What is a ketogenic diet?

Mishti Mukherjee died in Bengaluru on October 2nd. (Facebook / Mishti Mukherjee)

Actor Mishti Mukelzy, 27, who worked in Bangla, Telugu, and several Hindi films, died on October 2 at a hospital in Bangalore.Her family said Mukherjee was suffering from renal failure Because she continued on the ketogenic diet.

What is a ketogenic, or “keto” diet, and when can it be unhealthy?

The ketogenic diet is one of the most popular weight loss diets in the world. It is a high-fat, medium-protein, low-carbohydrate that helps weight loss by achieving ketosis, a metabolic state in which the liver burns body fat and fuels the body due to limited access to glucose. It’s a diet.

What is a ketogenic diet?

Classic keto requires 90% of a person’s calories to be fat, 6% to protein, and 4% to carbohydrates. “But this is designed to give children suffering from epilepsy control of seizures, so there are many versions that do rounds. Usually, the popular ketogenic diet averages 70-80 percent fat, 5 It suggests ~ 10 percent carbohydrates and 10-20 percent protein, “explains nutritionist Ruchi Sharma, founder of EAT.FIT.REPEAT.

“There are many versions of the ketogenic diet, but all ban foods rich in carbs. At first, you don’t have to count calories and the rules are very simple, so it’s better to follow the ketogenic diet. It may seem easy, but in the end it becomes very difficult to comply with, “she says.

What foods do you diet?

Poultry can contain eggs, chicken, turkey, fatty fish such as salmon and mackerel, full-fat dairy products, macadamia nuts, almonds, walnuts, pumpkin seeds, peanuts, flaxseed and other nuts and seeds.

There are also nut butters like natural peanuts, almonds and cashew butter. It is also made up of healthy fats such as coconut oil, olive oil, avocado oil, coconut butter and sesame oil. There are avocados and non-starch vegetables such as greens, broccoli, tomatoes, mushrooms and peppers.

How does it affect the body?

“When you starve your body for carbs, after burning glucose, your liver begins to break down fat for energy. Ketosis is common in all types of fasting, but in the keto diet, it’s carb-free external. Feeding large amounts of fat and nourishing it can be mildly toxic, “said endocrinologist Dr. Amblish Misal, Dean of Endocrinology and Dean of Endocrinology. Diabetes in Max Healthcare – Panmax, Saket, New Delhi.

It can lead to a deficiency of many nutrients such as carbohydrates, proteins, vitamins (especially vitamins A, D, E, K) and minerals such as calcium, phosphorus and sodium. “These are an essential food group, and their lack of diet can cause many deficiencies,” says Sharma.

Extreme carbohydrate restrictions can cause hunger, malaise, depression, irritability, constipation, headaches, brain fog and can last for days to weeks.

How does it affect our kidneys?

“Even a modest increase in protein, especially in people who are already suffering from chronic kidney disease, can lead to renal failure and should be carefully monitored,” Sharma said, receiving a thorough evaluation. , Added that they need to be confirmed. Have normal kidney function before choosing this diet.

“This diet can increase stress on the kidneys and cause kidney stones,” said Dr. Luci Deshpande, director of nephrology at Jaslock Hospital in Mumbai. “If a person dies during a keto diet , There may have been an underlying kidney disease, “adds Dr. Misal.

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How popular was the ketogenic diet?

Keto was a popular treatment for childhood epilepsy in the 1920s and 1930s. “But when the Atkins diet (a very low-carb, high-protein diet, commercially successful, and low-carb diet became popular) began the low-carb diet epidemic in the 1970s, potential weight loss strategies. Has received a lot of attention as a new level), ”says Sharma.

Over the last five years, the ketogenic diet has grown in popularity after many celebrities, including Halle Berry. Kim Kardashian And Gwyneth Paltrow began to support it. In India, news came after it was discovered that comedian Tanmai Bat had gone on a diet to lose weight.

Why is it so popular?

It turned out to be one of the fastest ways to lose weight. In the first few days of starting the diet, the amount of water is significantly reduced, and to the average person the diet appears to be working, Sharma says.

“Everyone these days is looking for a quick fix. Many people have failed traditional diets and want something extreme. Like most trendy diets, they quickly weigh in the keto. Can be reduced, but it is difficult to maintain because of the very low compliance, ”says Sharma.

Who Should Choose a Ketogenic Diet?

“The ketogenic diet may be an option for people who have difficulty losing weight in other ways. But in my opinion, if you’re looking to lose weight with keto, throw away the idea. The urgency and despair of losing weight, which has been accumulated for months and years, in four to eight weeks can be fatal, “says Sharma.

“I don’t recommend patients taking keto, but if they insist, I tell them they can try it for 4-8 weeks, up to 3 months, but most I realized that the patient couldn’t maintain it, “says Dr. Mithal.

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Should I do Keto without medical supervision?

It is advisable to eat under the close supervision of a dietitian or dietitian. Your healthcare provider or nutritionist can assess your needs and guide you through clean keto and what is available on the internet. “Clean keto focuses on the whole nutritious food and puts more emphasis on food quality. Dirty keto is also called lazy keto because it enables highly processed and packaged foods.” Says Sharma.

Common mistakes

Rely on Google Start your own diet. “Using this approach, you can technically achieve ketosis and gain some benefits, but you can miss some important nutrients and increase your risk of illness. Choosing processed foods over all foods can lead to a deficiency of micronutrients such as calcium, magnesium, zinc, folic acid, vitamins C, D, and K, “said Dr. Mithal, of keto supplements and alternatives. Add a number. Like keto coffee, keto chocolate — what is available on the market is unreliable.

What precautions should I take?

Doctors suggest that if you are taking keto, you should increase your water intake. They need to make sure they are under medical supervision to see if side effects occur.

“It’s important to see how compliance with extreme diets is and remember that the’yo-yo diet’, which leads to rapid fluctuations in weight loss, is associated with increased mortality. Instead of engaging in the next popular diet, we should accept a long-term sustainable diet, “says Sharma.

She thinks “a balanced, raw diet rich in very colorful fruits and vegetables, lean meats, fish, whole grains, nuts, seeds, olive oil, and plenty of water.” I add that.

How is Keto different from a low carb diet?

Most modern weight loss diets are low in carbs, with the difference that some of them are low in refined carbs and high in protein.

But in Keto, carbs are less than 10%, which discourages eating fruits and vegetables, says Dr. Mithal. “When following a low-carb diet, it’s common to increase your intake of protein, healthy fats, and vegetables to replace carbohydrates and promote satiety. By limiting carbs, you’re yours. Eliminate many high-carbohydrate foods from your diet. All of these factors can work together to reduce overall caloric intake and promote weight loss. “

Low-carb diets are associated with several health benefits of diabetics, including weight loss, improved glycemic control, and cardiovascular risk factors. On the other hand, the goal of following a ketogenic diet is to reach nutritional ketosis. “This is achieved by consuming less than 50 grams of carbohydrates per day, while maintaining a moderate protein intake and significantly increasing fat intake,” explains Sharma.

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