The Journal of Clinical Lipidology just published a pretty good article titled "The Keto Diet Isn't For Everyone". The paper describes representative 5 cases of using this Keto diet with the result of doubling lousy cholesterol - LDL, regardless of lipid metabolism gene abnormalities or not. These cases rapidly decreased LDL when the Keto was stopped.
7/28/2021 5:13:40 PM
Currently, more and more women want to lose weight based on diets advertised online. The principles of Preventive Cardiology do not allow you to use a single diet because patients have to have a desire to lose weight to find these guidelines.
To understand the benefits and limitations of this diet, please keep these eight tips in mind:
1. What is the Standard Keto Diet?
- Diet with very little sugar distribution, increase fat to keep total calories to avoid hunger when losing weight: sugar 5%, protein 25%, fat 70%.
2. How to recognize a standard Keto eater?
- They do not eat bread, rice, beans, cereals, potatoes, fruit. Protein is limited to 25%, so they eat quite a bit of fish, meat, chicken, eggs, milk (eating a lot of these is not Keto).
3. About weight loss
At first, you will lose weight very quickly, mainly due to the loss of water through the urine. However, it is only effective when Keto is at the same time as reducing total calories. Even with total calorie reduction, the effect lasted only about six months for people with diabetes and up to 2 years for people without diabetes. In the later stages, weight loss is mainly due to muscle loss, leading to increased protein intake to stop Keto).
4. About reducing Triglyceride
Studies have shown that reducing sugar intake is proportional to lowering Triglycerides, so even a low-sugar and high-protein diet can reduce Triglycerides without the need for a standard Keto.
5. About lowering blood sugar
Keto has almost no significant effect on non-diabetics (no evidence of reduced diabetes risk). In diabetics, there was a slight amplitude reduction in HbA1C, and the effect lasted no more than six months.
6. Increase LDL
The problem with Keto eaters is that they eat a lot of fat but often choose the bad saturated fat - the dangerous type of fat that raises LDL. Studies show that eating a keto diet does not change LDL levels (if you eat many unsaturated fats) or increase rapidly (if you eat a lot of saturated and trans fats).
7. Deficiency of substances beneficial to the heart
Avoiding legumes, fish, whole grains, and fruits will reduce fibre and heart-protective antioxidants.
8. Increase animal protein intake
Because of the loss of muscle, the Keto will gradually increase the amount of protein, primarily from animals. The combination of animal protein + saturated fat will be a disastrous goal for the cardiovascular system.
NOTE Keto diet:
- May bring short-term benefits but not long-term.
- Studies have not shown consistent beneficial results over the long term. Currently not recommended in US and European practice guidelines.
- NOT FOR: people with a history of acute pancreatitis due to elevated Triglycerides, familial hyperlipidemia genes, people taking SGLT-2 drugs. These people on Keto are at risk for ketoacidosis.
- CAREFULLY ASK DOCTOR: Patients with atherosclerosis, atrial fibrillation use anticoagulation, heart failure, liver and kidney disease because it can cause blood lipid disorders, change the effect of drugs being used.
- PEOPLE WITHOUT DISEASE WANT TO LOSE WEIGHT: It's still best to consult a doctor before deciding to join a weight loss diet.