J Korean Diabetes > Volume 20(4); 2019 > Article
The Journal of Korean Diabetes 2019;20(4):244-250.
DOI: https://doi.org/10.4093/jkd.2019.20.4.244    Published online January 17, 2020.
케톤식과 혈당조절
Ketogenic Diet and Glucose Control.
Yeon Hee Lee
Food Services and Clinical Nutrition Department, Ajou University Hospital, Suwon, Korea. yeonlee@aumc.ac.kr
There is not a set percentage of calories from carbohydrate, protein, and fat for all people with diabetes. It is recommended that diet be individualized according to each patient's eating patterns, preferences, and metabolic goals. Overweight or obese patients with diabetes could improve their insulin sensitivity, glycemia, blood pressure and dyslipidemia via weight loss. Therefore, various dietary patterns have been tried for weight and glucose control. The Ketogenic diet includes very low-carbohydrate and high fat and is known to be effective for weight loss in a short period of time. Short-term studies have demonstrated the effects of the Ketogenic diet on weight loss and glycemic control improvement, but long-term studies are not yet sufficient. In addition, various side effects such as hypoglycemia and nutritional imbalances are concerns, so there is a lack of evidence with respect to recommending this diet as nutrition therapy for diabetics.
Key Words: Carbohydrate-restricted, Diet, High-fat, Ketogenic, Nutrition therapy for diabetes mellitus

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