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The argument of very low ketogenic carbohydrate diets vs energy restricted diets and low carbohydrate diets is talked about every day on the internet, in the classroom, among peers, on the gym floor and amongst people who diet. Some claim that energy restriction is better and low carbohydrate ketogenic diets are not needed. In fact, this topic can get arguments very heated.
Well what is the research on this topic? (Govers et al., 2019) set out to ask if very low carbohydrate ketogenic diets are more effective than energy restrictive diets or low carbohydrate diets in patients with diabetes and/or obesity. The scientists monitored weight, HbA1c levels and medication use over a period of 12 months with follow ups at 3, t6 and 12 months.
The very low carbohydrate ketogenic group used a 6×6 diet method where the participants only ate 6 grams of carbohydrates 6 times per day, the energy restricted diabetes group ate 600 kcal less than usual amount of kcal and the low carbohydrate group ate 50 to 100 grams per day. Ate the end of the trial the low ketogenic group was more effective than energy restriction and low carbohydrate, resulting in remission of type 2 diabetes or less medication use, increased weight loss and decreased HbA1c levels. Meaning a ketogenic diet in OBESE and/or DIABETIC patients is more advantageous than other diets.
This will no doubt make some peoples eyes roll with disbelief. However, this study shows a clear improvement when obese and diabetic patients use a low ketogenic diet. If someone is on a ketogenic diet and it is working for them why make a fuss about it. Surely if someone is taking care to do a diet with positive health outcomes slandering the diet in use will result in doubts for that person ultimately creating a change in the diet. To learn more about the basics of a ketogenic diet please read this short article.
Why people make such a fuss about ketogenic diets is a mystery, but they work they always have and always will despite what you may hear or read by others not willing to engage in the actual research. This shows the current scientific theory supports low ketogenic diets for people with obesity and/or diabetes, that theory is fact until other research disproves it. That is what scientific theory is.
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GOVERS, E., OTTEN, A., SCHUILING, B., BOUWMAN, W., LOURENS, A. & VISSCHER, T. 2019. Effectiveness of the 6 × 6 Dieet® in Obese DMT2 Patients Effectiveness of a Very Low Carbohydrate Ketogenic Diet Compared to a Low Carbohydrate and Energy-Restricted Diet in Overweight/Obese Type 2 Diabetes Patients. International Journal of Endocrinology and Metabolic Disorders, 5.