Should Everyone With Type 2 Diabetes Go Low Carb/Keto 

I disagree with the the statement that keto is too restrictive. I eat vegetables including homemade sauerkrat, everyday. I eat beef , poultry, seafood and eggs. I eat cheeses, nuts and berries. I eat some low carb candies and bake low carb, bread, pan cakes wraps and cookies. There are a lot of keto recipe sites on line. I don't eat wheat, sugar or rice. I use Riced cauliflower and vegetable noodles for sides. I do not eat sugary fruits or drink milk but have berries and almond milk if I want. I don't use many keto products but I will on occasion get low carb cereal if I feel like it. All this with average daily net carbs below 40 grams, 2000 total calores daily at 50 years old and 5' 9" tall. My urine and blood test high for ketones everyday. I lost alot of fat from my body. I had to buy new clothes for the thinner me. I am mentally clearer and feel more calm. It took about two weeks to get over carb cravings that were strong like when I quit alcohol 9 years ago. I only get them now if I eat a piece of birthday cake or something like it to be polite. They go away in a day and I am back on keto.. My doctor took me off meds for my type 2 diabetes, high blood pressure and high cholesterol. I follow the advise of medical doctors such as Sarah Hallberg, Jason Fung and Stephen Phinney. They have reported and peer reviewed success with patients in clinical, medical and athletic settings. I don't just live on eggs, bacon and steaks. Of course, carbs aren't evil or bad but excessive carbs have been for me. Oh, and the body prioritizes alcohol use prior to carb use but I know from painful experience it is not a good fuel source for me. Excess carbs aren't either. I am no longer hungry all the time. I don't have food cravings all the time and I don't have carb crashes. I'm no longer on meds and butter has not killed me or sent my lab results out of healthy ranges. I say ,try keto. Give it time to work. Not a few days but at least a month. Listen to the doctors who are experts in this field. Don't shy away from salt. Take slo-mag and fish oil. I did and had no keto flu or cramps. Drop your daily carb amounts over a month before you go keto. Its easier an gentler than diving right in. Shut off the flood of excess carbs but don't eliminate them completely in the long-term. A piece of frosted birthday cake never sent by blood sugar out of control and I was back eating keto right away. Now the only time I crave sugary food is for a day or so after I have some. So I keep it to a Manageable minimum without being a jerk and insulting some one at a social event as if I took religious vows to never eat a carb again. That's just absurd and so is saying that keto is too restrictive, limited, boring or without variety. I think this pharmacist with a handful of certs ( see her website). means well but may be biased from the outset. I have read there are even vegans who eat keto without animal products. I could with almond flour, coconut flour, coconut oil and other plant substitutes if I wanted to, so being plant based is no excuse not to try it. Get off the excessive carb/insulin roller coaster and see how it makes you feel for yourself. Be careful about your meds and work with your doctor. I did not need them after a couple months but worked with the Doc so didn't get low blood sugar or any other symptoms from their unnecessary continued use. I wish Good health to all of you.

I think it’s hilarious to describe keto eaters as insulin resistant despite nice low and stable blood sugars, not to mention weight loss and not having all those other metabolic disorders. If you want to eat an occasional carb rich food, you can just make sure you eat fat, protein and/or fiber before. You won’t have a big spike then. Overweight people who continue to eat carbs and have serious insulin resistance and sky-high glucose levels are the ones who are at an increased risk for all sorts of chronic diseases, including cardiovascular diseases.

I've been eating low-carb/low-calorie diet for 3 months, I've lost 35 lbs. and my A1c went from 8.1 in April to 6.1 now in August. I also walk about 2 miles per day. Had a quadruple bypass in May which really motivated me to change my lifestyle.

Oh, those poor keto people, they’re not eating the high carb foods and all that fructose that makes them want to eat and eat. Instead they’re satiated. That’s tough! And you can still eat a lot of fiber while on keto in the form of greens and non-starchy vegetables. Plus, our body has no essential need for carbs. And guess what, no real need for fiber.

Huge thanks for the solid, detailed information regarding such a complex and controversial topic. I find it easy to get confused between the WFPB and LCHF communities; both seem to have strong evidence to support their sides. This helps clear things up. Very well done and much appreciated.

Thank you for the wonderful explanations, guidance, and recommendations. Providing a fundamental, but lay person understanding of these concepts are invaluable. Please keep your valuable videos coming; they are appreciated!

Hello Juliet. Very good video, congratulations! I discovered your channel yesterday, and I'm already watching several videos. I'm 56 years old, I'm from Brazil, and 3 months ago I weighed 91kg and had glycated hemoglobin at 8.5 and fasting blood glucose at 124. I didn't follow the keto diet strictly, but I reduced 100% of carbohydrates and processed foods, focusing on whole & natural foods, such as vegetables, salads, fish, lean meat, seeds and nuts, but without exaggerating protein. Fruits, just avocado and pomegranate. I don’t use seed oils, just extra virgin olive oil, and to cook, coconut oil and pig lard. I have also been doing 18h intermittent fasting and sometimes OMAD, with excellent tolerance. I consume a lot of fiber, homemade sauerkraut, and a series of natural supplements to lower blood sugar, in addition to metformin, prescribed by the doctor. In these 3 months, my weight went to 77kg, glycated to 5.7 and blood glucose (in 24h OMAD) to 78. I am now focusing my efforts on ensuring the functional maximization of my mitochondria, and for that, I do gymnastics every day (no exaggeration), and at night a brisk 30-minute walk. I’m taking L-carnitine and Creatine. Your tip of not sticking to a single protocol, but keeping the caloric intake lower, seems very good to me, as well as in those periods outside of intermittent fasting, consume some 100g of good carbohydrates. My goal at the moment is to lose another 7 kg of weight, stabilize the glycated below 5.7 and blood glucose below 100 (with 12 hours of fasting). I believe that by achieving and maintaining this for some time (how much? 2 years?) the body enters a 'new normal' and liver and pancreatic function returns to normal, which would allow me the luxury of eating a pizza once a month, or have a glass of beer every two weeks. What do you think?

39:20 - NOT the case AT ALL. Literally every superfood you can think of known to man is allowed on KETO. The types of food allowed to be eaten on a KETO diet are prolific. Let’s say 40g of carbohydrates are one’s allowance on their Keto diet. The amount of carbohydrates from fiber are voided from the total amount of carbohydrates since fiber is not digested. That would mean a person can eat 6 cups of Green leaf salad and not affect their state of ketosis. Vegetables are almost unlimited on keto depending on the starch, GI, and Glycemic Load. Berries and Low GI fruits are often allowed also. One rudiment of KETO is that it is not a calorie restrictive diet and counting calories is not keto at all. I do believe that calories will be lost on keto, but a plant based diet that is low in fat and low in refined carbs is going to have a calorie deficit too. An overweight diabetic person eating your meals is going to have a substantial caloric deficit if they stay on it. If anything, a vegan diet is harder to sustain. Usually people like fats or sugar carbs. Limit both along with low protein meals and they will either find it doesn’t taste so good or it isn’t filling. Tofu, lentils, and starches aren’t essential for a fun and healthy diet. There’s plenty of other foods to get our nutrients from, and even those foods (tofu, lentils, potatoes) can still be under the 50g some can stay in ketosis with.

Thank you so much! So well explained.

Keto diet doesn't mean you're over consuming fat. Keto diet means you're not consuming much carbs at all. If you consume the right amount of fat for your body to function properly why would it store anything? Keto is wonderful for losing stubborn fat, avoid glucose cravings and spikes, exercise longer, and so many things. I personally do not follow keto anymore, not plant base low fat anymore, I've tried to follow this for decades and that's what led me to cards addiction. My diet is now a mix of both keto and plant base.i guess. But overall I' m now happy to eat or not eat, pick type of food depending on my body signals, I can consume sugary stuff in moderation, and move on with life, it was close to impossible before I did keto. So in my casse at least, it sure helped a great deal with restoring a happy and healthy lifestyle and better understanding of nutrition. Thank you for the video, highly explanatory, think I can better understand many things. 🎉

Thank you for the videos, lessons, information!! I need to learn more about the saturated fat... I understand about the 'un-cleanness' of saturated fat (heavy metals, etc. accumulation), but if it is clean saturated fat (organic grown healthy animals or wild caught animals), what is bad about it?? I think it is important to get rich sources of nutrition from animal meat including animal fat. We humans, it is much harder to absorb good fats from plant than animal sources. And it is interesting that we humans are born naturally as ketogenic (babies are ketogenic creatures). I need to study on this more deeply...

I agree people who are severely metabolic unhealthy really can’t get better without restricting carbs. I’ve found as I’ve gotten metabolically more healthy, I can sometimes add in a starchier carb without a glucose spike. And hey, how about cycling for vegetarians who are leaving out the most nutrient dense foods from their diet. Humans developed their bigger brains eating meat, fish and other animal proteins.

Spot on. Good info. Glad to see some accurate nutritional advice. It's a nice change from a lot of malarkey being passed off today as good nutrition.

She explains that keto diet can lead to insulin resistance which is the cause for diabetes. Wish she’d show studies or evidence to show that people on keto diets develop diabetes to test this pathway. However, to answer the question directly, there have been studies that have shown that diabetes being reversed through keto diet (see Dr. Sara Hallberg’s studies and diabetes 2 intervention using keto diet). So... this is just confusing. She may have to re state the question, because what she’s actually suggesting might be something else, i.e. people with diabetes can do keto but with some variation (make it plant-based to replace animal foods/products; not necessarily Whole Foods, since keto diets also suggest avoiding processed foods).

Have you looked into glyphosate sprayed on wheat before harvest?

Seems that if you eat both fats and carbohydrates in the same meal, the sugars will be stored as fat first? I’m starting to believe you should eat one or the other within a single meal. Has any research been conducted on this way of eating?

Thanks Juliet. What about fulfilling protein needed for building muscle? We need red meat n eggs....

Info so helpful. Will share video with readers of our newsletter.

You are very knowledgeable on this topic.....thanks

Sorry doctor don’t agree with you here I am type 2 diabetics and been in meltformine for years still my sugar was always up once I started the keto diet I stopped meltformine my weight is down and my sugar are stabilised and al my skin rushes in my body disappeared I advice you to watch videos of dr k Berry, dr berg etc I am afraid Yiu are well informed

Your bias about meat consumption and saturated fat is getting to be old-fashioned and not not consistent with newer research.

Insulin resistence is not the same as carbohydrate intolerence. If keto would make you (more) insulin resistent, it would raise fasting insulin levels, wich would lower fasting ketone - levels. But this does not happen as far as I know. Please explain.

You said people on low-fat, high carb diets will eat less calories because it’s filling. Well, so what’s wrong with keto people feeling satiated as well. It’s successful even when you’re eating plenty of calories.

why dont you consider fatty liver its also the most imp. to address in those regards that you mentioned.

I don’t think keto is for everyone I found it to be ok but not for me long term. Eventually I had increased cravings and got bored of eggs and meat. After the water weight I didn’t have any additional weight loss which was also discouraging and my blood sugar though came down a little never came down enough. On the other end I was vegan for several years my blood sugar was regulated however my hormones were completely out of wack. Still looking for better balance.

on a mostly plant based diet ? would you say eggs and some cheese acceptable in rengineering change ?

A healthy vegetarian diet can work, but so few people eat all the healthy foods they need to eat to get all the vitamins and minerals they need. They are much more likely to eat the high-processed foods. Even the healthiest grains have a terrible impact on their metabolic health. And how about all the toxins within plants like oxalates and lectins, or fertilizers and pesticides applied to those supposedly healthy plants?

So a good meal of salmon, veg and brown rice. Or rolled oats blueberries and apple, chia seeds, cinnamon. Drink water fast a bit say 16 hours and walk daily. When I take my blood sugars will they come down over a few days and lose the 40 pounds I have to lose.? This to think on.

How to find out if there is irreversible damage to pancreas?

You continue to leave out the impact of fructose on metabolic health. Read Rick Johnson’s research on fructose and uric acid. Listen to Ben Bikman. He would not describe that metabolic process as true insulin resistance the same way you do.

I’ve never heard from any of the other drs. I look at talk about “environmental chemicals” when they talk about saturated fats which they all recommend. How big an issue are E. Chemicals.

True so true

Are there any assays to check for the number and size of mitochondria in a cell?

Thank you♥️

Dr please tell me that Rice bran oil is good or bad some doctors says that it is good to consume

This video perfectly explains and outlines the diet questions of keto vs vegan and the consequences depending on which one a person chooses. I’m a former Chef, and I can say that the joy of food flavors will be dominated by vegan choices vs animal choices and even if we use extra virgin olive oil once in a while, it is far far better than plugging up our bodies with animal fats. DR. JULIET, HOW LONG DOES IT USUALLY TAKE ON AVERAGE TO DRAIN THE ANIMAL FATS FROM THE CELL RECEPTORS AFTER SWITCHING TO A PLANT BASED VEGAN DIET ? THANK YOU !!! 🥗🍠🌽🥦🫑🌶🥒🥭🍌

You have said keto lots of times in this video but at the same time you don't say anything about the fact that the brain can use ketons instead of carbs. I think this diet is the best I've been on with regards to my diabetes.

So Im following intermittent fasting, not on Keto. I’m doing a low carb, whole food diet. But still get that rise in the morning without consuming food. I wake up with 100- 118 mgdl, then it slowly rises up to 129-135 mgdl without consuming anything. When I do have my lunch it peaks to 180mgdl, then goes down to 95-100 mgdl after 3 hours then it stays that way til I go to sleep. Its confusing

Does the diet have to be low fat or can you use unsaturated fat?

"...food not adulterated by man...". Loss.

Look at...”Dr. Paul Mason- saturated fat is not dangerous”....this video is very interesting and the title says it all You can see why I’m so confused 🤪

Ok Good

Those who want to lose fat should definitely try the Agoge diet plan. It is personalized and well balanced. Keto on the other hand made me feel like shit.

U are way off base and do not know what u are talking about