The ketogenic diet is popular, is it good for you? (Released in 2019)

“But the biggest risk of a ketogenic diet may be the most overlooked: the opportunity cost of not eating high-fiber, unrefined carbohydrates,” the author writes. “Whole grains, fruits and legumes are some of the healthiest foods on the planet. They are not responsible for the epidemic of type 2 diabetes and obesity, and avoiding them can be harmful. there is.”

Dr. Shivam Joshi, co-author of this work, states that he received a large number of emails from people all over the world. Some expressed praise and support, while others expressed criticism of how the diet could be polarized. Joshi is the attending physician of NYC Health + Hospitals / Bellevue and a clinical assistant professor at New York University School of Medicine.

“This is a hot button issue and this paper was touching,” he added.

The ketogenic diet may seem up-to-date in the endless stream of trendy diets, but it has a long history of therapeutic use. Prior to the discovery of insulin in the 1920s, diabetics routinely restricted their carbohydrates.Johns Hopkins and other hospital doctors I’ve used a diet for almost a century To reduce seizures in epilepsy patients.

One of the benefits of carbohydrate restriction is that blood sugar levels are stable after a meal, resulting in lower levels of insulin, the hormone that causes weight gain. Endocrinologist at Harvard Medical School Best-selling book Low carb diet.

“Insulin is like a miracle glow in fat cells,” he said. “By lowering insulin levels, calories from the diet are less likely to accumulate in fat cells, promoting metabolism and leaving more to nourish the brain. As a result, after eating. , You may feel full longer. “

Ph.D. in a series of studies over the years. Ludwig, a low-carb diet burns more calories to people, Lose more weight Compared to a low-fat diet.according to Obesity Carbohydrates and Insulin Theory, Whole grains, starchy vegetables and tropical fruits are healthier than processed carbohydrates. However, he said, it can still cause postprandial blood glucose and insulin fluctuations, which can be particularly problematic for diabetics. Ludwig.

In May, the American Diabetes Association Consensus statement on nutrition strategy For people with diabetes. We have found that a variety of diets rich in raw foods, such as the Mediterranean and vegetarian diets, can help people prevent and manage their illness. However, it also concluded that reducing overall carbohydrate intake “showed the most evidence” for improving glycemic control.

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