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Keto diet for diabetics. The only way to reverse diabetes naturally


  • Keto diet for diabetics. The only way to reverse diabetes naturally

    In this article you will read about:
    • Sweet disease. The link between sugar consumption and diabetes
    • Help in fat. Fatty foods are an absolute evil or the only hope to reverse diabetes?
    • Why monkeys in English zoos are deprived of bananas – (hint: because of diabetes)
    • “Harmless” fructose as the main provocateur of diabetes
    • 8 hidden symptoms of type 2 diabetes
    • Fatty dairy products reduce the risk of diabetes
    • Is bacteria the cause of diabetes?
    • Two days of eating fast food are enough for diabetes
    • Blood sugar tests: which to take and how to interpret results
    • Science gives a clear answer: diabetes is reversible. How to get rid of diabetes

    Brown rice, whole-grain toast, an apple, and a little salad dressed with low-fat yogurt - this is what a typical “diabetic plate” looks like in most developed countries. But more and more scientists and doctors insist that completely different products should be put on it, and this statement is supported by very convincing research.

    Diabetes is not for nothing called a “non-contagious epidemic”: it is spreading at a truly gigantic rate, hitting one country after another: in 1985, the total number of diabetics in the world was 30 million, and in 2011 this indicator increased by more than ten times - up to 366 million.

    In 2012 alone, 622 114 people died of diabetes in Europe, and a total of 138 billion euros have been spent on treatment for it over the past 50 years.

    According to WHO forecasts, by 2030, there will be 552 million diabetics in the world, and those who are already sick are likely to develop formidable complications: cataracts, kidney damage, atherosclerosis, and mental changes. Salvation from this is not at all in expensive insulin preparations (at least $ 2,000 per patient a year).

    In most cases, to prevent diabetes, ease its course or even cure it, it is enough to revise your diet once and for all.

    Sweet disease

    In the 3rd century BC, diabetes was easily diagnosed and was called "sweet urine disease", and Paracelsus defined it as "a disease of the whole organism in which sugar is formed in the blood."

    Despite the fact that this ancient terminology already speaks for itself, in the second half of the 20th century, the direct connection of diabetes with excessive consumption of carbohydrates seemed to fade into the background.

    "Fat disease" - until recently, doctors called diabetes, considering the excess weight to be the main risk factor. One of the first recommendations that a patient receives with a diagnosis of type II diabetes is to minimize the amount of fat in the diet. Official dietetics recommends limiting fatty meat and fish, nonfat dairy products as well as high-carb foods.

    Click to see Video: Ketogenic Diet for Diabetes

    These tips are still reinforced by new research. For example, in 2011, scientists from Sanford-Burnham Medical University published data from an experiment in mice, according to which fats are to blame for the development of type 2 diabetes.

    What, then, should the patient eat? The cover of one of the issues of Diabetics Care magazine shows a smiling girl holding a dish full of fruits and cereals. Add fat-free milk, grain bread, and vegetables and get a typical diabetic menu, which to this day is offered to most patients.

    Cereals are included in almost every meal, and snacking with sweet zero yogurt is a common thing. The most popular section on culinary sites for diabetics is with recipes for allowed desserts.

    Interestingly, at the beginning of the 20th century, the idea of ideal diabetic nutrition was exactly the opposite. The American Diabetic Cookbook, published in 1917, has a list of categorically forbidden foods. Among them: sugar, flour, bread, cookies, rice, pasta, oatmeal. But the mandatory products are called olive and butter, meat, fish, poultry, and eggs.

    Surprisingly, it is a fact: at that time diabetes drugs were not yet invented, but the global number of patients was several times lower than today.

    Only last year, the University of California published data from a global study that unequivocally proved the link between sugar consumption and diabetes. Scientists processed medical and sociological data from 175 countries and found out: neither the excess weight, nor excess daily calories, nor lack of physical activity are direct risk factors.

    But such an indicator as sugar consumption per capita is directly related to the level of diabetes: the higher it is, the worse the morbidity statistics. Scientists even calculated the exact amount: every 150 calories from sugar in the diet per capita increase the spread of diabetes in the country by 1%.

    Help in fat

    To put it very primitively, diabetes is the body’s inability to keep blood sugar at a normal level. Where does this sugar come from? Carbohydrate food, getting into the digestive system, is broken down to glucose and other simple sugars and absorbed into the blood.

    The fastest growing sugar levels are rice, pasta, potatoes, and bread. However, many foods recommended by many doctors for diabetics actually also raise blood sugar. These are, in particular, sweet fruits and starchy vegetables, as well as whole grains and “slow carbohydrates”.

    Until the 2000s, fatty foods were declared an absolute evil for everyone - and even more so for diabetics. The official USDA recommendation stated plainly that low-fat foods are the best cure for heart disease, obesity, cancer, and, of course, diabetes. But scientific data did not confirm this in any way.

    A big scandal caused a global study, begun in 1993 and stretching for 8 years. Scientists from the organization WHI (Women’s Health Initiative) conducted an experiment in which 50 thousand women from 50 to 79 years old took part. About half of them were prescribed to follow a diet low in fat, the other half - to eat in the usual way. Scientists hoped to calculate quantitative indicators of health improvement for those who followed the recommendations of “proper nutrition”.

    However, according to the results of the survey, after eight years, it turned out that women from the "low-fat" group weighed as much as those who ate regular food. Their predisposition to oncology and other diseases did not decrease at all, and most importantly, in both groups, the level of HDL (“good” cholesterol) and triglycerides in the blood was approximately the same.
    This experiment was the last straw, which led many doctors to reconsider their opinion on "low-fat" diets - especially in the context of diabetes. In 2005, the journal Diabetic Medicine published data from a joint study of American and British clinics.

    100 people with type 2 diabetes were divided into two groups: for three months, some adhered to a low-carb diet without calorie restriction, while others ate, significantly reducing portions and reducing the percentage of fat on the menu.

    As a result, it turned out that a low-carb diet is much better at reducing weight and blood cholesterol. And this despite the fact that the subjects ate foods of normal fat content and did not limit themselves in the amount of food.

    In 2008, the amount of similar scientific work turned into quality, and the American Diabetes Association published new nutritional recommendations in which a low-carb, normal-fat diet was called the optimal diet for diabetics. From now on, no more than 40 grams of carbohydrates are considered healthy and safe for diabetics in one go: a little brown rice, 5-6 slices of whole-grain bread.

    At the same time, you can eat any meat - including non-lean pork or lamb, as well as dairy products with a fat content of up to 30-40%.

    In the same year, the Duke University Medical Center conducted an important study that proved the exceptional benefits of not just a low-carb, but a ketogenic (i.e. high-fat) diet for people with diabetes. It involves a serious limitation of carbohydrates consumed (up to 40 grams per day), as a result of which the body begins to use fat as its main source of energy. Rather, ketones are fat breakdown products.

    Scientists have proven that this diet system works for diabetics much better than cutting back on portions and a slight decrease in the number of carbohydrates in the diet. 95% of 90 people on the ketogenic diet within six months were able to significantly reduce the amount of medication taken or even abandon them. And this is not to mention weight loss, normal pressure, and an excellent blood test. The keto diet helps prevent terrible effects of diabetes on the entire body.

    This is due to the fact that essentially all organs especially the myocardium, kidneys, lungs are more likely to use ketone bodies as fuel than glucose. This means that their energy metabolism remains stably high.

    A healthy heart, refusal of drugs, normal weight - the fee for all this in the form of refusal from sandwiches, pastries, and pasta is not so high. After all, a good piece of meat is something that most diabetics have long wanted to afford.

    Why monkeys in English zoos are deprived of bananas

    If you ask any child and an adult too: “What do monkeys like?”, Then in 99% of cases the answer will be “Bananas!”. “Banana monkeys” have the same stable semantic connotation as “bone dog”, “oats horse”, “carrot rabbit”, etc.

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    But in fact, not everything is so simple: in the wild, where the majority of monkeys live, those bananas that we eat - large and very sweet do not exist - they are the result of a long and careful selection, the purpose of which was to saturate fruits with sugar as much as possible.

    Monkeys living in captivity, of course, get a lot of bananas from people, but if the trend that began in several English zoos continues and develops, then this tradition will come to an end.

    The management of zoos in Bristol and Paintton decided to exclude not only bananas but all fresh fruits from the diet of primates and replace them with vegetables, herbs, and special food. Reason: “human” fruits adversely affect the health of monkeys: they cause diabetes, digestive problems, and teeth.

    They have too much sugar and water because we want fruits to be sweet and juicy, and too little fiber. Besides, as noted by zoo employees, from bananas, monkeys become more restless and aggressive, and this, given that they have to live in a closed and relatively small space, turns into a serious problem.

    After scientists changed the diet of primates, their health and behavior underwent serious improvements, and in appearance, too - as experts say, their coat became smoother and brighter. Now there is every reason to believe that the practice will extend to other zoos and soon we will be able to watch the monkeys gnawing broccoli, cucumber, or eggplant - but not a banana.

    For reference: according to USDA, one large banana contains an average of 27.6 g of digestible carbohydrates (including 16.6 g of sugar and 7.3 g of starch) and only 3.5 g of fiber. This is more carbohydrates than, for example, in a glass (200 ml) of Coca-Cola.
    Studies in Denmark showed a similar result - switching pigs to a diet containing fewer carbohydrates and more fats made them less aggressive and more social.

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    8 hidden symptoms of type 2 diabetes

    Here are seven symptoms that may indicate the hidden development of diabetes in you or your loved ones.

    1. Frequent urination and thirst
    It is logical that thirst and urination are interconnected: the more we drink, the more we go to the toilet. However, if you have to get up two or more times during the night, this may mean that your kidneys are working hard to remove excess glucose from the blood. Thirst also increases automatically - the body seeks to replenish the fluid lost to remove sugar.

    2. Sudden Weight loss
    Sudden weight loss can sometimes also be a sign of violations. In diabetes mellitus of the second type, insulin cannot cope with delivering glucose to cells, and cells (including muscle cells) perceive it as starvation, begin to destroy protein so that the total body weight decreases for no apparent reason.

    2. Increased appetite
    If you have increased appetite, but you continue to lose weight, this is an alarming sign. Hunger attacks occur due to jumps in blood glucose levels: when it falls after a sharp increase, the body perceives this as a signal for the next meal.

    3. Fatigue and irritability
    Of course, these symptoms are not always associated with diabetes but including. Sudden changes in glucose levels, poor sleep, and frequent urination have a bad effect on the psychological state

    4. Skin changes
    Irritation, scratching, dryness, pallor, or spots of change in the usual color of the skin are associated with the fact that the normal nutrition of the cells of the dermis is disturbed. Skin, nails, and hair are the first to suffer when problems with nutrition and metabolism occur.

    5. Slow, poor wound healing and recovery from disease
    A classic symptom of diabetes is a more protracted disease than ordinary people. The same goes for wounds. This is a classic symptom: blood vessels in diabetes are damaged by high glucose levels so that the circulation of blood is disturbed, and wounds heal more slowly.

    6. Fungal infections
    The logic is the same as with bacterial infections and skin changes: impaired blood circulation and microcirculation make the skin particularly susceptible to fungal diseases.

    7. Visual impairment
    A fall in vigilance or blurred vision may be signs of circulatory and nutritional problems, which are often associated with diabetes.

    8. Tingling or numbness
    These are signs that diabetic changes affect the nerves. The same kind of symptom is a pain in the muscles. If the symptoms have appeared relatively recently, they can be reversed if you start treatment in time, the main part of which, of course, is a change in diet.

    “Harmless” fructose as the main provocateur of diabetes

    Fructose is considered to be a harmless sweetener - after all, it is sugar obtained from fruits, which means that it can in no way be harmful. It is recommended even for diabetics and people with obesity since most tissues of the human body are not able to process fructose. But data from recent studies prove that all added sugar, and especially fructose, is hazardous to health.

    Doctors want to revise government dietary guidelines to consume as much as 25% of daily calories from added sugar.

    In the United States, 29 million people have diabetes, and one in three is in a borderline state. James DiNicolantonio, a specialist in cardiovascular diseases at the Kansas-based Saint Luke’s Mid America Heart Institute, says sugar-added foods, especially fructose, are to blame. 40% of Americans have insulin resistance, which can subsequently develop into diabetes.

    Fructose has a bad effect on metabolism in general and on insulin resistance in particular - more than any other “dietary” sugar. Several studies by James Di Nikolantonio and his team on animals and humans prove that fructose and sucrose increase blood sugar much faster than glucose or starch.
    If glucose in the diet is completely replaced by fructose, serious malfunctions will occur in the immune system, and insulin resistance will skyrocket. The negative effect is the stronger, the more fructose a person consumes - whether it is syrups based on it or a powder.

    The 2010 nutritional guidelines for Americans say that 19% of daily calories can be obtained from added sugar, and the Institute of Medicine officially permits as much as 25%.

    At the same time, WHO advises to leave no more than 10% of “sugar” calories in the diet, and for those who are concerned about their health, it is better to reduce their number to 5%. It is echoed by the American Heart Association, which limits daily sugar intake to 6 teaspoons per day for women and 9 spoons for men.

    Indeed, fructose is found in vegetables and fruits. This does not mean that fructose is harmless. As you know, sweet fruits (bananas, grapes, and others) are often more harmful - they contribute to obesity.

    In many freshly squeezed juices, sugar is as much as in cola. Unsweetened fruits are much more useful, and it is precisely because they contain fiber, vitamins, and other bioactive substances, but not fructose.

    Laws should appear that oblige producers to add less fructose to their products. And the government should take care about if not the health of its citizens, then at least the amount costs that will lead to the massive treatment of diabetes and obesity.

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    Fatty dairy products reduce the risk of diabetes

    Scientists from Lund University in Sweden found that drinking milk and cheese reduces the likelihood of developing type 2 diabetes. True, this does not apply to popular low-fat yogurts: natural products of normal fat content are needed.

    A team of researchers led by Professor Ulrika Erickson analyzed the eating habits of 27,000 people aged 45 to 74 years. All of them took part in a large-scale state experiment to study the relationship of oncology with nutrition, which took place in the early 1990s.

    Therefore, scientists had very detailed information about their respondents. They were interested in how the presence of saturated fats in the diet correlates with type 2 diabetes.

    2,860 participants in the experiment twenty years later (that is, in the 2010s) developed type 2 diabetes. It turned out that among the people who avoided this disease, the lowest-risk group included those who regularly ate fatty dairy products. On average, they were 23% less likely to get diabetes.

    According to Ulrika Erickson, saturated fats from different foods have different effects on the body. Unlike milk fats, meat fats do not reduce the risk of diabetes, but, for example, have a beneficial effect on the cardiovascular system. Most likely, both calcium and vitamin D work against diabetes in a natural “milk”.

    Swedish scientists remind that each product should be considered as a whole, and if it brings a certain benefit, the matter is in the proper balance of nutrients. This means that fat-free yogurt, fortified with calcium, will not reduce the risk of developing diabetes. Saturated fats are needed, which “trigger” the remaining vitamins and minerals.
    Interestingly, according to the study, saturated fats in different dairy products also have slightly different properties. For example, fats in butter significantly lower the level of "bad" cholesterol in the blood, which cannot be said about "cheese" fats. And the most powerful anti-diabetic effects have milk and cream.

    Science has long known that bacteria and viruses cause various diseases. But what exactly, scientists continue to discover - like, for example, the human papillomavirus that provokes cervical cancer, or the Helicobacter pylori bacterium, associated with gastric ulcer.

    A new study by the University of Iowa, USA, suggests that bacteria can be the cause of type 2 diabetes.

    A group of microbiologists at Carver College Medical University, led by Professor Patrick Schliver, found that prolonged exposure to the toxin produced by Staphylococcus aureus leads to the development of symptoms of type 2 diabetes in rabbits, including insulin resistance, impaired glucose tolerance, and systemic inflammation.

    “We essentially reproduced the symptoms of type 2 diabetes in rabbits by simply regularly acting on staphylococcus superantigen,” says Schliver. Superantigen, in simple terms, is an agent that excites a strong, but not a very effective immune response.

    This is beneficial for microbes, so they confuse the cards with immunity: instead of destroying them with an exact blow, the immune system in response to superantigens develops a stormy general reaction that makes it difficult to fight a specific pathogen.

    The results of the work of scientists from Iowa show that therapy aimed at eliminating the staph bacteria or neutralizing its superantigens can be useful for the prevention or treatment of type 2 diabetes. Obesity is a known risk factor for developing type 2 diabetes, but it also changes the human microbiome - the ecosystem of bacteria that inhabit our body and protect our health.

    “We found that as soon as people gain weight, they sharply increase the number of staph bacteria on the surface of the skin,” says Schliver, “which means they are exposed to the chronic effects of superantigens produced by them.”

    Schliver’s study can be considered preliminary evidence that superantigens - toxins produced by all strains of staph bacteria - destroy the immune system and are responsible for the fatal outcome of various staph infections, such as toxic shock syndrome, sepsis, and endocarditis.

    The team’s latest study, recently published in the mBio magazine, shows that superantigens interact with fat cells and the immune system, causing chronic systemic inflammation, which leads to insulin resistance and other symptoms of type 2 diabetes.

    After assessing the staphylococcus skin populations of four patients with diabetes, the team led by Schliver concluded that the effect of bacterial superantigens on them is proportional to the dose of superantigen, which caused laboratory rabbits to develop symptoms of diabetes during the experiment.

    “I think we have a way to try to change the course of this disease,” Schliver reassures, “We are working on a vaccine against superantigens and we believe that it can prevent the development of type 2 diabetes.”
    The team is also exploring the use of a topical gel containing glycerol monolaurate, which kills staph bacteria as a means of killing it on the skin. It will soon be revealed whether its regular use can lower the blood sugar level in patients with prediabetes.

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    Two days of eating fast food are enough for diabetes

    A study conducted by scientists at Temple University in Philadelphia showed that just two days of malnutrition in large quantities is enough for the first signs of diabetes to appear.

    The study participants - 6 healthy male volunteers - spent a week in the hospital, in bed, and without any physical exertion. At the same time, they ate, in the literal sense of the word, for three - 6,000 kcal per day. “It was a typical American diet consisting of pizza, hamburgers, and the like,” one of its authors, Professor Salim Merali, describes the diet of the participants in the experiment.

    This “diet” was to the taste of the participants and, although 6,000 calories may sound like extreme gluttony, it is no more than many athletes consume during intense training.

    Eating fast food in such volumes during the week led to an average weight gain of 3.5 kg, which is not small at all. And on the second day, all six participants had elevated blood insulin levels and significant insulin resistance - i.e. they began to develop diabetes.

    The exact mechanism for the emergence of insulin resistance is not yet known to scientists, but the study indicates its possible cause - oxidative stress, leading to the formation of reactive oxygen species and free radicals that damage cells.

    Urine tests of participants revealed an ever-increasing number of particles of fat oxidized by reactive oxygen species.
    Signs of oxidative stress were also detected by adipose tissue biopsies. Oxidative stress weakens the body’s ability to regulate blood sugar because damages the structure of the GLUT4 protein - a glucose transporter, which leads to a decrease in its activity. Insulin sends the same message, but glucose is not removed from the blood.

    “This is a completely new understanding of the link between overeating and insulin resistance.
    Of course, 6,000 kilocalories per day is a lot. But there is nothing supernatural. For this, it is enough, for example, to eat for breakfast, for lunch, and for dinner the usual Big Mac lunch. Or replace some of the hamburgers and french fries with pizza - the standard 14-inch American version contains about 2,300 kcal.

    And the bed rest of the experiment participants is not much different from the level of activity of a person who goes to work by car, sits in the office in front of the computer, spends the evening on the couch in front of the TV.

    Interestingly, press reports about this study focused on the amount of food consumed. Although in fact its composition is not less, but most likely more important. The "standard American diet" tested by six volunteers consisted of 50% carbohydrates, 35% fat, and 15% protein.

    That is, every day they received a shock dose of 750 grams of carbohydrates, which inevitably led to a significantly increased level of glucose in the blood.

    In combination with a violation of the mechanism for transporting excess sugar, this could not but lead to serious metabolic problems.

    If you are interested in the issues of proper nutrition, then you probably thought about what tests you need to take, how to evaluate the results.

    Please note that it is impossible to diagnose and select drug therapy in absentia and do not cancel the treatment prescribed by your doctor.

    Important: the initial diagnosis of carbohydrate metabolism disorders and, moreover, the diagnosis based on the indicators of a home blood glucose meter is not carried out! This device may be useful to you, but it makes sense to talk about it separately. If you decide to adhere to the keto diet, you should pre-evaluate your health condition to see for yourself how effective the system is in matters of normalizing metabolism.

    If you have diabetes, don’t be upset and give up, eating on the keto system will be the most correct for you and will quickly bring sugar back to normal. The only thing when taking medications you will most likely have to adjust their doses.

    Let's start with carbohydrate metabolism. So, when to start taking tests and which ones? Let's figure it out.

    I. Fasting blood glucose test (or “blood sugar”)

    This is the simplest and first analysis for disorders of carbohydrate metabolism, it can be prescribed for you during a medical examination, or when there are certain complaints. The analysis can be taken both from capillary blood from a finger, and from a vein. It does not matter which method you choose, to evaluate the results, you should be guided by the reference standards of a particular laboratory (they are always indicated in the analysis form, often to the right).

    When is it necessary to take this analysis:
    • You have complaints typical of impaired glucose metabolism (dry mouth, increased thirst, and urination, increased fatigue, constant hunger, in some cases sharp weight loss, pustular skin diseases - furunculosis), wounds began to heal badly, itchy skin. Please note that in women - poorly treatable, "causeless" thrush, and in men - impaired potency, may be the only and (or) first complaint when it makes sense to check blood for glucose)
    • You are overweight, BMI> 25
    • All people over the age of 40 years 1 time in three years, and after 45-50 years more often
    • You have signs of metabolic syndrome (overweight with an accumulation of fat mainly in the waist, high blood pressure, lipid metabolism disorders, possibly coronary heart disease)
    • Relatives in the family suffer from diabetes
    • Pregnant women, regardless of initial weight (when registering, in the second trimester (25-27 weeks) and closer to birth up to 32 weeks)
    • During the period of sharp hormonal changes (puberty, pregnancy, menopause, various endocrine pathologies, for example, hypothyroidism)

    II. Glucose tolerance test (GTT)

    This is a long, but very informative test that allows you to determine the degree of carbohydrate metabolism disorder or diagnose diabetes. The value of the method increases if you simultaneously determine the level of insulin in the blood.

    How is the test conducted:
    Your blood will be taken on an empty stomach. Then immediately after blood sampling, you will need to drink a glucose solution (75 grams of pure glucose dissolved in 250-300 ml of water)
    Re-analysis will be taken from you in 2 hours. Sometimes an analysis with intermediate points is prescribed after 30 minutes and after 3 hours.
    Be sure to complete this test if you have the evidence described above. Don’t postpone the analysis because of the fear of getting bad results. It is best to find out about the problem as early as possible and start with the correction of nutrition and physical activity.

    As a rule, blood from a vein is used (it all depends on the laboratory), but the use of glucometers is strictly prohibited!

    Do not be afraid of overloading glucose, from once you will not develop diabetes if you do not have it, but you can clearly understand the reason, for example, being overweight or do not miss the onset of diabetes.

    The solution should be drunk within 5 minutes, so try not to stretch your glucose intake. You may feel sick during or after the test. Be prepared for this. Take a chopped lemon with you (you can dissolve it in your mouth), it will not distort glucose readings but will help to cope with an excessively sweet taste when you take glucose.

    While the test will be conducted, sit quietly in the laboratory, taking with you a book or an interesting film. After 2 hours, you may feel dizzy and have a sharp feeling of hunger (this is due to the release of insulin) - be prepared for this. Take a snack with you, ask a relative to accompany you.

    When to complete this test:

    The test applied to all individuals whose fasting blood sugar test showed a result of 6.1-6.9 mmol / L. This test reveals the so-called "prediabetes".This study is prescribed to pregnant women in the second trimester, but the test can be prescribed earlier if the woman is at risk (the doctor will take into account the history, the presence of excess weight, and many other factors).

    As part of the definition of insulin resistance in overweight, metabolic syndrome, with a burdened heredity for diabetes.
    Not everyone knows that glucose levels depend on many reasons, so it’s better to immediately take seriously the preparation for the test.

    How to prepare for a blood sugar test or take a glucose tolerance test

    When you submit to a glucose tolerance test, at least 8-hour, and preferably 12-hour fasting is implied.

    You can only drink water. Alcohol, juices, and sugary drinks are prohibited. Drinking alcohol is not advisable the night before. It is often advised to give up sugar-containing toothpaste in the morning and chewing gum. You should not smoke before any glucose test. When passing the GTT, do not smoke until the test is complete.

    If you are taking any medications, you should inform your doctor about this to correctly interpret the results.

    If you have a cold, or there is some kind of acute infection, it is better to postpone the analysis, since a false-positive result is possible.

    Eating 2-3 days before the analysis is necessary in the usual way, you should not artificially limit carbohydrates, if you usually eat them. Your last meal should also contain carbohydrates (if you are not on the keto diet).

    Do not take the test immediately after procedures and serious studies (massage, ultrasound, X-ray, physiotherapy).

    The night before, and especially in the morning on the day of analysis, you should not be engaged in active sports. It is advisable to spend the previous day and morning as usual.

    If you were in a hurry to the clinic, walking up the stairs, etc., you should also take a break for about 15 minutes in front of the office before you undergo a blood test. When doing GTT, while you are waiting for a second blood sampling, it’s better to read calmly, do not try to redo all the work in these 2 hours.

    You should not be tested after working the night shift or if you slept very badly the night before. The female cycle normally slightly affects fasting glucose, but if the cycle is disturbed and / or in people with impaired carbohydrate metabolism, fasting blood sugar may increase in the second phase of the cycle.

    Interpretation of results:

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    If your blood sugar levels are expressed in mg% (or mg/dl, which means the same thing), then they can be converted to mmol / L using the formula mmol / L = mg% / 18.

    III Glycated (glycosylated) hemoglobin HbA1c

    The combination of hemoglobin with glucose, which allows us to estimate the level of glycemia on average for the previous 3 months. Glycated hemoglobin reflects the hyperglycemia that has occurred over the life of red blood cells (up to 120 days).

    The red blood cells circulating in the blood have different ages. Usually, they are guided by an average period of 90 days. The level of glycated hemoglobin is an indicator of the compensation of carbohydrate metabolism during this period. Normalization of the level of glycated hemoglobin in the blood occurs at 4-6 weeks after reaching normal glucose levels.

    This analysis is usually prescribed to confirm (or disprove) the presence of diabetes.

    This test is necessary for people who already have diabetes to control compensation and to evaluate the effectiveness of the therapy.

    This analysis in people with diabetes should be taken 2-4 times a year. This test is not a substitute for daily glucose monitoring for established diabetes.

    Instead of a simple fasting glucose test, if you have appropriate complaints, being overweight, it's better to immediately take a glycated hemoglobin test, which will show your sugar level over the past three months. If the test results turn out to be “borderline” in the future, GTT will clarify the situation.

    You do not need to specially prepare for it, the analysis can be done not on an empty stomach since the result does not depend on the time of delivery of the analysis and food intake.

    Interpretation of results:

    In healthy people, this level should not exceed 6%. In this case, you can stick to the keto diet depending on your goals, for example, to reduce weight.

    A level of 6 to 6.5% is considered a violation of glucose tolerance, i.e. a person is at risk. You should take the GTT test, review your diet as soon as possible, and start observing the ketogenic diet, and evaluate the results after three months.

    Target levels of HbA1C may differ in patients with diabetes, depending on age, the presence of complications, and the risk of hypoglycemia. If you have high blood sugar and high HbA1C or just tests with an interval of 3 months show twice the increased level of glycated hemoglobin, then the doctor has the right to diagnose you with diabetes mellitus.
    HbA1C levels above 6.5% can be considered diabetes mellitus. You need a glucometer!

    With an HbA1C level of 6.5% -7.5%, it should be a question of prescribing medication.

    With an HbA1C level of 7.5% -9% - you can’t do without medical treatment. Naturally, you need to comply with the keto diet.

    If the HbA1C level is above 9%, you need to prescribe insulin (temporarily or permanently, your doctor will evaluate it in dynamics, depending on your diagnosis and related points).

    You can choose your version of the keto diet when you learn to choose a dose of insulin depending on the daily glucose levels before eating (according to your glucometer) and from the calculation of consumed food.

    Type 2 diabetes is a reversible condition

    There are very interesting publications showing that complications of diabetes are reversible. Many people are familiar with the story of Dr. Richard Bernstein, who had kidney, ophthalmic and neurological complications caused by type 1 diabetes.

    Dr. Bernstein told his story in his book. Contrary to orthodox practice, he developed what we today call the ketogenic diet and found that by improving his control, he was able to get rid of complications.

    Scientists in Japan came to the same conclusion after examining the effects caused by kidney transplantation. The donor had type 2 diabetes, the recipient did not. At the time of the transplant, there were diabetes-induced changes in the kidneys, but after a year in the non-diabetic patient, these changes reversed.

    There were also publications about a kidney donor with type 1 diabetes with all the signs of diabetic kidney disease. 6 months after the transplant to a non-diabetic patient, kidney disease completely disappeared. Besides, there have been publications about diabetic complications that have passed after a pancreatic transplant.
    All this suggests that you can not only slow down the development of complications in diabetes but also completely get rid of them.

    If diabetes complications are reversible, how can this be achieved?

    Our body, being a living biological organism, is capable of healing itself to a certain extent. However, to give our body a chance to heal ourselves, we must remove the cause of the damage, which in the case of diabetes is a constantly elevated level of glucose in the blood.

    When we return the blood sugar to a “safe” level, the body ceases to be damaged and there is an opportunity for healing. But this requires maintaining a healthy glucose level over a significant period of time.

    There is plenty of evidence of this. Patients report getting rid of complications, including symptoms of neuropathy, kidney damage. Many have found that by maintaining optimal glucose levels over a long period of time, they can reduce the symptoms of type 2 diabetes to a reversibility level.

    In conclusion, evidence shows that complications need not remain forever. If you have diabetes complications, try not to accustom yourself to the idea that it will only get worse. With good glucose control, they can completely disappear.

    Science gives a clear answer: diabetes is reversible. Just follow the keto diet.
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