Diabetics, especially, type 1 diabetics are at risk of complications if they attempt to follow a ketogenic diet. For this reason diabetics and anyone with a blood sugar management issue should discuss the potential implications with their GP and healthcare team before embarking on such a regime. Similarly anyone with kidney disease or a family history of such should consult their GP. 
It is important to remember that people have different needs, and that no single weight-loss diet suits everyone. A ketogenic diet may be an option for some people who have had difficulty losing weight with other methods, but if you choose to go on a ketogenic diet, it’s best to be under the supervision of a doctor and an accredited practising dietitian.
Thanks for the post Wendi. It’s interesting to read. In fact I don’t think this is an uncommon situation. Hopefully it is a question about time. Many doctors are very stuck with the “prudent” low fat diet. That’s what we learned in medical school and it’s generally accepted by the medical community. But we may have a different situation than 30 years ago. So many people are dealing with overweight issues and metabolic syndrome is becoming more and more common. There is abundant evidence suggesting that carbohydrate restriction is beneficial in these situations. It is likely that carbohydrate restriction will… Read more »
Hey there. I have been on a low carb diet for 5 years now. I lost weight in the beginnng but now I’m simply just maintaining my weight. I have gotten so used to eating this way I will probably always will. I just feel so healthy. My problem is my body has obviously gotten used to the way I eat and I can’t seem to lose any more weight. What do you suggest? I have done an “egg fast” for a week and maybe I lost a pound.
I have been trying to do keto for quite awhile..but, it’s not making alot of sense..I have downloaded a few apps to help..still not making sense…if there’s fiber in a food and equal amounts of carbs, theoretically, the fiber should cancel out the carbs, both apps I have, don’t cancel the carbs…so, it’s confusing me..still trying to make sense of it all..
I have been on the Keto diet for 2 weeks now and have lost 12 lbs – I love it!!! I have found it easier and much more enjoyable than when I did low carb (Atkins). I have found many recipes on Pinterest that have helped me out, also. I decided to research this diet after my last physical and my doctor said I was in danger of becoming pre-diabetic. I asked her what she thought and she thought it sounded good as I have no kidney problems or other issues that could make this diet not work. I use the Carb Manager app and that helps me keep track of my macros really well!!!

Krystal – This is something I have struggled with as well. In theory, eating low carb is supposed to be the magic “pill” that helps you effortlessly lose weight. But in truth, our bodies can stall with low carb eating just as easily as they can with other forms of dieting. Firstly, I would ask yourself if you truly need to lose more. We always want to lose another 5 pounds, but often, our bodies will be happy at a particular weight. Second, are you eating generally low carb or keto? Because there are different solutions for each approach.
I’ll treat my self to a cheese cake occasionally too. It works for me so far. My brother got me on this diet, the first week I told him I don’t know if I can do this and he basically said carry on as you were then and nothing will change and there really is no other way, either you want to lose weight or you don’t and it’s not like you’re suffering or anything so don’t give up. Find a replacement for everything that you miss one by one and soon you will get used to it and you won’t even think about eating any of that junk anymore and if you really do then treat yourself occasionally but just don’t give up.
Doug. These numbers are not uncommon on a ketogenic diet. Some people respond with a very high LDL-cholesterol and high total cholesterol. However, we don’t know what this means in terms of risk. Although LDL-cholesterol is generally associated with increased risk of cardiovascular disease, we don’t know what it means in this particular metabolic situation. Your LDL particle number is most probably too high as well, although we really can’t tell much about particle size in your situation. However, a TG/HDL-C ratio less than 2 is to your benefit. If you want to lower your LDL-cholesterol you will probably have… Read more »
I have been on the Keto diet for 2 weeks now and have lost 12 lbs – I love it!!! I have found it easier and much more enjoyable than when I did low carb (Atkins). I have found many recipes on Pinterest that have helped me out, also. I decided to research this diet after my last physical and my doctor said I was in danger of becoming pre-diabetic. I asked her what she thought and she thought it sounded good as I have no kidney problems or other issues that could make this diet not work. I use the Carb Manager app and that helps me keep track of my macros really well!!!
For instance, a 2007 controlled study in 43 young acne-prone men by Smith, et al, found that a low-glycemic-load diet led to a greater reduction in acne lesions than a higher-glycemic-load diet. What’s more, the low-glycemic-load group experienced a decrease in androgen and insulin levels, improvement in insulin sensitivity, and weight loss. By contrast, the other group had increases in weight, insulin levels, and insulin resistance.

There are now few years since I started educating patients with overweight, obesity or signs of the metabolic syndrome about the possible health benefits of LCHF. I have seen many of them having a great success with this lifestyle. Most have managed to improve their general health and modify their cardiovascular risk factors in a positive way. By this, I’m not saying that other methods don’t work, but I can confirm that LCHF very often works in real life.
Carolyn – Low carb eating is often promoted as the “magic solution” to effortless weight loss. But the truth is, no matter how you eat, your body is going to have issues with the process at some point. It’s not unusual to plateau for longer periods with low carb eating. I’ve experienced it myself and I’ve heard the same from other people. There are so many things to look at when you stall (I feel another blog post coming on!!). Do you eat generally low carb or do you eat keto? Each approach has it’s own solutions.

Blood levels of triglycerides have emerged as a very important risk factor for cardiovascular disease.  High serum triglyceride level is associated with abnormal lipoprotein metabolism, as well as with other risk factors including obesity, insulin resistance, diabetes mellitus, and lowered levels of HDL cholesterol. It has been shown in a number of studies that carbohydrate restriction lowers triglyceride levels significantly.
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