The discussion on GLP1 has moved into keto diet.
“ [quote=“jbowler, post:32, topic:15957”]
Bear in mind that the sentence is in the context of a keto diet and a keto diet means no, or closed to no, carb intake; the aim of keto is to cause gluconeogenesis which is a process whereby glucose is synthesized within the body. I think technically synthesized from protein (glucose also results from fat breakdown (catabolism) but a lot of other things happen there).
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The reason the diet is called the Keto diet is that it is meant to cause the liver to convert fats into ketones which are then used by the other body systems for fuel instead of glucose.
By severely limiting dietary carbohydrates the body enters ketosis, not to be confused with DKA. DKA is when there is a lack of insulin that causes blood glucose levels to soar and ketones to 3+ times higher than can ever occur by limiting dietary carbohydrates to zero.
The goal in the keto diet is to have ketones 0.5 to a 3.0mmol/L. Long fasting can cause ketones 5.0 t 10.0 mmol/L. In DKA ketones can be from 10 .0 to 25.0+mmol/L.
Gluconeogenesis can occur during both diet driven ketosis and DKA. The liver can turn fats and proteins into glucose. In dietary ketosis, this allows a small amount of glucose for special needs.In DKA it just makes the hyperglycemia more extreme.
I am not trying to push ultra low carb diets. I find for myself that a low, not ultra low carb diet works best. Others may find other types of diet work best for them.
The people I know on Keto diets usually measure their blood/urine ketone levels to make sure they are in ketosis. These people are not any type of diabetic.
One possible side effect of the keto diet is “dragon breath.”
It is the same fruity breath that we can experience entering DKA, but for the keto dieter it is just annoying.