The Ketogenic Diet: Let’s Chew Through The Fat

I was recently approached to discuss the popular Ketogenic Diet. So let’s cut to the chase and chew through the fat.

When you ask your doctor about ketosis or when you type ketosis into Google search, the definition you will get is “a condition characterised by raised levels of ketone bodies in the blood, associated with abnormal fat metabolism and diabetes mellitus”.

However this definition is actually referring to a condition known as ketoacidosis which is a medical emergency signalled by raised ketone bodies in the absence of insulin. This is most common in the case of Type 1 diabetics who are not taking insulin correctly and not applicable to non-insulin requiring diabetics and the population at large, whose bodies are clearly able to produce insulin.

This misinformation surrounding ketosis is the frustrating reason why ketogenic diets are under-utilised as a therapeutic approach for modern day diseases.

What is ketosis?

Ketosis is a state where the body converts fats to ketone bodies to use as a primary fuel source in the absence of sufficient glucose. Whilst many people will tell you that your body needs glucose for energy – or prefers glucose as energy – your body and brain can run perfectly on blood ketones.

This state of ketosis is achieved by restricting carbohydrates and compensating with an increase in total fat intake (and yes, that includes saturated fats too) so our bodies can switch over from relying on carbohydrates as fuel to using fats as fuel.

Now you might be worried about saturated fats and its effect on your heart, but rest assured that the theorised link between saturated fat intake and heart disease is well and truly crumbling in the face of new scientific development, but this is honestly a topic for another time!

A typical ketogenic macronutrient split of proteins, carbohydrates and fats would be: 70%-75% fat | 20% protein | 5%-10% carbs

Why Ketosis?

Ketosis is an approach to eating that is much more than just another fad. When the body adapts to using fats as a primary fuel source, many benefits arise. Some of the most common ones include:

Reduced sugar cravings due to eliminating insulin spikes and therefore blood glucose spikes and crashes associated with carbohydrate intake
Increased satiety and therefore a reduced need and desire to snack constantly
Reversal or control of Type 2 Diabetes and Insulin Resistance from eliminating the burden placed on the pancreas to secrete insulin constantly
Fat loss from allowing the body to tap into their fat stores for energy, instead of forever accumulating fat stores whilst only ever using glucose and stored glycogen for fuel
Reduced inflammation and inflammatory markers, and therefore an improvement in inflammation within the body including joints
Improved blood lipid profile by increasing good healthy HDL, reducing unhealthy Triglycerides and improving overall total cholesterol to HDL ratio (which is a much greater predictor of heart health than total cholesterol alone)

Is the Ketogenic Diet for you?

Just like all dietary approaches, there is no one size fits all. However the ketogenic diet plan is fast become an approach that is helping people achieve better health long term.

Whilst it does encourage bringing fats back into the diet (and in quite high percentages too), it’s important that anyone considering this diet plan doesn’t lose focus on the quality of the food they are eating.

This approach is not a green light to eat a lot of fatty takeaway and junk food. Instead, it is about going back to basics, back to real foods.

It is saying: instead of highly-processed vegetable oils and margarines; instead of grain-fed hormone-injected meats and chickens; instead of processed packaged foods filled with omega-6 rich oils and trans fatty acids: opt for organic butters, coconut oils, natural nuts and seeds, oily fish, avocados, olive oils, grass-fed meats, organic chickens, free-range eggs, and so forth.

Not everyone needs to go on a ketogenic diet to see health benefits, however, the ketogenic diet has certainly shown much scientific validity, much popularity and much promise in helping individuals achieve overall better health.

Feng-Yuan Liu

Feng-Yuan Liu is the Founder, CEO and Senior Dietitian of Metro Dietetics.