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The secret is lots of veggies, fruits, and whole grains. The calorie density is low so it's easy to stay in a normal calorie range or even a deficit which is ke

The secret is lots of veggies, fruits, and whole grains. The calorie density is low so it's easy to stay in a normal calorie range or even a deficit which is key for reducing risk of type 2 diabetes. Fat, especially Saturated fat causes insulin resistance. Many studied show this. Please show me any long term studies or a culture that are metabolically healthy on long term keto diets. Take a look at Virta health. Tons of money spent on low carb diets that achieved very little. Try a book like "fiber fueled". That's a diet that is actually sustainable.

nradov 2y ago
There is no "secret" here. While saturated fat might play some role in type-2 diabetes (there appears to be a genetic factor for some patients), the immediate cause of insulin resistance is excessive carbohydrate intake. The Virta Health approach of nutritional ketosis appears to be quite effective and sustainable for many patients. https://doi.org/10.1007/s13300-018-0373-9 https://doi.org/10.1007/s13300-018-0373-9 https://doi.org/10.1016/j.nut.2014.06.011 https://doi.org/10.1016/j.nut.2014.06.011
- consteval 2y ago
  To me, this just doesn't add up. For virtually all of human history, the human diet is mostly carbohydrates. If anything, we eat less carbs than we used to - instead, we now eat more saturated fats and protein, due to ready access to farm meats. Prehistoric humans however (that is, before the agricultural revolution) consumed most of their carbs through fruits, nuts, and vegetables. It's estimated their diet probably consisted of around 100 grams of fiber a day, as opposed to the typical 2 grams people eat today. Fiber slowly the blood glucose elevation by quite a lot. I don't think simply cutting out carbs is the answer or even sustainable. I think it makes much more sense to gravitate towards a diet of more whole food, which contain more fiber and thus don't raise blood glucose as severely. Carbs are important, and we've been eating them forever.
  - nradov 2y ago
    You're not adding correctly. Carbs aren't important. They are not an essential nutrient. People can live indefinitely without them. For virtually all of human history, the human diet was whatever people could get their hands on. That meant as much meat as they could hunt or raise plus whatever else. Most regular people barely stayed ahead of starvation and they couldn't afford to be picky. Insulin resistance only becomes a problem when consuming excessive amounts of carbs over a long period, which only even became widely possible after 1913 due to the Haber-Bosch process making farming more productive. Your baseless claim that cutting out carbs isn't the answer or even sustainable is directly contradicted by clinical research. Many patients have literally put type-2 diabetes into remission through nutritional ketosis. That diet isn't recommended for everyone, just patients who already have insulin resistance (with appropriate medical supervision). Regardless of what you "think", that is the reality. After the patient's metabolism has been somewhat repaired it may be possible to reintroduce limited carb intake without triggering a relapse. Fiber is certainly helpful in this, and no one is seriously suggesting to eliminate fiber.
    - consteval 2y ago
      > That meant as much meat as they could hunt or raise plus whatever else The human diet has been a very, very small minority meat. Because meat is hard to get. And prehistoric game meat is also not the same as farm meat. Beef and pork contain high amount of saturated fat, but game antelope would contain much less and would have unsaturated fat. Meat of that time is really closer to avocado than meat of our time. > Regardless of what you "think", that is the reality I'm glad to see everyone is being civil. But if we come back down to Earth, you'll realize diabetes is reversed 95% of time when Ozempic is used. Do those people eat carbs? Yes, they do. Is 95% a higher success rate than whatever pathetic adherence rate a miserable existence like ketosis has? Yes, it is. If for 99.9999% of all of human history our diets consisted of almost exclusively carbohydrates, I don't think we're following the right path here. Just because ketosis reversed diabetes DOES NOT mean it address the root cause. It could be purely incidental. And it's also a piss-poor treatment. Because it sucks, and nobody wants to do it, so they try it and then lose a foot or two. We should stick to real medications, such as insulin and Ozempic. The granola-brained can continue their keto.

nradov 2y ago

There is no "secret" here. While saturated fat might play some role in type-2 diabetes (there appears to be a genetic factor for some patients), the immediate cause of insulin resistance is excessive carbohydrate intake. The Virta Health approach of nutritional ketosis appears to be quite effective and sustainable for many patients. https://doi.org/10.1007/s13300-018-0373-9 https://doi.org/10.1007/s13300-018-0373-9 https://doi.org/10.1016/j.nut.2014.06.011 https://doi.org/10.1016/j.nut.2014.06.011

consteval 2y ago
To me, this just doesn't add up. For virtually all of human history, the human diet is mostly carbohydrates. If anything, we eat less carbs than we used to - instead, we now eat more saturated fats and protein, due to ready access to farm meats. Prehistoric humans however (that is, before the agricultural revolution) consumed most of their carbs through fruits, nuts, and vegetables. It's estimated their diet probably consisted of around 100 grams of fiber a day, as opposed to the typical 2 grams people eat today. Fiber slowly the blood glucose elevation by quite a lot. I don't think simply cutting out carbs is the answer or even sustainable. I think it makes much more sense to gravitate towards a diet of more whole food, which contain more fiber and thus don't raise blood glucose as severely. Carbs are important, and we've been eating them forever.
- nradov 2y ago
  You're not adding correctly. Carbs aren't important. They are not an essential nutrient. People can live indefinitely without them. For virtually all of human history, the human diet was whatever people could get their hands on. That meant as much meat as they could hunt or raise plus whatever else. Most regular people barely stayed ahead of starvation and they couldn't afford to be picky. Insulin resistance only becomes a problem when consuming excessive amounts of carbs over a long period, which only even became widely possible after 1913 due to the Haber-Bosch process making farming more productive. Your baseless claim that cutting out carbs isn't the answer or even sustainable is directly contradicted by clinical research. Many patients have literally put type-2 diabetes into remission through nutritional ketosis. That diet isn't recommended for everyone, just patients who already have insulin resistance (with appropriate medical supervision). Regardless of what you "think", that is the reality. After the patient's metabolism has been somewhat repaired it may be possible to reintroduce limited carb intake without triggering a relapse. Fiber is certainly helpful in this, and no one is seriously suggesting to eliminate fiber.
  - consteval 2y ago
    > That meant as much meat as they could hunt or raise plus whatever else The human diet has been a very, very small minority meat. Because meat is hard to get. And prehistoric game meat is also not the same as farm meat. Beef and pork contain high amount of saturated fat, but game antelope would contain much less and would have unsaturated fat. Meat of that time is really closer to avocado than meat of our time. > Regardless of what you "think", that is the reality I'm glad to see everyone is being civil. But if we come back down to Earth, you'll realize diabetes is reversed 95% of time when Ozempic is used. Do those people eat carbs? Yes, they do. Is 95% a higher success rate than whatever pathetic adherence rate a miserable existence like ketosis has? Yes, it is. If for 99.9999% of all of human history our diets consisted of almost exclusively carbohydrates, I don't think we're following the right path here. Just because ketosis reversed diabetes DOES NOT mean it address the root cause. It could be purely incidental. And it's also a piss-poor treatment. Because it sucks, and nobody wants to do it, so they try it and then lose a foot or two. We should stick to real medications, such as insulin and Ozempic. The granola-brained can continue their keto.