are almost always landing on their own personal watermark which very likely looks like taking in 60+g of carbs a day in a state of “nutritional” ketosis where there are only slightly elevated levels of keytones (~0.4-1.0 mmol/l) in the blood compared to the level of “therapeutic” ketosis used to treat epilepsy (3.0-5.0 mmol/l).

guerby 2y ago
The definition of nutritional ketosis is just a restriction in carbohydrate intake to accelerate the production of ketones by the body: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472268/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472268/ There is no specific ketone cutoff level specified, and of course the impact of X g of carbohydrate will vary per individual, during the day and between days. The paper I cited are the end stage validation that a treatment works: using it on patient in their normal everyday life (instead of being in clinic/laboratory) - note that they see the doctor 3 times 10 minutes per year. Of course no one knows how much carbohydrate they take but the guidelines (as presented in the paper) are clearly steering them to nutritional ketosis. As or clinical studies there are many of them done in the past decades, for a ten years ago summary for example: https://web.archive.org/web/20150702005325/http://www.omega3galil.com:80/wp-content/uploads/2013/10/A-Review-of-Low-carbohydrate.pdf https://web.archive.org/web/20150702005325/http://www.omega3... Dr Westman (the main author, Past-President and Master Fellow of the Obesity Medicine Association and Fellow of The Obesity Society, he also has a youtube channel) uses 20g/day carbohydrate guideline and does not recommand the use of a ketone meter for his patients.

by dcow 2y ago

guerby 2y ago

The definition of nutritional ketosis is just a restriction in carbohydrate intake to accelerate the production of ketones by the body: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472268/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472268/ There is no specific ketone cutoff level specified, and of course the impact of X g of carbohydrate will vary per individual, during the day and between days. The paper I cited are the end stage validation that a treatment works: using it on patient in their normal everyday life (instead of being in clinic/laboratory) - note that they see the doctor 3 times 10 minutes per year. Of course no one knows how much carbohydrate they take but the guidelines (as presented in the paper) are clearly steering them to nutritional ketosis. As or clinical studies there are many of them done in the past decades, for a ten years ago summary for example: https://web.archive.org/web/20150702005325/http://www.omega3galil.com:80/wp-content/uploads/2013/10/A-Review-of-Low-carbohydrate.pdf https://web.archive.org/web/20150702005325/http://www.omega3... Dr Westman (the main author, Past-President and Master Fellow of the Obesity Medicine Association and Fellow of The Obesity Society, he also has a youtube channel) uses 20g/day carbohydrate guideline and does not recommand the use of a ketone meter for his patients.