Keto Means
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Generally, eating 5–10% of total calories from carbs will produce ketosis. In one study, adults with type 2 diabetes were allowed 20–50 grams of digestible carbs per day, depending on the number of grams that allowed them to maintain blood ketone levels within a certain target range ( 7 ).
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Broccoli, spinach, and cabbage are three diabetes-friendly veggies because they are low in starch. Filling up with vegetables is a great way to...
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In general, however, a low-carb diet may include 50 to 100 grams (g) of carbohydrates per day, she says. Below that is considered very-low-carb,...
Read More »4. Increase your healthy fat intake Consuming plenty of healthy fats can boost your ketone levels and help you reach ketosis. Indeed, a very low carb ketogenic diet not only minimizes carbs but also calls for a high fat intake. Ketogenic diets for weight loss, exercise performance, and metabolic health usually provide 60–80% of calories from fat ( 22 , 23, 24 ). The classic ketogenic diet used for epilepsy is even higher in fat. Typically 85–90% of calories come from fat ( 8 , 25). However, extremely high fat intake doesn’t necessarily translate into higher ketone levels. A 3-week study including 11 healthy people compared the effects of fasting on breath ketone levels. Overall, ketone levels were found to be similar in people consuming 79% of calories from fat and people consuming 90% of calories from fat ( 26 ). Because fat comprises such a large percentage of a ketogenic diet, it’s important to choose high quality fat sources. Healthy fats include fatty fish, olive oil, and avocado oil. In addition, many healthy and high fat foods are also very low in carbs. However, if weight loss is your goal, it’s important to make sure you’re not consuming too many calories in total, as this can cause your weight loss to stall. SUMMARY Consuming at least 60% of calories from fat will help boost your ketone levels. Choose a variety of healthy fats from both animal and plant sources. 5. Try a short fast or a fat fast Another way to get into ketosis is to go without eating for several hours. In fact, many people go into mild ketosis between dinner and breakfast. Children with epilepsy have traditionally fasted for 12–72 hours before they started a ketogenic diet. This approach often required supervision in a hospital (27, 28). Nonfasting protocols are more commonplace now. However, fasting can help ensure some children get into ketosis quickly so that seizures can be reduced sooner (27, 28). Intermittent fasting, a dietary approach that involves regular short-term fasts, may also induce ketosis ( 29 , 30 ). Moreover, “fat fasting” is another ketone-boosting approach that mimics the effects of fasting. It involves consuming approximately 700–1,100 calories per day, around 80% of which come from fat. This combination of low calorie intake and very high fat intake may help you achieve ketosis quickly ( 26 , 31 ). Because a fat fast is inadequate in protein and most vitamins and minerals, it should be followed for a maximum of 3–5 days. In fact, it may be difficult to adhere to for more than a couple of days. SUMMARY Fasting, intermittent fasting, and a “fat fast” can all help you get into ketosis relatively quickly. 6. Maintain adequate protein intake Achieving ketosis requires a protein intake that’s adequate but not excessive. The classic ketogenic diet used in people with epilepsy restricts both carbs and protein to maximize ketone levels. The same diet may also be beneficial for people with cancer, as it may limit tumor growth (32, 33). However, for most people, drastically cutting their protein intake to increase ketone production isn’t a healthy practice. First, it’s important to consume enough protein to supply the liver with amino acids that can be used for gluconeogenesis, or making glucose ( 34 ). In this process, your liver provides glucose for the few cells and organs in your body that can’t use ketones as fuel, such as your red blood cells and portions of your kidneys and brain ( 35 ). Second, protein intake should be high enough to maintain muscle mass when carb intake is low, especially during weight loss. Although losing weight typically results in the loss of both muscle and fat, consuming sufficient amounts of protein on a very low carb ketogenic diet can help preserve muscle mass (36). Several studies have shown that the preservation of muscle mass and physical performance is maximized when protein intake is in the range of 0.55–0.77 grams per pound (1.2–1.7 grams per kilogram) of lean mass ( 21 ). A daily protein intake of 0.45–0.68 grams per pound (1–1.5 grams per kilogram) will help you maintain lean mass while losing weight (23). In weight loss studies, very low carb diets with protein intake within this range have been found to induce and maintain ketosis ( 21 , 23, 37 ). In one study in 17 men with obesity, following a ketogenic diet providing 30% of calories from protein for 4 weeks led to blood ketone levels of 1.52 mmol/L, on average. This is well within the 0.5–3 mmol/L range of nutritional ketosis ( 37 ). To calculate your protein needs on a ketogenic diet, multiply your ideal body weight in pounds by 0.55–0.77 (1.2–1.7 in kilograms). For example, if your ideal body weight is 130 pounds (59 kg), your protein intake should be 71–100 grams. SUMMARY Consuming too little protein can lead to muscle mass loss, whereas excessive protein intake may suppress ketone production. 7. Test ketone levels and adjust your diet as needed Like many things in nutrition, achieving and maintaining a state of ketosis is highly individualized. Therefore, it can be helpful to test your ketone levels to ensure you’re achieving your goals. The three types of ketones — acetone, acetoacetate, and beta-hydroxybutyrate — can be measured in your breath, urine, or blood. Using one or more of these methods to test ketones can help you determine whether you need to make any adjustments to get into ketosis. Acetone and the breath test Acetone is found in your breath, and studies have confirmed testing acetone breath levels is a reliable way to monitor ketosis in people following ketogenic diets (38, 39). The Ketonix meter measures acetone in your breath. After breathing into the meter, a color flashes to indicate whether you’re in ketosis and how high your levels are. Acetoacetate and the urine tests The ketone measured in urine is acetoacetate. Ketone urine strips are dipped into urine and turn various shades of pink or purple depending on the level of ketones present. A darker color reflects higher ketone levels. Ketone urine strips are easy to use and fairly inexpensive. Although their accuracy in long-term use has been questioned, they should initially confirm that you’re in ketosis. A 2016 study found that urinary ketones tend to be highest in the early morning and after dinner on a ketogenic diet ( 40 ). Shop for a urine ketone meter and urine test strips online. Beta-hydroxybutyrate and the blood test Lastly, ketones can also be measured with a blood ketone meter. Similar to the way a glucose meter works, a small drop of blood is placed on a strip that’s inserted into the meter. It measures the amount of beta-hydroxybutyrate in your blood, and it has also been found to be a valid indicator of ketosis levels ( 40 , 41). The disadvantage of measuring blood ketones is that the strips are very expensive. Shop for a blood ketone meter and blood test strips online. SUMMARY Using breath, urine, or blood tests to measure your ketone levels can help ensure that you’re achieving and maintaining ketosis.
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