What do you eat on the keto diet?

Everybody’s doing the keto diet. It’s a cultural craze that’s captured our imagination.

But let’s remember that the ketogenic diet is a medical, or therapeutic, diet. So while it’s extremely beneficial for people with certain conditions, it’s not for everyone.

What do you eat on the keto diet?

The keto diet is essentially a high-fat diet — your meals are 70 or 80 percent fat; about 20 percent protein; and about 5 percent carbohydrate. It is not an Atkins high-protein diet.
The keto diet switches you from burning glucose (which carbs provide) to burning ketones (which fat produces) for energy. When you do this, interesting things happen:
• Your metabolism speeds up.
• Your hunger goes away.
• Your muscle mass increases.
• Your blood pressure and heart disease risk profile improve.

Keto Diet


Why will eating fat help you burn fat?

Biology is smart. Historically, it allowed our bodies to adapt to times of abundance or scarcity by shifting from carbohydrate metabolism to fat metabolism.
When we found lots of wild fruit, we’d store the carbs as belly fat. Later, in lean times, we would use the fat as a backup source of fuel.
The key is this: Eating fat does not make your insulin go up, as eating carbs or protein does. So the keto diet does not spike your insulin, and you don’t store fat. Instead, you burn it, creating the ketones that give you an effective and efficient metabolic jolt.

Should you try the keto diet?

Here are a few reasons why you might think about doing the keto diet:
• Type 2 diabetes. One study found that being on the keto diet for one year reversed diabetes for up to 60 percent of participants. With an average weight loss of 30 pounds, they dramatically reduced or eliminated their need for insulin and no longer needed oral hypoglycemic drugs. The keto diet is also easier to sustain than the calorie-restricted diet or the protein-sparing modified fast.
• Morbid obesity. If your body mass index is over 40 — or if you have insulin resistance without type 2 diabetes — the keto diet can be very helpful as well. It can be used as a short-term strategy to reset your metabolism; you don’t have to be on it forever.
Clearly, the ketogenic diet is the standard of care for treatment-resistant epilepsy. But we’re also seeing its benefits in other neurological conditions. Research suggests the keto diet can bring improvements for those with Alzheimer’s disease; autism; or brain cancers such as glioblastoma.

So the keto diet can be a powerful intervention. People with type 2 diabetes and or/morbid obesity can do phenomenally well on it. (And the truth is, this describes many Americans; one in two of us are now are either prediabetic or type 2 diabetic, and 70 percent of us are overweight.

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But it’s vital to work with a doctor or health professional who can treat and follow you while you’re on the keto diet.

Who should not do the keto diet?

Our responses to the ketogenic diet are individualized. They’re based on our biology, our metabolism, our numbers and the way we feel.
Some people can sustain the diet for decades. Others don’t do well on it. For example, if I eat too much fat and too few carbs, I lose too much weight.

If you happen to be very thin, if you have an eating disorder, or if you have certain metabolic issues, the keto diet will also be risky for you. I would be very careful; check with your doctor before trying this diet.
We also don’t want to put kids on the keto diet, unless they have type 2 diabetes and are overweight. However, I would still check with your pediatrician.

Is the ketogenic diet safe long-term?

We still don’t have enough long-term data to say that the keto diet is effective and safe over 20 to 30 years. But if you’re overweight or diabetic, this diet can help get your system out of metabolic crisis and put it in a healthier state.

One thing I want to stress: It’s vital to eat real, whole, fresh foods when you’re on the keto diet. This includes non-starchy vegetables (the carbs from broccoli are pretty different from the carbs in cola). Frozen food is OK but should not be processed.

So whether you’re doing the keto diet, the Mediterranean diet or a low-fat diet, what matters most is the quality of the food you eat.

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How It Works

When you eat less than 50 grams of carbs a day, your body eventually runs out of fuel (blood sugar) it can use quickly. This typically takes 3 to 4 days. Then you’ll start to break down protein and fat for energy, which can make you lose weight. This is called ketosis. It's important to note that the ketogenic diet is a short term diet that's focussed on weight loss rather than the pursuit of health benefits.

Who Uses It?

People use a ketogenic diet most often to lose weight, but it can help manage certain medical conditions, like epilepsy, too. It also may help people with heart disease, certain brain diseases, and even acne, but there needs to be more research in those areas. Talk with your doctor first to find out if it’s safe for you to try a ketogenic diet, especially if you have type 1 diabetes.

Diet With Care

When your body burns its stores of fat, it can be hard on your kidneys. And starting a ketogenic diet -- or going back to a normal diet afterward -- can be tricky if you’re obese because of other health issues you’re likely to have, like diabetes, a heart condition, or high blood pressure. If you have any of these conditions, make diet changes slowly and only with the guidance of your doctor.
When followed well, a ketogenic diet is a very nutritious diet. It should be based around real foods with a strong vegetable intake, particularly leafy greens.

The aim of ketogenic diets is to allow ketosis to happen through the day. Ketosis is the process of burning body fat for energy and, for this to happen, insulin levels in the body need to be low.

So, by sticking to foods that won’t cause a surge of insulin, you give your body a chance to go into ketosis and burn body fat.

What does a ketogenic diet plan look like?

The content of the diet will vary, depending on an individual's goals, personal health and financial situation. But, the focus should invariably be on eating nutritious minimally processed, real foods.
A ketogenic diet will usually be:
• Low carbohydrate
• Moderate protein
• High fat
The challenge can sometimes be to get enough fat without having too much protein.

Energy balance

Whilst there are different ways to follow a ketogenic diet, the following is a good guide for people with diabetes, looking to control their sugar levels and lose weight.

This will determine the nutrient density of the ketogenic diet as well as how to follow it, as different foods will have different effects on insulin and blood sugar levels.

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Carbohydrate

Carbohydrate intake should be low. Usually carbohydrate intake will be under 50g per day to maintain ketosis.

Some people may restrict themselves to under 30g of carbs per day to maximize the chance of maintaining in ketosis through the day.

Protein

Protein intake should be moderate at around 40 to 50g per day for women and around 50 to 60g of protein for men.

These are rough guidelines. If you are struggling to lose weight, despite having very little carbohydrate, the next step to look at is whether you are having too much protein. Note that foods such as cheese and nuts have significant protein in that some people may miss.

Fat

Fat is generally free to have on a ketogenic diet, within reason. You can afford to have a good amount of fat on a ketogenic diet, except it’s advisable not to snack between meals on a ketogenic diet.

Low-carb veggies

We’ll start with vegetables as research shows that all truly healthy diets share one thing in common, they have a good foundation of vegetables to provide a range of nutrients.

Aim to eat vegetables at every meal. Vegetables are also a great way to get more fat into the diet with, for example, high-fat salad dressings, avocado, nuts, olive oil or butter.

People following a stricter ketogenic diet can limit their vegetable intake to those containing less a very-low-carbohydrate content, such as leafy greens, tomatoes, asparagus and broccoli.

Watch out for starchy root vegetables such as any form of potato, parsnips and beetroot.

150g of boiled broccoli (non-starchy vegetable) contains about 5g of carbohydrate whereas 150g of boiled sweetcorn (starchy vegetable) contains 30g of carbs.

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Meat and eggs

You’re good to have meat on a ketogenic diet and this includes fatty meat such as pork belly, lamb and poultry with the skin on. This is good news for the taste buds as fat helps to add a lot of flavour.

Eggs are a staple for most ketogenic dieters. They're low in carbohydrate, filling, a good source of protein and very versatile.
Note that it is possible to come out of ketosis if you’re having a large amount of protein. This is because a high protein intake can cause the liver to convert the protein into glucose – a process known as gluconeogenesis.

For this reason, try to keep your intake of meat to a moderate level.

Fish

Fish provides a good source of protein and oily fish, such as mackerel, salmon, tuna, sardines, trout or herring, contains essential omega-3 fatty acids.

The consumption of significant amounts of fatty fish is widely advocated for heart health and longevity.

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