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hello everyone the big question can I do
keto diet when I have diabetes or
prediabetes a great question right so
you must be wondering who I am
I'm dr. Aaron I'm the founder of sugar
emmys.com and I have a huge endocrine
practice with many diabetic patients and
pre-diabetic patients and I like to pass
my experience especially about the
questions that comes to me every day in
my diabetes practice now let's talk
about the keto diet so keto diet has
been extremely popular nowadays and
everybody wants to go on why do they do
that because when you cut the
carbohydrates totally your money goes
into ketosis State so what is ketosis so
your body is deprived of carbohydrates
so as a result your body starts burning
fat and that creates ketone bodies
that's why it's called ketosis so your
body is in a state of burning fat so and
then not only that initially when you
cut carbohydrates your insulin levels go
down significantly even if you have
diabetes so you make insulin unless you
have type 1 diabetes so especially type
2 diabetics or pre-diabetics they
actually have more insulin than a normal
person
however since since their body or their
resistance is bigger than a normal
individual that elevated amount of
insulin is not enough and that actually
causes you know helps the weight gain
when you have pre-diabetes or diabetes
now when you're gonna keto diet your
insulin levels go down insulin is a
hormone that actually traps the water in
the party so as a result when you go in
at keto diet your insulin level goes
down and as a result your water levels
go down so you start you may notice that
you may end up going to the bathroom
more often but what is the risk with
that guys it may you may be at risk of
being dehydrated so if you're not heat
or diet may
that you stay hydrated that's number one
number two is discuss with your doctor
because you may be on a medication that
can put you at risk when you're when
you're on keto and when you are on a
keto diet so if you're a young
individual you don't have a lot of
problems you have pre-diabetes you're
not on medications go for it that's okay
to Kona keto diet but understand that
when you are off the keto diet your
weight will come back so you don't want
to go on a diet that's going to actually
put the weight back on unless you're
getting for a wedding and then you are
ready to gain weight again but we want
to make sure that you are going on a
diet that you like that you're going on
a diet that you can stick with rest of
your life so dietary changes should be
permanent not temporary so you can lose
20 30 40 pounds of weight on it on a
keto diet but then if you are going to
gain that back I'm telling you that
there's no point and I see that all the
time and patients report to me all the
time as well
there you go on a keto diet they lose
weight and then they gain weight back
now if you're on insulin especially
mealtime insulin that is an important
part guys so if you're an insulin let's
say you're taking 10 units per meal and
suddenly you cut the carbs what you're
gonna do with insulin very important
question you have to discuss it with
your doctor you may have to cut back on
your insulin significantly because the
80% of insulins job is to take care of
carbs is it helps with the proteins with
the fat etc but 80 90 percent of insulin
is designed to take care of carbs so if
you get rid of carbs suddenly and you're
on a bunch of insulin you are going to
have major major problem with low blood
sugars so you need to make sure that
call us if you want to get a
consultation about keto and diabetes we
can give you a free consultation help
you with the diet if not keto we can
help you with other diets as well and
remember keto is not the only diet and
it's not even proven to reduce the risk
of heart attacks and strokes if there is
a diet that you want to know and you
want to actually investigate a little
bit more will be the
tyranny in diet Mediterranean diet
although has some carbs in it healthy
carbs it has been shown to reduce the
risk of dying and prolonging the life
span and reducing the number of
medications so we can talk about that
diet more but again if you are dedicated
to keto diet that you need to be careful
especially if you're on insulin
especially if you're on medications that
actually can make excessive insulin such
as kalapas I'd glyburide kill my pride
you need to understand what is going on
with your medications before you go on
any type of keto diet otherwise as long
as you stay hydrated you should be able
to be okay now one last thing guys so if
you are especially on medications but
that can happen to even normal people
when you're on a keto diet your
electrolyte balance may be lost so when
you are losing a lot of water and you
get dehydrated you may have potassium
and sodium abnormalities you may be
magnesium deficient so if you're going
in like a super strict in a long
prolonged course of keto diet it is not
a bad idea at least your primary care
doctor to check your electrolytes and
then assess your hydration status so
with that we will see in the next topic
again this is dr. Amit arrogant sugar MD
is a calm day a wonderful day
you