Does a Ketogenic Diet Help Diabetes or Make It Worse?

[@NutritionFactsOrg]

This is the final video in a 7-part series. You can see the whole series at kzbin.info/aero/PL5TLzNi5fYd8H9nNYTHuxVBTCNP0hZDu3. -NF Team

[@RaceLever]

Good work NF team... ;-)

[@AldousHuxley7]

NutritionFacts.org high dose niacinimide plus berberine plus an organic low carb diet will take care of insulin resistance.

[@kevinisbell1867]

Can you do one on red wine.🍷

[@DrWubbington]

Thank you for repeatedly beating down the keto diet nonsense with facts of nutrition!

[@sugarplumk2381]

NutritionFacts.org Scary Stuff! Thank you so much Dr Gregor and team!

[@RedPillVegan]

_”That’s like Faith healing someone out of a wheelchair by making them lie in bed for the rest of their lives”_ Savage

[@lennonpaiva7058]

I will start using all these analogies lol

[@distermaer]

@@lennonpaiva7058 Same here, great analogies indeed. Problem is when someone can't even understand simple analogies. (I've had it happen many times sadly)

[@publichealth1681]

i applaud you sir for raising awareness of this on your channel consistently. its an extremely important issue , keto approach is being used very widely in the UK currently and is endorsed by the NHS Royal college of GPs

[@killingspree2244]

If you are unable to donate simply taking the time to read my campaign is still greatly appreciated🙏 www.gofundme.com/f/dedicated-vegan-striving-to-help-others

[@scrapbus9681]

The problem is this simply isnt true. Greger is confounding temporary phenomenon with the underlying pathology. 'fasting' for a week results in exactly the same temporary response to glucose. The question is what happens to *actual insulin resistance* on a low carb diet or fasting? It improves. Greger doesnt address this. A recent study by the US military found that a three month Ketogenic diet found that *Insulin resistance was improved by 48%* compared to controls. I wonder why Dr Greger doesnt mention that?

[@Truth_Seeker96]

Rubbish. I’ve been on Keto for just a few months, reversed my type two diabetes and I am no longer taking insulin or medication, my A1C went from 9 to 5.7 and my blood sugar is always between 70-85. Funny how all of the critical comments of this video are hidden under the “newest” filter while all the bot comments are the first shown hahaha.

[@relaxgood512]

When I listen to some of the people here on You Tube talking about how good Keto is I feel like I am watching the Walking Dead.

[@susanadisanti5028]

@Nature Lover Media 😂😂😂

[@mattwhite9823]

Come on, how good is eating a third of Cream on a pint of Cheese with Sour Cream with a slab of Bacon, your Arteries and Heart, are screaming for Help,!! help us please ....

[@gailsheehan1852]

@@mattwhite9823 To be clear, many recommend dairy-free,, and certainly not eating what you describe - that's hyperbole and inaccurate.

[@Rene-uz3eb]

I can say that when I first started to add carbs back, I would notice diabetes symptoms immediately via dry mouth and excessive urination. It would go away if I worked out that day. A few weeks in and the symptoms are mostly gone even when not working out

[@lanceevans1689]

You eased you system back slowly, using exercise. Good work! I'm going back to a whole foods diet, but this time trying to be more careful about not taking in too many carbs. Both fat and carbs are easy to over do.

[@uberneanderthal]

it's called the Randle Cycle. it protects your cells from glycative damage, at the cost of red blood cells (and eventually atherosclerosis, as there's only so much damage the red blood cells can absorb). the Randle Cycle activates whenever you mix fat and carbs in high amounts. fat is essential, carbs are not. the choice is simple.

[@Rene-uz3eb]

@@uberneanderthal from wiki I gather both carbs and fatty acids try to out trigger each other so I can imagine that a meal with lots of fat and carbs might be a bad idea if one of the two will circulate in the blood while the other is being used.

[@uberneanderthal]

@@Rene-uz3eb correct. but note that only fat is stored inside the cells, while blood is stored exclusively in the blood until it can be quickly used. the entire purpose of the Randle Cycle is to protect the cells from glycative damage. remove glucose (i.e. all carbs) from the diet, problem solved. also it doesn't matter if the fats and carbs are in the same meal, as they can take up to 72 hours to fully metabolize.

[@Rene-uz3eb]

@@uberneanderthal the Randle cycle is stil being researched, my interpretation is that it's simply about the body choosing to process primarily one fuel at a time rather than allowing both at the same time, which would require say additional balancing methods because you can't just double the energy supply if you have both fatty acids and glucose available. So if you eat a 1000 calories meal, whether those come primarily from fat or half carbs and half fat shouldn't really matter, the body will absorb one or the other first from the blood and then switch to the other. Technically if the first was fatty acids, then you might think the extra time the glucose stays in the blood is detrimental, but at a fixed absorbtion rate it turns out to be the same if you had 1000 carb calories or 500 fat + 500 carbs. So I think the importance of the RC is overrated.

[@LevelUpWellness]

Used to believe this whole carbs make you fat thing, but now I eat as many whole food carbs as I want and look and feel better than ever! 🙏🏼😄

[@LivingMidnight]

👍😊

[@XAE_A_Xii]

from your name i assume you are an anthlete, so you burn as much as you consume, so yes, for you a lot of carbs is not as bad as for many other people that spend most of their days not moving much. i've been eating a lot of crap food in the past (all that crap food, like nachos, icecreams, cakes, etc are very rich in carbs usually), and it made me pre-diabetic. i stopped for few mnths, sticked to healthy food - meat, fish and veggies, and said no to pizzas, pastasm sugar and bread, and i can feel much healther now and my weight has been on decline. this video is BS. it shows verys short-term reaction adn we can't rely on that. in the long run, excessive carbs are the killer. see american diet and obesity there

[@LevelUpWellness]

@@XAE_A_Xii I wasn’t very physically active until I got over my condition. It was the diet rich in “whole food” carbohydrate rich foods like whole grains, sweet potatoes, fruits, and vegetables that actually allowed me to lose the weight and get to a place where I could be quite active. As for the foods you listed as carbohydrate rich, most of them contain just as much if not more calories from fat than carbohydrates. however I should emphasize, the name of the game is not fat vs carbs, but more so Whole Foods vs non Whole Foods. The civilizations that have the longest life expectancies and greatest health quotient eat a diet that is rich in whole food carbohydrate rich foods as well and diabetics who follow in their footsteps massively decrease their need for insulin, and many times even stop it entirely. I know that I could never change any one’s mind with a KZbin comment so I don’t expect anyone to whole heartedly accept what I say. I just want to point to the scientific consensus and show that “carbs” in and of themselves, are not the problem. It very much depends on the source. I know this felt like an essay trying to show you how wrong you are, but that’s not the intention at all. Just want to bring a broader perspective to another fellow brother/sister on planet earth. Have a great day my friend and God bless! 😊🙏🏼

[@richardevans9061]

carbs raise insulin the most, insulin is the fat storage hormone, unless you don't get the fat vitamins then your end up emaciated

[@xTruncz]

​@@XAE_A_Xii nope

[@whitewidow69]

Yep, my cousin has diabetes and was on keto diet for 6 months and didn't need any more medication saying that it reserved it. Well he did a glucose tolerance test and it was way worse than before when was not on the keto diet. He got pretty sad after that.

[@RabbitFoodFitness]

I hope that he is doing better now on a much healthier diet.

[@Taralina1]

Sugar is bad. Why would anyone think to want to go back to it anyway? Dr.Berg says eat 7-10cups of veggies not extremely high fat like most ppl doing keto do it wrong anyway. But it is a lifetime diet to manage the issue of carb intolerance that diabetes have it won't make you reverse it to become tolerant again but meds don't cure or fix it either

[@kreassiva9138]

The lesson. Share this video

[@peterfaber9316]

This is normal. Your body is fat addapted on a LCHF diet. You need to eat at least 100 grams of carbs for 3 days before the OGTT. Ask him to fo that and then do the test again. But to be honest, just stick to keto. Veganism will just kill him a little slower. Greger is a charlatan. IMO he should be in jail.

[@maverick5989]

Peter Faber you couldn’t say it any better, but I am sure his cousin will be smart enough to stay on Keto or deserves to get sick, wouldn’t take much time to blow his fatty liver from the carbs he is gonna take in if he switch diet.

[@tpowell3776]

I was a Vegan for several years, through time I found myself constantly hungry, I was eating all day long chasing my hunger, gaining weight, getting depressed, I began to realize that all the fruit smoothies, pastas, rice, oatmeal, breads, cereals, potatoes and the vegan processed "meats" which were the mainstay of my diet (coupled with the veggies) were making my insulin go through the roof, and causing havoc on my system metabolically. When I switched to a keto diet which is high fat, medium protein meats, eggs and seafoods coupled with the veggies, and lower carb fruit-like the berries my whole world changed, my hunger ended, I lost 25 pnds in six weeks, I feel amazing, and would not go back to high carb grains, starches and fruit for anything.

[@Voltaje_YT]

I am vegan, and my hunger goes away in the middle of my meal that i fail to finnish, and i have to force myself eating a little bit more, fiber stops you from hunger, so personally, i dont believe that you ate veggies(or too few), only full proceesed food, like white rice, smoothies, pasta, and vegan junk food, i eat a whole salad plate, legumes with brown rice for dinner, whole oatmeal with banana and berries, with avocado and toast in breakfast, launch the same as dinner in less quantities, i eat a ton of fiber in the diet, which makes so that sugar never spikes; i think that your problem is never eating enough fiber and too much preceess and refined food, even if its vegan, it is bad and not recommended, french fries are vegan and still incredibly bad for health.

[@tpowell3776]

@@Voltaje_YT What you are saying about 'fiber' isnt true, my dad has diabetes 2 and it doesnt matter how much 'fiber' he eats there is zero difference between brown and white rice, whole wheat or white bread when it comes to blood sugar spikes, and all of these foods push blood sugar through the roof, I know this b/c weve done many comparisons with my dads glucose tests one hour later when he tests his blood sugar, also, being on a STRICT hardcore diet like you are outlining is not sustainable long term, I know b/c I started out great and ended not great at all, I got to the point of being constantly hungry and grazing all day, I was hurting myself and in denial..

[@mightykarma3815]

My mother definitely lost 25kg and reversed her type 2 diabetes. She has done the hard work, and enjoys high carbs here and there but has found Keto food to be way more fulfilling. Yes her blood sugar level rockets because she was sensitive, but that was only at the start of reintroducing carbs - people would rather tare it down than believe a human will adapt to it's conditions. High BGL should not be the aim, and using it as the argument is far from Keto and just stupid.

[@kiwikim5163]

Keto lowered my HBa1c from 6.2 to 4.5. Raised my HDL and lowered my triglycerides. Lost weight effortlessly. It’s been five years and I would never go back to being bloated and hungry all,the time. Plus the low carb doctors in general appear to be in much better health than the vegan docs who age quickly and look very frail after 30-40 years on a strict HCLF Whole Foods diet.

[@thedigitalemotion]

100% This Dr Gregor is a laughing stock these days.

[@wfpbwfpb]

Every word you said is absolutely false. Literally the exact opposite is true. There are no old keto docs. They’re ALL dead younger than vegan docs. ALL!

[@Maryellengray]

@@thedigitalemotionyes he is. I know a lot of people who don’t have diabetes anymore. No one eats sugar when they’re doing keto. This guy doesn’t make sense. If you never have carbs again your blood sugar won’t go up. People don’t need carbs. Dr Ken Berry proves this dr doesn’t know what he’s talking about. Dr Shawn Baker looks healthier than this frail looking so called Doctor. He doesn’t look healthy at all.

[@forsdykemontague1017]

@@omadjourneyWatch the videos by Dr Nadir Ali (Cardiac Surgeon). He explains the metabolic processes in Diabetes that need to be fixed, you may be able to come off Metmorfin within 12 weeks with a mix of dietary changes and exercise. Obviously you should talk this through with your Doctor first so that he can ensure your blood sugar and insulin levels have stabilised!

[@laylaaissaoui-hester7638]

And your LDL?

[@DevilKing-ch5je]

The people that are saying that keto diet has cured their diabetes is like someone saying they used to get anxiety when talking to girls but now they don't get anxiety because they completely stopped talking to girls.

[@ayholla]

You just can't go back to carbs once you go keto

[@FKBUSH1]

I think this happened to my neighbor... She went on the Atkins diet for a while. Soon after she was a diabetic and put on 2 insulins. I always felt that it had something to do with it.

[@RabbitFoodFitness]

Oh my goodness! I thought that things like that could happen but I had never heard a story of it happening before! I hope she is doing better on some other diet now.

[@FKBUSH1]

@Danny J. I understand what an anecdote is ;) Based on the science in this video, me thinking that it seemed connected to her stretch on Atkins, seems possible.

[@katkameo6413]

Atkins is not a Keto diet...

[@myggggeneration]

Your neighbor must have been overweight if she attempted the Atkins diet. BEING OVERWEIGHT CAUSED the type 2 diabetes. It's due to fat blocking the cells that otherwise would absorb the carbs/glucose that the body typically uses as fuel. The glucose remains in the blood stream, and becomes SYMPTOMATIC for diabetes but does not CAUSE diabetes. The fat does. So keto is the worst case scenario for a diabetic patient. Also, it takes YEARS trio develop type 2 diabetes......

[@FKBUSH1]

@@myggggeneration She was maybe 15-20lbs overweight. Went to the drs regularly. Walks with a walker due to MS. Went on Atkins. Lost some weight. Went off Atkins... Not sure exactly how much later, but I know it was less than 4 months, at her next appt she was put on 2 insulins. She's also not doing well on the insulin. She doesn't eat sugary foods often either. I personally don't think the Dr should've went right to insulin, etc... but that's a whole other subject.

[@vitaminb4869]

Eric Berg pretends he never saw this video.

[@adamletschin7759]

I don't blame him because it's absolute nonsense...

[@Indiegaze]

Eric Berg really bugs me. I’m sure he has read a lot about nutrition but he calls himself doctor and everything about his channel indicates that he is a doctor giving advice on how to prevent and treat disease and improve health with food, but he isn’t a doctor. He’s a chiropractor who’s never been to medical school.

[@oskartang9797]

@@Indiegaze, being a doctor doesn't help, as medical schools don't provide much of nutrition trainings.

[@Indiegaze]

oskar tang Yeah they don’t teach enough nutrition, but the conversion of ingested matter into different processes and chemical reactions in the body is insanely complex and we still struggle to understand a lot of it. A medical degree gives you deep knowledge of the body and how it works and a good foundation for understanding nutrition when you study it further. Laying someone on a table and cracking their back won’t do that. You can tell that about Eric Berg. He’s read about a lot of things and has superficial knowledge in subjects, but he doesn’t have that deep understanding of the body. When he tries to go deep he usually gets something wrong .

[@donmountford797]

tang true but he is misleading people by referring to himself as a Dr.

[@birrafondaio]

I still think that a debate would be more interesting than this series. I have the feeling that dr greger and his staff are picking studies that most fit their view point rather than being open about the keto diet

[@nazarelgamal175]

Davide Callegari so sad isn’t? The idea that someone advocate plan based diet find all this flaws in keto is funny to me.

[@cbrcoder]

debate ? on what ? you mean evidences should be debated upon ? Aren't they enough on their own? We have mountains of evidence that saturated fat is bad. What needs to be debated here ?

[@birrafondaio]

Well, all lf these videos are ok, nothing bad about them, but it would be nice to see a defense of the keto diet, you know, just to see what the other side may say. I personally find it funny that the atkins diet is even mentioned in these videos, for example, and often what is called low carb in these studies is actually high protein, not keto at all.

[@tamcon72]

"I have the feeling . . . " This is your bias talking. There is a paucity of hard data on ketogenic diets long-term. There is no equivalent with all the data on other diets from which to make comparison.

[@MattFixesStuff]

I would also like some dialogue. The keto guys will claim that everything is cherry picked anyways. But without Dr Greger or someone qualified being able to respond directly many people will still not be sure what to believe.

[@victorandrade2116]

I agree with this 100%. I followed Dr. Barnard's approach after being told I was prediabetic and was able to reverse it. I decided to follow keto a few years later and became prediabetic again. I also had high cholesterol. Currently working on fixing both problems.

[@tamcon72]

Good luck and full healing to you!

[@victorandrade2116]

tamcon72 Thank you very much.

[@lanceevans1689]

I just typed the same story as a reply to the comment above. Low BP my whole life, I went keto and it kept going up across the years on it. recent;y reverted to a Macro diet, and boom. BP dropping back to normal.

[@richardevans9061]

lolz

[@thankyouforsmoking157]

@@lanceevans1689vegan bot . Lol you guys just lie nonstop

[@johnsnow5264]

Keto is really bad for even more health areas. For me, it destroyed my heart arrhythmia. After a few years now on a plant based diet with low fat, the heart got back to normal.

[@lennonpaiva7058]

4:50 I get your point, but it's important to define what is a "normal diet", because the argument is said that said normal diet was what caused it in the first place. But I'm with Greger on this, I've helped my grandfather with diabetes simply by reducing his fat intake, so I know it works.

[@heartdragon2386]

You got to remember, standard American diet is not normal. It is something that has evolved from a normal diet over the course of decades.

[@RabbitFoodFitness]

@@heartdragon2386 However, I think that is what Dr. Greager means by a normal diet. It is the most common diet in America and by that standard it would make it "normal" for American's.

[@jimterpstra9305]

"... so I know it works." That's funny.

[@Taralina1]

High fat isn't really keto. Keto done correctly like Dr.Berg recommends is eating 7-10cups of veggies and after being on cleam healthy balanced keto not too much protein either he says moderate amount from only grass fed animals you can cut down on fat. Ppl think it needs to be extremely high but it doesn't need to be

[@kreassiva9138]

Normal = WFPBD If your are a responsable doctor, thats what you should normalice.

[@MindVersusMisery]

One of the factors of insuline resistence is something called intramyo cellular lipid, which means fat inside the muscle cells. The bodies preferred fuel for the muscles are carbs. Insuline is used to "unlock" the muscle cells and let the carbs get stored in there (as glycogen). A high fat diet makes fat get into the muscle cells, which prevents the insuline from working, sort of like gums in a lock. When carbs can't enter the muscle cells, it stays in the blood, which results in high blood sugar, but the reason for it was not the carbs, but the excess fat. Removing the fat, makes the insuline work properly and lessens the need for it.

[@mtnbikehead]

MindVersusMisery that’s why you don’t mix fat with fructose. The extra channels that open up in the presence of fructose and insulin will draw in protein or fat as well. Those channels are generally resistant to fat when insulin isn’t being spiked.

[@Auntyalias2014]

After a year of Keto way of eating my primary care physician said on 9-9-19, "You have cured your Diabetes." Type 2 Diabetes. This is after doing full panel blood tests every 3 months.

[@allencrider]

You've cured your diabetes? Well then go have a big piece of chocolate cake on me!

[@Auntyalias2014]

@@allencrider I do have chocolate cake, without Sugar or Wheat flour. Coconut flour, almond flour, Stevia, and unsweetened cocoa powder. One can have treats without spiking insulin.

[@allencrider]

@@Auntyalias2014 Why would your insulin spike if your diabetes is cured? Have you taken a glucose tolerance test to scientifically prove that your diabetes is cured?

[@Auntyalias2014]

@@allencrider Insulin spikes when ever you eat anything. That's why Intermittent Fasting is a good thing when combating insulin resistance. Even when you think of eating something sweet insulin spikes. It's a matter of just how much of a spike you want to deal with. As for being "scientifically tested" I've had full blood panel work done every three months for the last year tracking being on Keto. The prior decade I was pre-diabetic and then diabetic before giving up all Sugar, Grain, seed oils, etc. I think before asking me what hoops I've jumped through I'd recommend you do some homework on Keto here on KZbin.

[@allencrider]

@@Auntyalias2014 Combating insulin resistance is accomplished by consuming much less FAT and animal products and by exercising.

[@johnnyfly1236]

This is now the first video I send to any keto proponent on the internet who claims keto can revert diabetes! Thanks for a funny and entertaining video!

[@RabbitFoodFitness]

Me too!

[@JonGriffinMusician]

Unfortunately they will reply that they weren't studying "real" keto, and they feel great.

[@delishme2]

😁 And this is my reply..... www.ncbi.nlm.nih.gov/m/pubmed/?term=ketogenic+diet

[@Sybaris_Rex]

Literally just finishing up my six egg scrambled eggs with mushrooms and about a 1/4lbs. of bacon. and laughing. laughing. I don't need a doctor spouting faux arguments about how this "may" or that "might" be something when reviewing studies and then hawking it as some kind of factual finding. I know it works because I changed my diet and quite literally every aspect of my health improved with bloodwork and diagnostic metrics to prove it.

[@Sybaris_Rex]

@@JonGriffinMusician No, unfortunately some of us follow a keto diet and *actually* feel great.

[@MikeEnRegalia]

The fallacy in this video (series) is the assumption that a high carb diet is “normal “. What if the default human diet is high fat? In that case it would be non-sensical to expect “cured” T2 diabetics to ever quit the keto diet.

[@tamcon72]

What? For most of hominim history we were not hunters nor effective scavengers of animal fats. This is why a high fat diet causes disease long-term but a high fiber, plant-based diet is disease-preventing and curative. Are you joking?

[@MikeEnRegalia]

tamcon72 Do you have a source for your assertion about our history as a species? Cave paintings are a hoax by the meat industry, I guess, as are 200.000+ years old tools for cutting meat. Lol.

[@tamcon72]

​@@MikeEnRegalia Hominims didn't originate in the Paleolithic era--their anatomy and biology was already determined--and to base your ideas about our diet on this is "cherry picking," and that you must accept cherry picking by Neolithic era fanbois and gurls, likewise. Which means endless arguments about how civilization is beneficial and we are supposed to eat farmed grains, pulses, vegetables, and fruits, which I'm sure would not like. No one is denying that stone and other tools in the fossil record indicates a practice of animal butchering. You people assert that this was common and regular and that animals were the common, regular, and _preferred_ food source for early Man, for which there is no evidence. As I have explained to another usernames issuing exactly the same talking points as you--are you all getting instructions from a central location? The Max Planck Institute? Shawn "I barely passed the medical boards" Baker?--there is abundant new evidence of the more comprehensive diet eaten even in early Paleolithic times. Because plant foods biodegrade more readily than animal skeletons, and require less processing to consume, the evidence for their consumption has been obscured until recently. We are not carnivores biologically and neither were our antecedents--we developed the ability to manufacture enzymes necessary to digest primary animal protein fairly late in our evolution--and we would have gone extinct long ago if eating a biologically inappropriate diet. "Cave paintings, tho' " The reason Paleolithic cave dwellers painted those hunting scenes was as a totemic ritual action taken to achieve successful hunts, presumably because hunting was very difficult and frequently unsuccessful; they would not have had to do "affirmations" otherwise. It took a very long time for the large mammals encountered by humans to be driven to extinction, and humans weren't solely responsible. This is the consensus among actual paleontologists, anthropologists, and archeologists, though they demur that it is the best hypothesis until more is learned, as further discoveries arise. I am not providing you with evidence of what the rest of us learned in college, and which anyone holding forth on this subject should already know.

[@MikeEnRegalia]

tamcon72 our digestive system is adapted to a meat-based (omnivorous) diet. You’re welcome to write another couple of thousand words in response, containing a multitude of fallacies and factual errors. I am muting you, so good-bye and good luck.

[@tamcon72]

@@MikeEnRegalia I know you didn't read what I wrote, or didn't comprehend it. I was super specific to prevent further dispute from someone lacking my knowledge base and too lazy/biased to rise to it. Mutual bye.

[@KhemistryIBMOR]

Thanks for putting the word out! Keto kills...slowly.

[@infinitespool4451]

I lost 90 lb on a keto diet which was called an Atkins diet back when I did it and immediately after doing this diet I was diagnosed with type 1 diabetes now I've gone completely plant-based and my insulin levels have decreased while I eat more carbs proving exactly what Dr Gregor was saying

[@magyararon6918]

i also have type1 diabetes, and my insulin sensitivity did not change a bit since i went high fat low carb diet. 1:10 insulin to carb ratio, which is higher than average, with multiple years of t1d.

[@soonilchoi2078]

I don't understand what you are speaking about. I am on Keto for 2 years. i do not just believe my blood sugar level. My mind ability, asthma, body energy are all much better than before. i also eat some rice but not like others. But if the amount of the carb goes too much, my all condition goes bad. So I keep the amount of rice low and no wheat at all. Wheat makea my body muc worse. I lost 44 pounds and I am happy now.

[@omikrondraconis5708]

Special thanks to you(r team) and especially your German translator Markus Tschögl! I need to show this to my mother in law asap! She might finally be motivated to make a change drastic enough to change her health drastically :)

[@MaximC]

Update us later! 🙂

[@SlobberySlob]

Don't go and destroy your mum's health over this nonsense by switching her back to carbs.

[@Photologistic]

I know it’s your MIL, so you have your motivations, but unless she’s extremely naive and stupid, she’s not going to go back to the horrible SAD diet. So, good luck getting her diabetes to come back, by actually listening to the quack in this video.

[@idahobmihome]

It is about insulin sensitivity. Fasting and low carb increase insulin sensitivity dramatically. These studies look at the very short-term effects of eating fat. They are almost useless. The game is about adaptation over several months. The body adapts to low carb healthy fat diets. You don't really see the full spectrum of benefits before a person's body has fully fat adapted. This video is a prime example of simplistic thinking and ignoring nuance.

[@megavegan5791]

The Keto quacks will start making "The Methylglyoxal Myth" videos in 3-2-1...

[@megavegan5791]

@@LaurenBurger Right, so let's all maintain great, healthy insulin sensitivity by following a whole food, plant-based diet.

[@BethGrantDeRoos]

Have a friend who has been doing keto for a year and has lost a lot of weight but she has new issues like low iron and the inability to handle taking vitamin C that she didn't have before keto. Then there is the issue of increased cholesterol levels from all the high fat animal products that folks who do keto seem to not want to think about. On a side note Type 2 diabetes is highly preventable. Our son was born Type 1 and on insulin beginning as a baby. His pediatrician was SDA (Seventh Day Adventist) and we had just become vegetarian in the 70's (which was vegan/plant based is called today) and she noted abstaining from animal products was best for diabetics and non diabetics.

[@bluellamaslearnbeyondthele2456]

You need to wake up

[@lanceevans1689]

@@bluellamaslearnbeyondthele2456 You need to not be rude. Yes, even if you disagree.

[@uberneanderthal]

low iron means your friend isn't eating enough red meat. and yes, you need very little vit C on a keto diet, precisely because carbs and vit C compete for the same GLUT receptors. the fact that keto requires less vit C is one of its many benefits, as vit C produces oxalates that are damaging to the body. and cholesterol is not an issue, unless it's too low.

[@simonhawkenson675]

There are some really important key factors that are completely misrepresented in this argument (and these studies). Carb reactivity does get worse after going on a keto diet. There is an "adaptation period", both for adopting a high-fat diet and for reintroducing carbs. None of these studies seem to account for this adaptation period, immediately assuming that the carb reactivity during the adaptation period is a sign that keto is making things worse. I think the keto diet is extreme, but I personally have experienced great results. I used it as a tool to reduce my carb reactivity. Potatoes used to knock me out, any sort of bread would make me exhausted. I can eat carbs and react much less to them. But at first, when I was re-adapting to carbs it was a lot worse. I certainly am not the first with this experience. I generally prefer to follow the science, but given that studies are conducted by humans with biases, there will always be flaws in the methodology. In fact, I've seen equally as many papers that suggest that its a better way of eating as those that suggest that it'll make things worse. It is easy to cherry-pick. I now eat something that resembles more of a mediterranean diet. Societies that eat a mediterranean diet historically have had people who lived the longest. These diets had a moderately high level of fat, as well (think olive oil).

[@GregVidua]

Mediterranean diet is successful because it's good carbs and good fat mainly, with no processed crap. So you eat high quality cheese once in a while, fish in moderation, extra virgin olive oil but no other processed fats, little meat and a lot of beans, whole grains, seeds, vegetables and some fruit. I personally think that it is indeed the best way to eat but as I can't support fishing due to overfishing happening in all countries and can't support dairy industry because of its abuse of female reproductive system and horrendous environmental impact, I've replaced them with Japanese food (sushi or ramen with algae and pickled vegetables) and nuts (often in a form of cheese like products) respectively.

[@simonhawkenson675]

@@GregVidua I agree with your analysis of why the Mediterranean diet is successful. But I still return every once in a while to a low-carb diet. I think it is a mistake to think that nothing can be learned from the proponents of a low carb diet, in fact, a lot of what I've been reading suggests that the body is meant to do both. Go through periods of time in a slightly-ketogenic state (due to food/crops being out of season with hunting/fishing being the main staple) and then when food is in season, return to eating a moderate amount of grains and legumes which raises insulin, signaling to the body to store some of the energy in form of fat. This would be similar to the regular feeding pattern of most omnivorous mammals as well.

[@ludicrousone8706]

@@simonhawkenson675 what are you talking about? Grains and legumes are harvested right now (end of summer, beginning Fall) and stored for fall, winter, early spring. Most peasants in Europe had No right to hunt. They would have been persecuted as poachers. They relied on one or two pigs that were slaughtered in late fall for optimal storage. That meat was consumed in small portions as an addition to grains and legumes. It was not a substitute and only on some high holidays became a roast the main course of the meal.

[@simonhawkenson675]

@@ludicrousone8706 I wasn't referring to the peasants (or any one group of people), aside from those who eat a Mediterranean diet. It would be stupid to say that we should model our diet off of what the poor peasants ate. Because they certainly ate terribly. That being said, some of them were definitely in a ketogenic state for a while, because they were starving. There was a whole French revolution over this. "Let them eat cake"

[@ludicrousone8706]

@@simonhawkenson675 I responded to your argument that the Winter ist traditionally reserved for fishing and hunting. And this ist simply not true. Peasants in Europe found themselves often starving, for fall failed crops, failed enforced Management and exploitive taxation. The French Revolution was just more successfull then all the other rebellions driven by food shortage

[@AdventureElliot]

He’s putting healthy keto, dirty keto, and Atkins all into one. Healthy keto gets to the root cause of type 2 diabetes - insulin resistance.

[@adiohead]

"healthy keto" is an oxymoron

[@adiohead]

insuline sensitivity is improved by consuming carbs

[@AdventureElliot]

So having diabetes type 2 patients use the thing that fuels their addiction and initial cause to type 2 is sustainable?

[@AdventureElliot]

Idk.. I do healthy Keto.. never felt better... lost tons of body fat... my insulin levels are healthy.. my cholesterols and triglycerides are optimal...

[@GiuseppeZompatori]

@@AdventureElliot Did you watch the video at all? Intramyocellular lipids (fats) in the cell's insulin receptors cause insulin resistance, not carbs. A high sugar level in your blood is a symptom of diabetes, not the cause. Introducing more fats and no carbs isn't fixing the problem, it's just delaying it and making it worse as your cells insulin receptors get clogged up by this high fat diet.

[@ethelchip3620]

Such a good video!!! It's so difficult to get people to understand that keto makes the underlying problem worse.

[@scrapbus9681]

It literally doesnt. There are multiple studies that look directly at this issue. Greger doesn't use them, but chooses to show a completely different phenomenon. Its scientific sleight of hand, and his audience laps it up

[@XAE_A_Xii]

So what is your easy explaination why it's bad? How can keto diet be bad if it restricts from such good as sugar, quick carbs?

[@j.frankgutierrez3276]

I had prediabetes 6 years ago, I went to keto state accidentally because it turns out that I am allergic to fruits and plant based foods. 2 years ago I cheated and experimented by eating 14 big bananas in one meal and guess what? After 4 hour later I tested blood sugars and it was 90 which it tells me that my prediabetes was gone, but i regretted later because I knew that I'm allergic to fruits. Oh and my triglycerides used to be too way high and now they are in the normal level.

[@nancygitin5093]

I’m a newbie to Keto which frankly hasn’t worked for me yet as I lost weight that I didn’t need to lose but was never in ketosis. I have been intermittent fasting for a few months now. Recent bloodwork shows pre-diabetic, A1C borderline and high LDLs. I’m an avid runner and BMI is 18.5. So confused on what to do next…

[@jasonarthur3640]

Well, for starters, you’re in the right place. Dr. Greger’s videos are an excellent resource if you’re looking to find ways to eat healthier. In that regard, the most important rule to remember is to simply eat more unprocessed plant foods and less animal foods - meat, dairy and eggs. All plant-based “reversal diets” preach that one tenet - Pritikin, Ornish and Esselstyn. If you’re willing to give any of those 3 diets a try, that will help you to get your numbers back on track. All of them are quite restrictive, but that’s also why they work wonders if followed closely. Pritikin’s will at least allow you 1 serving of meat per day. If you’ve got the will to go full vegetarian or vegan - talking Ornish or Esselstyn - be sure to take some quality Vit. B12 and omega-3 fatty acid supplements. If you’re not sure you can handle any of those diets, all is not lost. Just start reading all you can about how to eat a Mediterranean diet. That will get you eating healthy in general without having to cut out a ton of animal protein. And, if you haven’t already, be sure to check out Dr. Greger’s website. There you can use the search function to look up tons of different foods and health conditions - like diabetes’ link to saturated fat intake. Best of luck!

[@RC-qf3mp]

Ignore the poster above, and instead read Dr. Phinney and Dr. Volek’s two books, one on The Science of Low Carb Living and the other Endurance (the Science of Low Carbohydrate for Performance), which shows their groundbreaking research on keto for regular life and endurance athletes (runners such as yourself) .

[@gustavcoetzee6837]

Whole foods for the win

[@kgdblade]

Well, I followed the 'links to scientific resources' and it leads to the same list of videos by the channel owner. Tried to look at channel owner's credentials apart from the letters he puts behind his name and found no description of his training, medical specialty or science based training. This would seem like another hach channel pretending to be speaking for science. Touting evidence based philosophy while not providing evidence. The concepts behind this video are completely off base.

[@kgdblade]

@@user-fy7ri8gu8l Thank you for providing the sources. I honestly looked on the link in video description and it just took me to a page that showed links to the other videos in the series. I did look up all the 2012 + articles in the citation list you provided. The most recent articles provide evidence in favor of a ketogenic diet. In particular Hussain et al. (2012) shows better outcomes of the ketogenic diet for patients with type II diabetes than calorie restriction. Hallberg et al's (2018) study is the same. All the blood assays show very strong response to a ketogenic diet and improved outcomes. Both these studies have decent sample sizes +300 patients with good control populations on which to compare research outcomes, The video rests much of its thesis on the results of Perry et al. 2017. That study shows that binging on a high fat food generates negative impacts on glucose sensitivity. The methods of this paper are limited - only 15 participants - all of whom are healthy and do not have type II diabetes. However, if the paper is read critically there is also a major flaw in how this video interprets the Perry et al study. Simply click on their Table 1 data to see the composition of the so called "high fat: diet fed to patients as the treatment. Indeed, it has a lot of fat (440 g worth and nearly 6000 cal). It also had an incredible amount of carbs - 192 g. That is 4 x the daily carb allowance of a low carb diet and 8 x the allowance of a keto genic diet. Obviously the outcome of the study could be just as readily (and mechanistically more likely) ascribed to the massive carb intake with the treatment as it could to the fat in the diet. So the thesis espoused in this video has problems. Regarding the esteemed MD and star of the show. I did a search on Scopus to find some papers he might of have published. Indeed, his name came up blank on any research related to medicine or nutritional research apart from his online content. This isn't to say he cannot interpret peer review papers, but he is certainly not participating in the creation of science.

[@kgdblade]

@@RiDankulous Joe I've had similar results on a low carb diet. Off the BP meds, lost weight, stronger athletic performance in endurance sports. I'm sure if we sat over a coffee and talked we'd find a lot of commonalities in our approaches to diet that might be lost in the keto vs vegan youtube wars. Among those commonalities: focus on whole foods, keep daily calories within a range that is right for you and your activity, keep a diversity of diet items, consider micro as well as macro nutrients, find a sustainable meal plan that you can stick to. My reaction to the video was really to do with citing a paper that was a very poor representation of keto and its implications. The paper in question was a classic case of misrepresentation. The paper was in reference to the effect of a binge meal on glucose sensitivity. The authors used 'high fat' to describe their binge meal, but it was really high carb, high fat, high calorie meal that was provided. The paper was cited as evidence of why a high fat meal leads to glucose insensitivity. Everyone agrees that putting refined carbs with high fat is bad. The issue is conflating a high fat + refined carb meal with a low carb/high fat alternative endorsed by keto.

[@scrapbus9681]

Correct. Greger uses studies on a temporary response to glucose, which is irrelevant. The question is what happens to *insulin resistance* after a ketogenic diet? A recentnt *US military clinical trial* found a *48% Improvment* in insulin resistance after a 3 month Ketogenic diet. That's massive, and in line with other studies I wonder why Greger doesn't use these direct studies, but chooses to use oblique ways of 'proving' his thesis?

[@bluellamaslearnbeyondthele2456]

@@kgdblade apparently, the links have been removed. How nice of greger...

[@nanima8707]

Dr Mcgregor what then would explain good cholesterol results on Keto ?

[@Crepitom]

That reaction on sugar after high fat diet is maybe because you are just fat adapted? Probably turns around after a few days, so that graph doesn’t say anything. Give more data please before making jokes for the rest of the video

[@nazarelgamal175]

Crepito his jokes is his based evidence.

[@heartdragon2386]

I had to do a ton of research on this for one of my nutrition courses. There are dozens of studies that back this up. I would post links, but many of them are pay to read.

[@aeroplaneguy3367]

@@heartdragon2386 Use SciHub to access paid research for free. Simply enter studies name or pmid or doi into their search bar. Dr. G's got a vid on it.

[@aeroplaneguy3367]

If 'fat adapted' means the augmentation of intramyocellular lipids. Meaning fat goes into the muscle cell, causing it to become resistant to insulin.

[@nazarelgamal175]

Coe Hart one of the evidence against Keto that there is no long study on it. But still there is studies that against it? Send the links and don’t worry.

[@BaraTheVeggie]

Your series on ketosis has been an absolute eye opener, amazing stuff.

[@Photologistic]

If you’re actually taking anything in from this video, you’re sadly mistaken.

[@RabbitFoodFitness]

Thank you so much for making this video. People really need to know this! I get genuinely scared for people's health when they try to follow a keto diet because of all the studies that say that it is bad. Please people don't do it until you have done true research.

[@orangeradishneo]

What about the studies that say its good? You can't flat out sit there and say a diet is good OR bad and assume it'll apply for everyone, and especially refer to studies when in reality, most people don't understand them and/or aren't going to pay to read the full study, and will just read the abstract. I'm not a keto freak, I've been following from afar for a few years now because ill get extremely bad stomach cramps when eating certain things and wanted to narrow it down (I wasn't paying attention to what I'd eat at all)... I just think its wrong to say its completely unhealthy and assume people will come to that conclusion just from "research". "Do your research" is what anti vaxxer nut jobs throw around thinking they know more than educated professionals and doctors.

[@RabbitFoodFitness]

@@orangeradishneo You are right that there are some studies that say that it is good in specific cases, or that it's not harmful for certain things. Such as a study that looked at endurance athletes and found that being on the keto diet did not actually impair their performance, however, the standard meat, cheese and butter keto diet is not healthy. Many studies are showing that saturated fat causes multiple health issues and that animal products cause health issues too. I have a whole video on heart disease and why eating meat, regardless of the fat content, maybe causing heart disease. If a person eats a diet high in animals foods keto or otherwise those health issues can and will occur.

[@garethbaus5471]

@@orangeradishneo most of the studies I have seen where a ketogenic diet does appear to be beneficial are only referencing it's use in treating epilepsy, something that doesn't apply to the broader public.

[@insanelyinsensitive4059]

I think keto is nearer to what humans have done forever up until 10 000 years ago different story now.

[@uberneanderthal]

there are no studies. there poorly controlled associations, most of which are based on surveys. that's not "true research".

[@tomandnic77]

Nice video! It feels like people want some of the benefits of fasting (ketosis), without actually having to fast, and thus the fast-mimicking "keto diet" fad was born. But if you really want to go into ketosis in a healthy way, then just practice fasting, which has only positive side-effects and none of the negative side-effects that the "keto diet" has.

[@karthickpillai3361]

When u decide to add back carbs after doing keto for a while, there will be a spike in blood sugar.. its jus common sense.. jus like how blood sugar reduces quickly on keto, it may spike up too when sugar gets added.. thats why keto is a lifestyle change , not just a fad diet.. your body learns to regularise hormone insulin so that the next high carb meal gets sorted out as how nature intended it to be.. insulin resistance, high cortisol level, stress, sleep everything has to be in sync for keto or low carb to workout.. give it sometime.. a few hit jackpot in months , others years

[@atme365]

Thank you for existing Dr.Greger 🌷

[@EggplantOven]

This is very biased. They need to do study on long term keto with high quality meat and fats. Aka pasture fed grass fed grass finished meat

[@jacqueeelle6287]

That's disgusting.

[@tamcon72]

Argentina has had the highest rates of ischemic heart disease and bowel cancer in South America for generations on all that Pampas-raised beef. But go on with your magical thinking, kiddo.

[@pinkjennipoo]

You know what's ironic? I followed the US dietary guidelines and ended up with T2D at the age of 38. I went on the keto diet and reversed my disease and have never felt better.

[@Spock_Rogers]

Have you seen the Canada Food Guide? It shows what can happen when doctors and scientists are allowed to do their jobs without as much animal agriculture influence as we have here in the states. The WHO has come out and said that meat (especially processed meats) are carcinogenic.

[@Spock_Rogers]

Have you googled "keto and mortality"? Keto increases all-cause mortality by more than 30%.

[@pinkjennipoo]

@@Spock_Rogers the WHO also said that COVID wasn't an issue in 2019 and yet millions of people died. The Canadian Food Guide is based on the US's dietary guidelines, and guess what? Diabetes and metabolic syndrome has been increasing ever since. You can continue to say that meat causes cancer, but show me a randomized control trial as opposed to a epidemiology study. Correlation does not equal causation.

[@Spock_Rogers]

@@pinkjennipoo Eating meat is choosing to contribute to unnecessary animal suffering and slaughter. 🕊️💕🌱

[@pinkjennipoo]

@@Spock_Rogers Did you know that the US kills 7 billion animals a year to protect your agricultural farms? Not only that, but 1/3 of the bees die because of all the chemicals sprayed onto crops. So you choosing to eat plant-based is causing more deaths than eating animals.

[@chiyerano]

The ketogenic diet worsening diabetes makes sense if it involves being on a high fat diet and reversing diabetes involves clearing fat or intramyocellular lipids out of the cells. Too much fat getting in the way of insulin working properly. Now let's examine why in this video.

[@PhillipSwindall]

There SHOULD have been one more video, answer the question "so, what does a diabetic do?"

[@Sammy-zp4cc]

Minimize/eliminate carbs....especially refined carbs.

[@andrew33933]

but how does the body break down or/and get rid of methylglyoxal? You forgot to mention it.

[@BennyWheelie101]

If methylglyoxal were such a problem, are you saying the Eskimos are on the brink of death using that logic? You also highlight a bunch of articles and use correlation instead of causation to push your points.

[@veg]

Case closed!

[@egghead55425]

This is disinformation based on my own experience as a prediabetic. Glucose does not increase much when you do not eat carbs. I have experienced my fasting glucose to go from prediabetic levels to normal levels by being on a ketogenic diet.

[@stevewexler]

I am not persuaded by the argument here... On the other hand, Robert Lustig's argument about the culpability of sugar, particularly fructose, in metabolic syndrome (including diabetes) is thoroughly convincing, Greger argues that if people on a low carb diet start to consume carbs they get a massive insulin spike because they are not carb-adapted. But that is like saying that if a non-alcoholic has a couple of drinks it will have a much larger effect than on an alcoholic who has a couple of drinks. Carb adaptation is not necessarily a good thing...

[@joaogomes850]

Except... alcohol is not our main source of energy? Glucose might not be necessary but what about saturated fat?

[@gailsheehan1852]

@@joaogomes850 Well, the brain makes up 20% of the body's cholesterol, which is quite interesting.

[@montycora]

@@joaogomes850 - what about saturated fat??? What does that have to do with anything! Diabetes is caused by GLUCOSE and not fat. Do you understand that the body stores glucose AS FAT?????? Do you understand that dietary fat is digested? We are not an empty bag that people throw things inside one's mouth and all the food just floats in our blood the same way they came in. They are digested and broken down. So the fat you eat will be processed and used for many things, whereas the carbohydrates you eat will be broken down and used for energy ONLY and if you fail to use it, the body will store it, as FAT.

[@iamthebadwolf7296]

@@montycorawe have known for over a hundred years that diabetes is caused by intramyocellular lipids aka fat. You are just demonstrably wrong. Fat inhibits the functioning of insulin. So then when you eat carbs & fat (or are fat) your body can’t process the carbohydrates and your blood sugar rises. Don’t take my word for it, look it up.

[@gretasladkeviciute3775]

So much misinformation in hear. The high fat, low carb diet lowers blood glucose, insulin, reverses insulin resistance, reduces triglycerides, small dangerous LDL particles, and helps people to lose weight. The low carb keto diet is the best diet for type 2 diabetics - you like it or not. Why are they still carbohydrate intolerant? Because this non-essential macronutrient was never meant to be used as our main source of fuel. When compared to ketones, Glucose creates less ATP, and more free radicals. All glucose needs can be met without eating carbs. I'm not sure what do you have to say about this. Probably it's the carb addiction speaking from your side. Nutrition is not what we want it to be, it is what it is. Stop spreading misinformation.

[@joaogomes850]

How can you say glucose is not necessary and advocate for consuming saturated fat, which is a non essential and harmful fat hahaha. It might be the best for people with type 2 diabetes because they will still not be able to consume carbohydrates because of saturated fat in the first place. What Keto is doing is saying "well, if you can't eat carbohydrates, why eat them after all! Let's just feed you with what made you diabetic in the first place and embrace your diabetes!" Keto diet is dangerous and is not stable, it's living in survival mode all the time. Your pancreas literally has the job to either turn glucose into your organs' cells with insulin or create glucose with the glucagon enzyme so yes, your body is made to use glucose from whole foods as a main source of energy. Free radicals are also produced by bad fats and can be neutralised by antioxidants, so not a big deal. Being able to make insulin function properly? Low saturated fat intake, so insulin can use glucose to build cell tissues instead of being kept in the blood. That's why a plant-based whole foods diet is ideal to reverse diabetes and being able to eat carbs without having a huge glucose blood spike in your blood like in keto. There are several nutrition studies that confirm that and if you disagree it's because "you don't want it to be".

[@0rnery]

@@joaogomes850 So, you can get off insulin if you eat "a plant-based whole foods diet"? Is that a fact?

[@montycora]

@@joaogomes850 - Show us these studies then! I want links, cause I haven't been able to find them. Saturated fat bad??? Really? are we still going with this bullshit??? Please, get your head out of Ancel Keys arse and read some low carb literature to understand the science behind it. First, you don't even know how the body works by the things you wrote!! Jesus, I wish people would wake up from all the saturated fat lies spread in the 60's that people still believe it today.

[@stephanie2533]

Dr Greger, can you please distinguish between omnivore keto and whole food vegan keto. In your earlier writings you've suggested vegan keto might be beneficial or safe. Yet many whole food vegan options are high in saturated fat, beyond just coconut and palm. I'm under the impression, not just a low saturated fat vegan diet is more health promoting, but a low fat diet in general, with the exception of adequate omega 3 intake, in terms of optimal cholesterol, heart and vascular health. If you could please discuss in detail, the optimal choices for overall fat and saturated fat intake, for those already adhering to a diverse whole food vegan diet, this would be so helpful.

[@happygimp0]

How could you be on a whole food vegan keto diet? Which whole plant food has enough % of calories from fat for that?

[@josephlarsen]

@@happygimp0 nuts, avocado, etc

[@stephanie2533]

@@happygimp0 If I'm not mistaken, the original Ketogenic diet was 100% macadamia nuts. Brazil nuts and pine nuts are similar ratios... not that anyone should consume a significant quantity of Brazil nuts, as this could lead to selenium poisoning.

[@scrapbus9681]

The problem is this simply isnt true. Greger is confounding temporary phenomenon with the underlying pathology. 'fasting' for a week results in exactly the same temporary response to glucose. The question is what happens to *actual insulin resistance* on a low carb diet or fasting? It improves. Greger doesnt address this. A recent study by the US military found that after a three month Ketogenic diet *Insulin resistance was improved by 48%* compared to controls. This is repeated in multiple study findings I wonder why Dr Greger doesnt mention these, but merely mentions the results if an immediate glucose test?

[@sam11443]

So indeed there is a form of insulin resistance when taking in a high carb meal while having been on a ketogenic diet, but this 'physiological' insulin resistance then disappears after a few days of higher carb intake. Would that statement be correct? By the way, is it not also important to see blood levels of insulin. A resistance would mean that insulin is present but not doing its job effectively, but what if there is just an inadequate response to the glucose intake? I think it would also be interesting to see the opposite tested. The response of a keto dieter and a (high carb/'normal'diet) control taking in a high fat meal. Then test for things like triglycerides and whatnot.

[@scrapbus9681]

@@sam11443 this is an excellent response. Yes. There is a temporary 'insulin resistance-type response' but it's not pathological, I.e it reverses itself within days. That's not pathological insulin resistance. The triglycerides comment is interesting. It's not just fat that causes high triglycerides - lots of simple carbs and fructose can push high trigs in the blood. It's not uncommon to see people that are really happy with their low ldl, and who fail to recognise their very high triglycerides (which are also fats in the blood) and their very low hdl. Fully raw Kristina and Dr Garth bloodtest is a great example of this. A high trigs/hdl ratio is a reasonable proxy for insulin resistance. Over 2-3 is worth investigating for IR and metabolic disorder. The other high risk factor for IR is high visceral fat. Weird for keto to reduce visceral fat, lower trigs, raise hdl and (supposedly according to Dr Greger) cause Insulin resistance.

[@karlwheatley1244]

Except it's a short-term study--3 months with 15 people on keto, and of course insulin resistance improves some when you lose weight. But if you can't do well on a blood glucose test when eating carbs, you still have one of the defining features of diabetes. Also, the long-term effects of keto--as shown in studies of kids with epilepsy--are very alarming.

[@scrapbus9681]

@@karlwheatley1244 Greger is (intentionally) confusing two different phenomenon. Hepatic (or pathological) insulin resistance with temporary glucose sparing. The affect he is discussing is known as the 'second meal effect' and it disappears after a second meal (or third meal). Does anyone really want to claim that insulin resistance can be cured after two meals. That's absurd. Your body has downregulated glucose metabolism and up-regulated Lipid metabolism, so isn't prepared for a glucose bolus. Again, this is a transient effect and has *zero* to do with the pathological state. It's a silly and trite example, but it's the equivalent of suggesting that being in a dark room for an hour will lead to blindness.... because it reduces your ability to deal with bright lights when you immediately encounter them. AFAIK, weightloss, specifically visceral fat loss is the only mechanism shown to improve insulin sensitivity. If you have studies to the contrary, I'd love to see them.

[@karlwheatley1244]

@@scrapbus9681 Thanks for your reply. "Again, this is a transient effect and has zero to do with the pathological state." Links? Also, the methyglyoxal production found in studies cited in the video is itself a pathological effect, as are the long-term effects of keto diets found in kids with epilepsy or the higher mortality found in people eating garden variety low-carb diets. "AFAIK, weightloss, specifically visceral fat loss is the only mechanism shown to improve insulin sensitivity." Insulin sensitivity improves dramatically when eating diets with very high carb to fat ratios and when intramyocullular lipids are reduced, both of which happen on very low fat whole food plant-based diets. Regarding the latter, for example, see www.ncbi.nlm.nih.gov/pmc/articles/PMC4762133/

[@kreassiva9138]

5:25 I found this part with a significant higher complexity. Please like if you would like Greger to go deeper into this topic for us 'debaters' to have a better informed stronger arguments.

[@atulpj]

We have followed broken diet advice for generations, I believe we can afford to give keto a try before rejecting it outright. There are really too much factors at play to say anything so definitely and at a risk of being biased.

[@zukodude487987]

Got insulin?

[@bluellamaslearnbeyondthele2456]

Why would he care? He's pushing an agenda

[@peggyharris3815]

I want to post the link to this video on every Utube channel that advocates a Keto diet. (I will be very popular)

[@DinarAndFriends]

You should do that. Subscribe and get notifications, so you can be the first person to comment.

[@dailyd8123]

Not without a profile pic you won't... Dont hide yourself.

[@DinarAndFriends]

@@dailyd8123 You don't have a profile picture, either.

[@dailyd8123]

@@DinarAndFriends I do so.. And never made the claim of wanting to be popular.

[@dailyd8123]

@@DinarAndFriends please tell me you are into the Dinar..

[@jeanc9868]

I hope Dr. Berg watches this

[@butubuta]

He is a business man. He knows people like to watch short videos and cuts many crucial informations on most of his videos. People take his words like God's word and don't question anything if is it ok to take the supplements or the life style change will be ok with their current condition.

[@metalcrushercore7362]

@@butubuta hes not even a doctor

[@eni3995]

But my chiropractor (I think his name is Dr.Berg) says "BACON and BUTTER are SUPERFOODS. Eat as much as you can !" I am confused !

[@dailyd8123]

Thats a lie and not what he says at all.

[@Itsunclegabby]

Your chiropractor is going to give people heart disease. Find a new one or tell him to crack your back and be quiet. Does eating as much fat as you can sound like a good idea to you? Anyway, you're in the right place. Stick around.

[@wishingb5859]

Nope, I think that sounds like Dr. Axe. I think Dr. Berg says only 5% of calories from animal products, 10 servings per day of low glycemic index vegetables and do intermittent fasting.

[@LivingMidnight]

@@dailyd8123 its obviously hyperbole for comedic purposes. However, it took me seconds to find Eric Berg videos talking about eating bacon and butter to loose weight.

[@dailyd8123]

@@LivingMidnight I think the word you wanted was lose... Not loose..

[@Srindal4657]

Remember people, anecdotal evidence isnt a replacement for good science

[@snowboardgirl1000]

Your not supposed to eat the carbohydrates to begin with. Duh!

[@jedikfc]

How about this analogy, NO2 for racing? It makes the car go faster but it is bad for your engine.

[@hotviral8546]

Dr. What do you think about iron pan? I don't know if I am Iron deficient but I'mnplanning to buy one. What should I consider? PLEASE answer or make a video on it because I urgently need to buy a pan.

[@fantasticallyfit6030]

Although the glucose intolerance is worse after a keto diet Initially, it improves as glucagon decreases and insulin secretion increases over the next several weeks after introducing carbs. Your study is lacking in duration. Carbs should be added back gradually as the beta cells had been down regulated by keto diet and alpha cells unregulated. In other words insulin production is low because glucagon is high. It is basic physiology.

[@NinorahDeux]

You will tell this to all the people developping diabetes after keto, and never recovering...

[@Photologistic]

This horrible excuse for a video is the first one that actually needs a Google misinformation warning on it.

[@dis4980]

More BS from Greger. Low carb for the win. My Mom got rid of her pre diabetes and arthelerosclerosis with low carb.

[@tamcon72]

There is no evidence that low carb reverses atherosclerosis; to the contrary, so I suspect this comment is a lie. But in case it isn't, you should know that unless your mother can eat apples now, she is merely managing her glucose disorder.

[@TheBontekraai]

People who need low carb/carnivore diets have underlying psychological issues. That's what making them sick. Not their diet.

[@davidzapata8930]

@@TheBontekraai we (humanity as species) had become slaves of our own psychological issues, not of anything else

[@dis4980]

@@user-fy7ri8gu8l thats what the video is about but not what the research shows lol

[@gbubemia]

Thank you for all your videos!

[@savingmoney4236]

Wow!

[@KYLE-zo4bm]

i wish i could stop my mom from trying this diet when shes already diabetic and kidney problems

[@publichealth1681]

i have been waiting for this video for 2 years. finally . i must applaud the channel red pill vegan who has been raising awareness consistently. the nhs has rolled ahead low carb diabetes programmes literally training gps in prescribing low carb to diabetics and a gp called david unwin who takes the keto approach and calls himself the ‘low carb gp ‘ has won awards . more awareness of the reality of this fake ‘reversal’ of t2d is urgently needed in the uk

[@1auntievenom]

Is this specific to type two, or does keto make both types worse?

[@DrJuliusGreenbaum]

Nothing short of medical malpractice.

[@AndrewPawley11]

I love this channel!

[@girlwhoseeks]

Tell me how bad and dangerous keto is when it stopped my hairfall, got me off my meds, got my period back and regulated all my hormones.

[@JonGriffinMusician]

Sure it did. Eat a piece of cake and see what happens. Obviously you didn't watch the video. Science and all. You are a study of 1, nobody really cares.

[@girlwhoseeks]

Jon Griffin why would I eat a piece a cake? I have no desire to. I have zero sugar cravings. Also, this study/evidence is bullshit , obviously the carb response would differ when you’ve been fat adapted for so long. I’m suspecting this doctor is vegan or advocates plant based diets.

[@maver1que]

@@girlwhoseeks Yeah, this Dr. is definitely vegan, and him advocating plant based diets is an understatement. This "keto" video series (I put that in quotes because a lot of the studies he's showing here are actually based on atkins which is a huge difference, he's just packaging them up as "keto") is nothing more than a smear campaign

[@girlwhoseeks]

Brian Parsons I know right, I just went through his Instagram and it’s mostly posts about how meat, dairy etc. is bad for you. I don’t understand how people can talk about how dangerous keto is without even looking into it properly. People will blindly believe him because he claims himself as a “doctor”.

[@tamcon72]

Why were you starving yourself before, good Lord!

[@bleon5956]

You have a video where you define the ketogenic diet you are speaking of ? You keep on mentioning Atkins, Atkins is similar but not the same. Responsible ketogenic diet educators always emphasize the importance of vegetables and moderate protein. Pls look up Dr Fung and Dr. Westerman’s work one is a nephrologist and one heads obesity clinic at duke university for past 20 years.

[@thomaswalz3515]

Good work Doc! I was intrigued by keto, but like the robot in Lost in Space, I kept getting background thoughts of "warning, warning!" It just didn't make sense. Your recent series about keto is exactly what I needed. This particular vid was a home run. I eat mostly vegan, but do skip when my gal comes around... one thing I noticed is that meat has a similar "sweet" flavor as refined carbs... and that got me thinking about the diabetics I know, who all eat a combo of meats and sweets... then rethink about the diabetes and eat more meat... which as you mention in this vid, makes future carbs even more toxic... fascinating. Thank you.

[@sherrie6007]

THIS GUY IS WRONG. Keto and Carnivore worked for me

[@josephtan4663]

you were saying diabetes is a carb intolerant disorder, plain and simple.

[@marymclachlan3122]

I had suspected this for some time. (If it sounds to good to be true....) I am very interested in what you might have to say about fasting and Diabetes. Thanks for all the hard work you and your team do for us!

[@nicholascurran4290]

Mary McLachlan he will say fasting is horrible and you should eat 10 meals a day to keep insulin high.

[@ashleytaylor994]

Dr Jason fung says fasting can cure diabetes

[@modelsupplies]

@@ashleytaylor994 it does. It reversed my pre diabetes then my husband died and I ate like crazy, was diagnosed type 2. Now I’m back to one meal a day and have normal blood sugars every day. If it weren’t for Dr Fung, I’d still be listening to advice to “eat 6 small meals per day to avoid type 2”. Honestly wonder if food and medicine are sending this message for profit. What’s more, I’m 58 and don’t have any joint pain now!

[@AdventureElliot]

So if keto is bad.. what is the healthiest alternative? What will help people eat until full/kill cravings and help binge eating disorder?

[@dj-fe4ck]

Whole foods High carb high fiber low fat

[@AdventureElliot]

dj121 fat is essential.. ever heard of essential fatty acids?? Our cells need them, just like they need essential amino acids. Is there such thing as essential carbs?? Nope!

[@dj-fe4ck]

@@AdventureElliot Yes, carbs are essential! Not essential to stay alive, but essential to be healthy! There is also no essential saturated fat or animal fat. Leafy greens and fruits alone can give you all the essential fatty acids

[@dj-fe4ck]

@@AdventureElliot you don't need legs or arms to stay alive. Does that mean that it's good to not have any arms or legs?

[@AdventureElliot]

dj121 ketones are necessary and preferred energy source evolutionarily speaking. We didn’t have an abundance of fruits and vegetables in the higher latitudes. We had animal products and our own bodyfat that we relied on from the growing season.

[@redpanda2961]

You’re full of it. Glucose intolerance is quickly reversible if need be (in 1 week) on a ketogenic diet. This has little to do insulin resistance, which takes months or years to reverse, and more to do with your body becoming more adapted to using ketones for energy instead of glucose. You can observe analogous things happening when you first start doing keto, except everything then has to do with your body's unadaptive utilization of ketones and fatty acids.

[@KYLE-zo4bm]

its the gathering of the experts here in the comments i see i am so impressed with all the researchers when will your studies be published?

[@shahbaaz4024]

Their confidence is off the roof. This is like a Scientist's Forum

[@ldjt6184]

Can you reverse the worsening of the condition by doing a vegan diet after long term keto? Will your glucose tolerance improve?

[@happygimp0]

In terms of insulin sensitivity, yes. He actually presented a study showing the improvement in insulin sensitivity even without weightloss on a high carb high fiber diet (not necessarily vegan).

[@ldjt6184]

ggzh a Argue With Everyone Thank you :-)

[@happygimp0]

PubMed link to the study: www.ncbi.nlm.nih.gov/pubmed/495550

[@myggggeneration]

Check out Dr Barnard's diabetic program or Mastering Diabetes, both on FB . I did MD (membership group) for a year and saw improvements over a self directed whole food plant based diet of 2 years prior. It is never too late to reverse type 2 diabetes. Your gut will need a little more time than average to adjust to the new foods, so take it slow. It will need to change a lot of its micro-biome - for the good :-)

[@martinas6218]

You look so healthy and young Dr. Greger. Tell me your secret!

[@maver1que]

😂😂 I know, right??! When I found out that Dr. Greger was about my age I simply couldn't believe it. I thought he was at the very least 10-15 years older than me. Put him next to Thomas Delauer and it's easy to see who's doing the right diet for their body! I've tried both whole food plant based and keto (done the correct way which is also plant heavy) and by far (there's no comparison) I get better results doing keto as measured by blood tests. Every single metric improved.

[@scrapbus9681]

Lol

[@saszablaze1]

I'd love to see what the carnivore medical professionals are finding with this; coz they're nuts, but they seem to find some decent results for autism, diabetes and cancer

[@alanredversangel]

Carbohydrate intolerance. That's a new one on me. Gets around having to mention insulin resistance I suppose. ...

[@JohnSmith-tw3rw]

lots of people are off their meds on keta going by their testimony on you tube..but I don't do keto. I don't need to

[@DinarAndFriends]

>>ots of people are off their meds on keta going by their testimony on you tube But making their diabetes much worse. Watch the video.

[@alexandrovm1]

101 sales (to give fear to your audience). More than 90% of the video rumbling around other stuff). How can you live with yourself?

[@vernongibson1194]

WTF? First of all a Keto diet focuses on restriction of carbs, a Carnivore diet eliminates carbs and replaces them with fat. Next failure to metabolize carbohydrates is akin to having a food allergy. One must avoid the food they are allergic to in order to avoid adverse reactions. Lastly, I don't know of anyone who has actually 'reversed' diabetes. They have simply learned to control carbohydrate intake. If any of them were to sit down to a delicious carb laden meal or dessert, bad things will still happen. I have no idea what purpose this video serves other than add further confusion to an already frustrating and confusing condition.

[@miketracy6024]

Are you familiar with Dr. Eric Westman?

[@isabellezablocki7447]

The ketogenic diet unfortunately is all smoke and mirrors but it sells a lot of tickets.

[@retiredfire2013]

Wonder why the eskimos who eat no carbs only seal,whale, and fish live so long?

[@retiredfire2013]

I will answer my own question nutritionfacts.org/2018/07/12/the-eskimo-myth/

[@chrisjones4571]

Lots of cans, maybes, mights and very little actual results. I am not saying this is not possible but the science behind the why's is missing.

[@lewis9767]

did he just reference a study from December 1927?

[@stewartedgington8164]

I have T1 diabetes and eat about 400-450 gm of carbohydrates per day and use about 31 units of insulin and with an HBA1c about 6.3. I also have greater resistance to the host of diabetic side effects caused by hyperglycemia (which certainly I still have) by elevating my antioxidant levels rather dramatically. I first heard about the Atkins/keto diet just a few years after developing diabetes at age 21. Many diabetics find they have the condition by going into diabetic ketoacidosis. It occured to me that inducing the state that, were I to stop taking insulin, would kill me I would have to be considered suicidal.

[@montycora]

Ketoacidoses and ketosis are not the same thing....

[@stewartedgington8164]

@@montycora would you like to explain the difference?

[@montycora]

@@stewartedgington8164 - Of course! Ketoacidosis is a medical condition in which your ketone level is above 14 mmol/l - It happens as a complication of diabetes, it is involuntary and it makes your body turns really acidic and that is why it is very dangerous. Ketosis is when you purposefully decide to cut carbohydrates from your diet, or if you fast for more than a day, then you will reach ketosis, which means your body will burn fat as fuel and no longer glucose. When you are in nutritional ketosis, the max you are gonna reach is 7mmol and that is pretty rare and hard, most people will stay at around 0.5 to 4 mmol. It is hard to keep your ketones as high as 7, and not really necessary, unless you have epilepsy or other neurological conditions that are treated with the ketogenic diet, but for weight and blood glucose maintenance, 1mmol is already great, for neurological, more than 3mmol is required.

[@ketosteveo483]

Awesome video! My view is many doctors either don't know, or they're in with the big pharma's for the money. My endo had me on the food pyramid and 180 carbs per day...just started keto 2 weeks ago with intermittent fasting after 3 days in the hospital with ketoacidosis. Feel great and insulin down from 75 to 20u per day. Can't wait to see my endo next week and show him my results so far...

[@mikebrisson35]

Did you watch this video? I'm asking because you mention the video is awesome, but you're doing the opposite of what it suggests you do?.

[@shahbaaz4024]

Bot comment?

[@SammifromMiami]

Dr. Greger, or anyone, do you have an example of 3 great meals for breakfast, lunch and dinner that would be perfect to follow to reverse diabietes and that fits the nutritional profile in the video at the 5:08 mark?

[@jamesw3888]

I find Dr Greger’s colorful false-equivalent analogies disingeuous and juvenile. He has cleverly added some big words to make it sound impressive while conveniently ignoring the facts of physiology and the nature of insulin. His pitch reeks of food industry propaganda...