Insulin resistance improves promptly for most people when they begin a ketogenic diet, and the effect appears to be attributable to the ketones per se Newman, , not just the reduced intake of carbohydrate. If an individual loses a substantial amount of weight, insulin resistance can be further reduced. The degree to which this improved insulin sensitivity remains long-term is dependent upon the individual. Factors such as the duration that someone was insulin resistant and current physical activity level may play a role in their level of carbohydrate tolerance after a successful period of time on a well-formulated ketogenic diet. While it may not be necessary for everyone to remain in ketosis forever, some individuals will find that to maintain their metabolic health long-term, continuing a well-formulated ketogenic diet is most effective. If one chooses to add carbohydrates back into the diet, it may be best to do so as a modest amount of carbohydrate over time. In the course of doing so, it will be important to monitor biomarkers like fasting blood glucose, serum triglycerides, and HbA1c to assess carbohydrate tolerance and prevent the re-development of insulin resistant conditions such as metabolic syndrome and type 2 diabetes.
If you want to make keto really work for you, it helps to understand a little bit about how the diet does its magic — and one of the big players here is the hormone insulin. Insulin gets a really bad rap in low-carb circles, to the point where it can get really oversimplified. Keto is about a specific metabolic shift. Insulin suppresses ketone production. So if you want to get into ketosis and stay there, you want to minimize insulin as much as possible. Insulin is produced in response to different foods, so by changing your diet, you can minimize insulin production. The ketogenic diet minimizes insulin production by restricting both carbs and protein — the diet keeps carbs as low as possible and supplies just enough protein to meet your needs, but not more. Carbs raise insulin levels because you need insulin to metabolize carbs use them for energy. The more carbs you eat, the more insulin you need.
Finally, returning to a chow diet rapidly reversed the effects of KD on insulin sensitivity and glucose tolerance. High ketone levels can be dangerous, and may lead to ketoacidosis. How do you know if you have insulin resistance? For chow rats, intake was increased from Along with this, keto also helps us lose fat, decrease our insulin response to meals, and reap the benefits of ketones. What to eat on the Indian diet. This is where the keto diet truly shines.