Can KETO fix Diabetes? (the VIRTA story)

[@firstchoicefarm7767]

As a VIRTA participant, i can say that the education is great. Their program is also flexible for the individual. The coaches are looking to help you find a way to make things work for you. The impressive part is the number of people that quickly have their medications reduced.

[@arleenm7367]

Thanks for this discussion. As a runner I think it should be pointed out that the Keto diet (in endurance athletes) can cause RED-S (Relative Energy Deficiency in Sports). I know of a 22-year-old with osteoporosis because of this. Women need to be careful that they don't mess up their hormones going on a strict Keto diet to lose weight.

[@fitfrog65]

Yeah, when I was running and cycling a lot I ate a high carb diet. It worked, plenty of energy and good health.

[@m1s1uuu]

Worth mentioning that for most of diabetes patients their markers would go worse over that 5 year period, even after increasing on medications, so achieving any reduction with KETO\LC is significant.

[@4124V4TA-SNPCA-x]

A video about ketogenic diet with no bitter comments or trolls. Congratulations, Gil!

[@SpikeFastingRacing]

Keto doesn’t work for anything

[@doctormarazanvose4373]

@@SpikeFastingRacing That is just not true. It was first used to help epilepsy. Many have benefitted for many reasons since.

[@marka2188]

Great video. One thing that I am not clear is what % of participants followed keto after the first year? This can shed light on why the significant rebound after 5 years.

[@mikesymth7243]

What about other measures like LDL-c and apo-b?

[@Nicksonian]

Yes, exactly. Are they trading cardiovascular disease for diabetes?

[@HealthyLife88-t3y]

Keto and Diabetes: Drastically reducing carbs induces ketosis, where the body uses ketones as fuel. VIRTA Study Results: After 1 year: 25% of participants achieved remission, 12.5% completely normal without medication. After 5 years: 20% remained in remission, but glucose levels slightly rebounded. Limitations: Difficult to sustain long-term; many participants relapsed. Not suitable for everyone. Solution: Combine various diets like Keto, Mediterranean, etc., tailored to individual needs.

[@davidflorez1196]

Blueprint diet too

[@CoreConceptsWellnessVancouver]

well said!

[@jlarson1040]

Why no mention of low-fat, plant-based diet?

[@alexoolau]

ChatGPT gives better answers than diet gurus

[@DreamersBall1113]

What I'd really be interested in knowing is what happens when the successful keto participants ate fruit or grains. Would they react as a diabetic or as a non diabetic person? This is the main argument against Ketogenic diets and I'm curious to know.

[@krism6260]

Same thought exactly. Add a GTT, see what the results are.

[@gore-geousmombie4686]

I did fine

[@DreamersBall1113]

@@gore-geousmombie4686 That's great to hear! Xx

[@NutritionMadeSimple]

they didnt have this in this study but typically people on very low carb diets show a hyper response to carbohydrates acutely, which normalizes within a few days of a higher carb diet if the underlying metabolic issue is resolved (largely a function of shedding excess adipose mass)

[@krism6260]

@@NutritionMadeSimple interesting! Thanks for sharing.

[@TC-by3il]

Great video as always and I really appreciate how you keep harping on the problem with anecdotes. I think one of the major issues is, that it's easy blame yourself if you're doing something that isn't working for you, when you keep getting the false impression that it works for everyone else.

[@ronkompify]

Lower BMI? The common denominator across all these extreme diets?

[@rdo1231]

Excellent way to start my Monday (thank you for great data!)

[@maciekwar]

it fixed mine for sure (I was eating keto for 4-5 months), A1C from 10.4 in 5-6 months to 5.2, and 1 year later even without keto diet I have no problems with my glucose levels, I took 1/3 or even less metformin prescribed by a doctor, side effects were bad :) now sometimes I eat rice, potatoes, even bread, but not daily, mainly meat, vegetables, eggs, dairy, nuts, berries, fish, they KEY IS DONT drink sugar, this includes fresh juices, fruit juice is a poison if you drink 1-2L daily. you have to check it for yourself. keto has some downsides :) your cholesterol panel will suffer for sure, but with a bit of activity and fresh vegetables it can be fixed :)

[@DetroitHomeInspector]

how much weight did you lose? I have been watching vids by Dr. Roy Taylor and he says, almost doesn't matter what you eat, as long as you lose weight....I think 20% of total body mass but not sure, may have been higher.

[@rod7944]

Everyone I know of who tried this, got results similar to what you got.

[@firegardendevine6039]

What was your weight loss and have you maintained it? Thanks.

[@dj-fe4ck]

Fruit juice is absolutely NOT poison, especially if it's fresh

[@williamwightman8409]

@@dj-fe4ck She is referring to the sugar content, about the same as any soda pop.

[@ronmclaughlin2515]

I have been low carb for 4 years. I find there additional benefits to lower carb intake and lower blood sugar. My appetite is much lower resulting in 65lb weight loss. Low carb requires much less willpower to keep the pounds off.

[@pyroliquid_]

I'm happy for you! What's type of the low-carbohydrate diet do you eat? (Mostly saturated of mostly unsaturated fats? do you eat much fiber?

[@rod7944]

that's exactly what I found. 70 pounds down going on 5 years:)

[@matthewcreelman1347]

Well, for some people it’s easier. For others, basically not being able to have cookies, cake, chips, etc, ever again makes it pretty hard.

[@tim1398]

@@matthewcreelman1347 Even if you're not Keto you shouldn't be eating that crap! The longer you don't eat refined carbs the less your body craves them.

[@dj-fe4ck]

@matthew cookies, cakes, and chips are fats, not carbs. Don't call those carbs.

[@carinaekstrom1]

So what was the weight loss situation in the VIRTA study? Also, how healthy was their keto diet overall?

[@firstchoicefarm7767]

Diet is generally 30g carbs max / 105g protein target. Add fat to meals to be satisfied. They give educational material and coaches. How healthy beyond that is up to participants.

[@DetroitHomeInspector]

Look up Dr. Roy Taylor, he has done extensive research on this. He says x percent of bodyweight and diabetes goes into remission about 80% of the time.

[@agray-4rodents]

yes, I'd love to know that too, plus what were their lipids? How much fat did they eat? how much protein? how were their kidneys doing this diet?

[@carinaekstrom1]

@@agray-4rodents I think that people often stay on an unhealthy ketogenic diet because they noticed improvement i their HbA1c, when in reality it was just the fact that they lost weight that improved things. And how do we know if even a "healthy" keto diet is healthy long term?

[@NutritionMadeSimple]

weight changed similarly to the glucose parameters (down after 1 year, partial rebound at 5 y) and likely mediates at least some of the changes based on everything we know

[@arifaahamed7239]

Thanks for the wonderful video. I hope all the diabetic patients watch this video.

[@CindyCorporon]

I have been low carb for 54 years. It works for me.

[@rod7944]

works for thousands, maybe millions of people.

[@dj-fe4ck]

@rod no it doesn't.

[@johnny7808]

@@dj-fe4ck what is the correct number of people it works for?

[@dj-fe4ck]

@johnny7808 For sure not millions.

[@dj-fe4ck]

@@johnny7808 Maybe at most 1 in 100 people could sustain that. Probably not even that many.

[@eddiejager]

You are correct, what works is different per person... Unfortunately a lot of nutritionists only have one tune... Eat less and move more... They don't go over all the options and try to find the one that works for you as an individual... And that just sad! Good that you are here to show all the options available. And to everyone who's looking for their matching diet, ENJOY the adventure ;)

[@BartBVanBockstaele]

Eat less and move more IS the very best 1-liner they can deliver. The problems start with achieving it and that needs to be personalised.

[@hystrionic]

Gil, I have done a good bit of reading and thinking about diabetes after my brief experience with prediabetes related to a brief period of being debilitated. Based on that, I think that keto is a great acute intervention to get someone's glucose lower (maybe for 3-9 months), but that it causes problems that only appear in the long term. The issue is fat, mostly saturated fat. Saturated fat, especially in the long term exerts its own effects on metabolic health and blood sugar, and long term keto (which almost always includes high saturated fat, can create its own issues that hurt people already vulnerable to diabetes. I'm less sure about a "healthy fat" keto (with low saturated fat). You can comb the research for what I'm saying and I'm pretty sure you'll see evidence corroborating each of my claims. But you are a better, more patient analyst that I am. If you want to look into it, by all means, do! Great videol

[@hystrionic]

Basically I'm saying long term saturated fat gets you in the ass, eventually, but at first it may not hurt as much as reducing carbs helps.

[@hystrionic]

Also red meat/tma/tmao is one factor in many keto diets that might only start to cause problems in the long term.

[@traceybell3673]

I follow a low carb diet and find that keeping saturated fat low is totally doable--you just can't emulate the people who are eating a rib-eye steak every day and putting butter and cheese on everything. It might be worth watching the video Gil has linked at the end of the video on how to do a keto diet healthily.

[@doctormarazanvose4373]

I don't think the Inuits would agree.

[@ViDeTool]

This is why authentic therapeutic keto should be meditettenan style keto. Since fats are the main source they should be monitored to their fatty acid content. Fats should be Fatty fish . Olive oil. A little bit of canola oil. MCT oil. And a minority should be saturated fat. Ideally the rest should be on clean cuts of meat. Low fat milk. And outside of that it should be mostly plant based.

[@lramos45]

You make this Portuguese person so proud! Your information is so important for people to hear. Thank you!

[@dan11D179]

The virta participants became more diabetic per kilogram of excess weight than they were at baseline. Their glucose tolerance wasn't reported but presumably awful. The main concern here is that low-carb worsened their insulin sensitivity despite lowering their blood sugar, setting them up to fail even harder in the long run.

[@carolynnburns5239]

Edit above: 100 units of insulin in 4 shots a day. 200 was a typo

[@userblame632]

Didn’t they also lower their drug intake substantially?

[@Cookie7294]

This reinforces for me that we have individual needs. We all have to find a way of eating that works for us. I would be miserable if I had to eat a high fat, low carb diet.

[@mark-ish]

Vast majority believe they're on a keto diet when they don't understand how they need to eat to make it happen. People who stay on it, doing it right are a very small minority.

[@RoScoHutch]

Thanks for covering this study, doctor. Low carb has worked for me for years. I just wish I had an answer for why I’ve been able to sustain it for so long while others haven’t. I’m sure it has something to do with discipline and the variety of controls I’ve put in place for myself. Maybe our focus needs to be more on behavior management than specific diets.

[@hamakua484]

Excellent review of a solid study. Is this, however, a low carb diet? Were participants shown to be in ketosis? Do you need to be in ketosis for a diet to be ketogenic anymore?

[@thomashugus5686]

Purely anecdotal. My experience was my glucose came down and lost weight but had muscle cramps especially abdominal. Tried to stay hydrated but after about a year suffered blood clots. 4 episodes of pulmonary embolism and the last was a saddle and just about ended my life

[@Jesse47249]

I think your case should not be dismissed as purely anecdotal. This is what happens in the majority of cases when people start a ketogenic diet, and it's when the supposed short-term benefits can mislead them, causing them to continue with that insanity and reap long-term harm in the decades to come. Time will show how deleterious this is, and those who promote it will be ashamed of themselves for playing with people's health.

[@carinaekstrom1]

This is why I think keto is a risky diet and it should be made clear that other diets can often resolve diabetes without the risks. It's the weight loss that is most important and with a healthy diet this can happen while also getting lipids into a better range.

[@TorBoy9]

A combination of keto (20g/day) and intermittent fasting helped me reduce body fat and lower my insulin resistance HbA1C. Intermittent fasting alone was not sufficient. I also strength train. A high protein diet, for me, fish, helped satiate my appetite, which helps a lot. When you feel full you don't overeat. For me this was the winning combination.

[@BartBVanBockstaele]

Good for you. Fish has zero effect on my own satiety.

[@juliebrown8375]

I was so painfully hungry on the keto diet that I gained 4 lbs in the two months that I followed it. The food seemed appealing at first, but eventually it was just so appallingly greasy that I couldn’t continue plus I started to obsess about the foods that I couldn't eat. Weight Watchers worked better for me. I lost 30 lbs and my blood sugar and blood pressure are now excellent without any medication.

[@Sarah.lux.]

As always, great explanations! Could we get a video about nutrition for menopause and perimenopause? My mother used to drink some morning shakes (grape juice, soy milk and golden flaxseed powder) that were supposed to help with hormone balance, and I want to know if that is evidence based advice or not. Any tips about women aging would be great content!

[@thanasisbratzos8754]

what a nice message you always give and what a nice scientific analysis as always, love the channel. Keep it up

[@SandroBuss]

Always waiting for excellent information!

[@stanthomas5812]

While effective for diabetes, what about other health impacts at five years and dependence upon the type of low carb diet, high red meat vs plant based for example?

[@skincraftorganicsllc8537]

I eat a low carb diet but not keto - and I can tell you I don't eat a lot of red meat at all (once or twice a week, and it's always lean sirloin) - in fact, I eat a lot of chicken & fish and most of my fat comes from olive oil and avocados - you don't have to eat a high saturated fat diet to be keto or low carb.

[@CptApplestrudl]

There wouldn't happen to also be some results on what Keto does to cholesterol? I mean, with so much meat and animal fat/saturated fat, shouldnt there be some effects according to the conventional nutrition wisdom? Scientifically, it's fascinating to watch this topic progress, so we can hopefully better why exactly some diets work for some and not for others.

[@traceybell3673]

But a ketogenic diet doesn't have to be high in saturated fat. It depends on which foods you choose, and some people even follow a vegan keto diet.

[@Greg_Chock]

The weight loss from any kind of change from the SAD diet is probably the biggest factor in reducing mortality. The higher LDL-C would still be a concern but the main concern is reversing the weight gain.

[@antistaticandi]

Yeah, they would have to follow them until they die from heart disease. And VIRTA, being a company with a monetary interest in keto working, is not going to do that.

[@belwynne1386]

My problem on keto was an inability to get sufficient fiber.

[@contrarian717]

Macadamia Nuts?

[@SteveLee-zw8fm]

Really appreciate the amazing reviews that you do, and explain clearly for us laypeople. Thank you.

[@tikibarry2279]

Can we nominate Gil for "person of the year" ?

[@edgarpaderes1584]

Hi Dr Gil, I’m one of your fan of what you do, I just one to know if eating brown rice is healthy, and how many cups is acceptable to consume daily? Thanks

[@AutumnSonderness]

Inb4 „in my particular case this random diet solved all my problems“ anecdotes (it’s good though, happy for you!) for algorithm

[@peterbedford2610]

At 66, I am now getting consistently 5.8% a1c. Officially pre diabetic. 22 BMI, Lots of cardio and resistance training. So, I am going keto as of yesterday. Will report in two months.

[@EVanDoren]

Better read "Mastering Diabetes" by Cyrus Khambatta.

[@Anarcath]

It is entirely possible that what cures, or at the very least, improves diabetes, among other diseases, isn't simply what one eats, but what one doesn't eat. By simply cutting all the junk, salt and sugar from our diets will most likely yield positive results.

[@debiwillis9045]

I agree, its all about balance and I think we are slowly coming back around to that!

[@leondbleondb]

Salt is important :)

[@jac9366]

I tried keto (not for diabetes, but in a attempt to change my mood). I found it super difficult to adhere, don't think I ever achieved ketosis and my love of fat declined significantly with my need to consume a lot to make up my calories... no direct impact on my mood that I could tell, however massive indirect win as I lost the probably 5 or 7kg that had crept on over the years as I was just in major calorie deficit.... I quit and adjusted to whole food plant based and took the major positive mood impact of returning to my desired weight! What I'd be interested in with this study is how did the weight of participants track with their diabetic labs through the study - I don't think you mentioned that? I'm curious as I think previously you've noted studies which seem to show that however you lose weight, that's the main factor in reversing type 2 diabetes - or am I misremembering?

[@DarthNoshitam]

When I was in medical school (2015), I was taught that type 2 diabetes is an incurable lifelong diagnosis 🤣

[@BartBVanBockstaele]

So was I, and it remains largely true. Just because a few people manage to go in remission, doesn't mean it is cured.

[@hamakua484]

Current peer reviewed medical research shows there is a point of no return depending on the damage to the pancreas. Before that point diabetes may be put in remission if dietary protocols yield necessary weight loss results.

[@BartBVanBockstaele]

@@hamakua484 I agree with that.

[@yurinator4411]

@@BartBVanBockstaele The same goes for cancer.

[@BartBVanBockstaele]

@@yurinator4411 Except that 'cancer' is too general a term to be of any value. There are dozens of diseases called 'cancer'.

[@carstars]

Does this intervention reduce BMI? I failed low carb as likely could not regulate the high fat and protein just stalling any weight loss and A1C increased. You should do a video on the high starch diet for those that work for.

[@murraypooley9199]

I went strict carnivour 26 months ago. Result 32 BMI (obesse) down to 23 (Normal) in 4 months, blood pressure in double digets, hbA1C 4.6%, type 2 diabeties gone and so many other health problems gone. All health markers now excellent, fittness very high. Not had any fruit or vegitables in over 2 years. Just turning 70 years old. No medications.

[@silverdweller2809]

I've heard that when doing keto the body becomes less efficient at metabolizing carbs when it's not used to it so it has the potential to impair glucose metabolism even further if you go off of keto. Dunno if that's true. It would be cool if you could address that issue if you have time. Keto is probably great for some issues (epilepsy) but I know adherence would be super difficult long term. Much easier to adhere to the Mediterranean diet long term.

[@woofinu]

Did they track other metrics to get the complete health picture instead of focusing only on A1c? At the end you mentioned safe and healthy keto, but I wonder how many keto diet followers actually practice that, instead of doing "bad keto"?

[@davothegreat9990]

Great. Can we please look into aeronutrients and how beneficial it is.

[@Backtothescience]

Did they check at all whether they were still insulin resistant?

[@NutritionMadeSimple]

they didn't run a OGTT but their HOMA-IR improved at 1 year and partly (though not entirely) rebounded at 5 year

[@paulc5389]

The easiest way to stop your bath from overflowing is to turn the tap off.

[@Greg_Chock]

While true, it doesn't help the many who struggle.

[@Iam-not-VEGAN-but-]

Reductive analogy

[@EVanDoren]

And go dirty. Better to unclog the drain, and use the bath. The drain is the insulin signaling in this case. Read "Mastering Diabetes" by Cyrus Khambatta.

[@nicoleadair2129]

Did they stay on the keto diet for the whole 5 years?

[@robertusga]

You don't need a restrictive diet like keto to improve A1C. Not sustainable for most. The key driver of diabetes is energy surplus. Energy deficit can be achieved with any diet. That's where glp-1 type meds are game changer.

[@debiwillis9045]

Its not about a deficit at all...its about hormones

[@Nicksonian]

But do we know if they are trading diabetes for cardiovascular disease? How are they achieving a high-fat diet? Is there significant saturated fat?

[@krism6260]

Ohhh... thats ashame. I was hoping they also actually tested how their bodies react to glucose, with a GTT! A1c is logically low if you dont eat much carbs...

[@shahid-irshad]

Please, please, please! Audio podcast 🙏 it’s much easier to listen while doing whatever someone is doing.

[@tkat6442]

I routinely run videos while working. Just bc the picture is there doesn't obligate me to watch it, especially talking head content!

[@cherylmcalister5555]

Gil, please do a program about Lp(a) when you can. Most are unaware of this lipid anomaly, as I was. I learned I had it when on a keto diet and my total cholesterol went through the roof. Most docs still don’t test for it. A lipidologist tested me.

[@NixiePixel]

-clicked on this vid so fast it makes my head spin -

[@jjoanna2]

thank you for another great video !

[@pepsiblik874]

Interesting result, but we should consider some things. Just because you no longer eat carbs and you see your blood glucose drop, does not mean your insulin resistance has resolved itself. For that, you need to lose your visceral fat. This channel has some good videos discussing this with Prof Dr Roy Taylor. That said, people with (pre-)diabetes should really consider drastically lowering their carbs intake and focus only on whole carbs. Also, when eating carbs, don't do saturated fats. As long as you are insulin resistant, carbs are not a great idea. Because T2D has some severe effects on your health.

[@H4KnSL4K]

If you've got diabetes, and it keeps getting worse, despite your meds .. are there any other options? Even if it might not work for you - if you have no other options, isn't worth a *try* at least? It doesn't seem to have much in the way of negative side effects.

[@jesseshaver2262]

There is another study where they look at beta cell recovery on very low calorie diets. Pretty crazy, I’d love to see a video on that

[@SpikeFastingRacing]

Its called fasting

[@slydog7131]

Was there a control group? No way to tell if it helped without one. Did it reduce mortality and morbidity? It changed some numbers for a few (not for most), but did it lead to better health? Without a control, there is no way to tell.

[@ratitekeeper]

Good video, but looks like study definitely needed a control group -- Where would people be after 1, 2, 5 years, etc., absent the intervention. Also would like to see results broken down by where people were at (say) one year -- How much (for example) did their A1C go up relative to those people who never had much change in blood sugar. The overall averages could be driven by people who were never helped much by the diet and whose sugars went up massively, driving the overall average up vs. others who did pretty well with the diet, even if they were were (after 5 years) pre-diabetic or were on the low end of the diabetic scale.

[@Radjehuty]

Keto certainly seems logical as a short term strategy to manage diabetes but i do question the mechanisms behind these findings. I haven't looked into this study but if participants are put on a drastic diet change, do we know if these results are accounting for weight change? How do we know if the A1C change is in response to less intake of carbohydrates or just as an overall benefit from less overall calories leading to weight loss?

[@mrdavester]

No amount of science will make that piece of cake taste bad...

[@Healthy-Golden-Oldie]

Make keto cake

[@Mc_Sisyphus]

Just wondering if the results controlled for weight or was it the weight loss that gave the results

[@johng9382]

Did the VIRTA study track weight loss? Can they attribute remission to only the diet and not weight loss?

[@firstchoicefarm7767]

VIRTA is also available for weight loss.

[@jac9366]

​@@firstchoicefarm7767 If I understand the question correctly it's asking whether the diet monitored weight of participants as well as diabetes indicator bloods and whether it's possible to distinguish between those measures/outcomes I.e. can we attribute diabetes meausure changes to weight changes?

[@b.porterv7418]

For those who weren't diabetic anymore after a year, I wonder how many of them achieve that status simply by weight loss. Was weight loss measured and accounted for? Weight loss alone can put diabetes into remission. So for those of the 25% who were no longer diabetic, how many of them experienced significant enough weight loss that the weight loss would have done the remission regardless of diet?

[@alexis1451]

I tried Keto and while it did bring my A1C down, it also made my cholesterol shoot through the roof. I'm planning on trying again but this time substituting a lot of the fatty-meat with nuts, and also significantly increasing my exercise regimen (in particular strength training).

[@randomhominid9816]

Yes. People don't stay on diets. What I was interested in was for the people who never got positive results. Did they adhere to the diet or did Keto just not help?

[@judithcervizzi6609]

A keto diet elevated my A1C and cholesterol.

[@videosammlung4859]

Well analyzed

[@oxoelfoxo]

wait, all these people ADHERED to the keto diet for one year but only 1/4 got better?!?

[@robert111k]

Almost everyone got better. They were all diabetic people, and "only" 25% achieved remission, that is to say, being in the normal range without any medications. The rest also experienced benefits, but not enough to withdraw all the medications they take.

[@rod7944]

3/4 likely did not "adhere"

[@SpikeFastingRacing]

@@oxoelfoxo Keto diets don’t work

[@Iam-not-VEGAN-but-]

​@@rod7944it's giving

[@teresawhite791]

@@rod7944that’s what I am thinking cz let’s face it… addiction to junk is real!

[@mgib1325]

I lost 120lb on Keto. Most important marker for me , was drop in blood pressure from average 155/93 to 116/71. Also, I bet measurement of Insulin Resistance - a leading indicator, not lagging like other markers, would have shown even greater results. In fact, it is crazy how IR is not a standard panel test.

That's great, but you could have lost that weight with any good diet. An opposing diet like WFPB could do the same. But good that it worked for you

[@mgib1325]

Nope

[@H4KnSL4K]

There was a bounce-back after 5 years .. for those individuals, did they resume taking the medicines that they had gone off? (assuming that same group phased out some of those meds)

[@cheryldyer5181]

What about following the my plate method? Thats designed for diabetes

[@gsp0819kri]

I think the healthy eating plate is better.

[@tim1398]

How can someone in long-term Ketosis have enough blood sugar to raise the A1c above normal??? The body can make some glucose, but I don't think it can make that much. Did the study track ketones?

[@robertusga]

"Remember the rebound"

[@josephc3064]

How does this fit in with the study that showed increased all cause mortality on ketogenic diets?

[@jeffreyjohnson7359]

Dr. Roy Taylor's program has even better results than Virta.

[@wetelbow8738]

Why is there an epidemic of diabetes in the first place?

[@ChappySinclair]

Junk food is more readily accessible than real food.

[@Joseph1NJ]

Inactive lifestyle, poor diet, leading to obesity and increased visceral fat. Type two diabetes is largely a lifestyle disorder.

[@anathardayaldar]

Our food portions got way bigger than our grandparents were used to. Each meal is packed denser with carbohydrates. Snacking on processed foods is way easier and cheaper (adj for inflation). Theres way less physical activity. Less requirements to walk for work. People with the genes for diabetes used to never got the chance to express them. Now as eating too much processed carbs are getting more affordable around the world, they can.

[@SpikeFastingRacing]

Overeating

[@doctormarazanvose4373]

Over consumption of addictive foods manufactured by the food industry along with an ever increasing sedentary lifestyle.

[@MrMohshehab]

what was their ldl/apoB levels for the keto studies ?

[@marcelotemer]

But how do one knows they’re cured, if they aren’t eating carbs?

[@i2sky532]

Bingo

[@Greg_Chock]

If they can maintain their diet and reduce their mortality risk, does it really matter?

[@tofu-munchingCoalition.ofChaos]

​@@Greg_Chock Is mortality reduced?

[@salleone6387]

The latest figures from 2022 is 1 inn 4 health care dollars (from all sources) are spent on diabetes; 412.9 billion on direct and indirect causes (lost wages). Included in that number is 32% of medicare dollars go for diabetic care. The cost of illness accelerated by diabetes like cancer, hypertension, and heart disease are not in those calculations. When you look at those numbers, it's not to difficult to figure out what is ballooning US healthcare.

[@gobbergobberer4776]

what happened to the oatmeal video?

[@Qstandsforred]

Keep in mind that if they were adhering to the diet then there was a severe progression of the diabetes by the end of the study. Their a1c was nearly identical to initial levels _despite_ the reduction in carbs.

[@volkstouareg5620]

I eat fairly low carb. Under 100 grams and sometimes under 50 and my A1C has tested 5.7. Glucose less than 95.

[@EVanDoren]

Insulin has tons of functions, not just glucose regulation. Even if glucose is normal, all the other insulin functions work worse and worse on a keto-diet. Therefore, I do not agree with you at 5:10. I discourage everyone from trying a keto-diet. Read "Mastering Diabetes" and go on a low-fat plant-based diet. There is no middle ground.

[@imlovinYOYO]

Plant based is not suitable for majority of friends around me. They develop all sorts of different problems from depression to autoimmune disease.

[@contrarian717]

​@imlovinYOYO especially digestive issues

[@EVanDoren]

@@contrarian717 Read "Fiber-fueled"

[@lvzane]

Not related to this diet but a topic I've been wondering about lately. Asian diets are often praised as very healthy, but as much I have had experience with Asian foods they are all very salty. But maybe it is just relative because I do not use any table salt or salty sauces at all so everything seems very salty to me.

[@Greg_Chock]

About 30% of the population is salt sensitive, which means their blood pressure will rise with increased salt intake. You'll have to do a elimination diet to see if that holds true for you. And there are many unhealthy asian foods just as in any other culture. It's no magic bullet.

[@julioandresgomez3201]

Can you really say that you are no longer diabetic if you eat a banana or a mango and the body goes haywire? Any healthy person can eat either or even both no problem at all.

[@dannyspitzer1267]

Exactly

[@Greg_Chock]

While it may not be perfect, at least it is a solution for some to reduce their weight and mortality risk and/or reduce medication.

[@SoufianeMohammad]

Really interesting thanks for the free content !!! can you talk about kefir ?!

[@juno6]

After 5 years most people in the study still have diabetes but with the added problems of clogged arteries.

[@shawnvines2514]

I've been using keto since 2019 to control by blood sugar. My A1C is currently 5.6. In 2019, it was 10.3. I use a CGM. One thing I found amazing is Mounjaro, which I started a few months ago. My blood sugar has never been lower. Can't wait for my next A1C test, but my CGM is showing and average 15 mg/dL lower since I started the Mounjaro.

[@jj900]

Great vid as usual - I like this take! - i dont think compliance is a useful outcome from a study - its individualised, what you need is proof of concept that something works. Motivation, resilience, circumstances will all be individual. Its important for population medicine though - a disease primarily driven from excess caloric and carbohydrate intake will do so well on keto! - carbs as a percentage of diet or even grams always needs to be matched with exercise/output... So you can be in keto but take on a fair few carbs if you are exercising!

[@chrismolloy131]

I am part of the 5%. A1C from 11.1 down to 5.4 (for a year running). Low carb diet (20g carbs per day) , walking were primary drivers.

[@Psartz]

Which year you started?

[@carinaekstrom1]

And weight loss?

[@Liliquan]

This is not particularly impressive. Going from SAD to keto is going to have results. Likely from the increased vegetable intake. Not the generation ketones which is basically unhealthy long term.

[@Healthy-Golden-Oldie]

I don't get why people prefer short term and short lived pleasure from unhealthy foods rather than becoming/staying healthy and not needing medications. Healthy keto food is delicious and there are many great recipes online. Even for sweet stuff, if you really have to have that. Also, when you adhere to a keto diet for a while, your taste changes. I used to love milk chocolate. Now it tastes bland, fatty and sharpish sweet.

[@neinschlomo]

I cannot do Keto! I understand the mechanics but it makes me miserable. I’m keeping under 60 carbs a day but eat only whole foods I am not pre diabetic

[@Gnosis2078]

Curious about their lipid levels… Ironic, if they’re just trading one problem for an even worse one…

[@TheMaui2020]

The problem here is that there is no consideration of other possible effects of a keto diet, such as increased blood cholesterol and decreased bone density.

[@joze8722]

I am 10 years on keto, no problems 70 years old and fit as a 40 year old.😊😊😊

[@carinaekstrom1]

With an LDL/apoB under 80, then? You might be one of the few that can actually rid themselves of excess cholesterol. But then there's still the immunity issues, cancer etc. so you should be careful.

[@rpearce25]

Sure, but which 40 year old?

[@dominicmutzhas6002]

Well because it increases all cause mortality when it's a classic ketogenic diet, does it not?

[@meekoosh]

They relapsed because they went back to SAD diet or even in Keto their numbers went back?

[@carinaekstrom1]

I think while they were still on keto. Could have regained weight.

[@CoreConceptsWellnessVancouver]

Fascinating how many carbophobes cite VIRTA as some sort of a slam dunk.