Ketogenic diets are high in fat and require severe carbohydrate restriction. While it is possible to follow a plant-based ketogenic diet, staying in ketosis involves a delicate balance of macronutrients which requires practice, expert coaching and close medical supervision. Additionally some known side effects of ketogenic diets include significantly elevated LDL cholesterol, electrolyte imbalances, heart arrhythmias, kidney stones, dehydration, muscle cramps, and constipation.
Carbohydrate restriction, either low carb or very low carb (ketogenic), can help manage blood sugar. With enough weight loss it can potentially reverse diabetes. But many people find this approach unsustainable, and there are serious uncertainties about long-term safety given the high saturated fat and protein levels commonly consumed with these diets. Carb restriction can actually result in worsening insulin sensitivity, particularly when the intake of saturated fat is high and there is an absence of sustained weight loss. These approaches also have the disadvantage of a lifelong avoidance of healthy, fiber-rich whole food carbohydrates.
Emerging evidence shows that ketogenic diets can lead to improved glycemic control and reduction in Type 2 diabetes medications, however data does not extend beyond a 2-year evaluation to assess long-term risk or effectiveness and in this trial A1c and weight crept up between 1-2 years.
Whole food plant-based nutrition, on the other hand, has a key advantage over dietary approaches that focus primarily on carbohydrate restriction: The fiber, phytochemicals, and micronutrients provided by eating an abundance of whole plant foods reduces inflammation and reduces underlying insulin resistance. In addition, whole food plant-based nutrition leads to weight loss, since the food is generally low in energy density (calories per bite) with high fiber and water content promoting satiety.
The skills and lessons in the app will help you to understand the root cause of diabetes and to learn the difference between whole foods which are good for your body, and the highly processed, nutrient poor foods that harm your health.