The Ketogenic Diet for Type 1 Diabetes

244 Pages·2017·6.737 MB·English

by  Ellen Davis, Keith Runyan

The Ketogenic
Diet for Type 1
Diabetes
Reduce Your HbA1c and Avoid
Diabetic Complications
Ellen Davis ◆ Keith Runyan
Gutsy Badger Publishing
Cheyenne, Wyoming
Copyright © 2017, 2015 by Ellen Davis, MS, and Keith Runyan, MD
All rights reserved. No part of this book, including interior design, cover design, and icons,
may be reproduced or transmitted in any form, by any means (electronic, photocopying,
recording, or otherwise), without the prior written permission of the authors, except for the
inclusion of brief quotations in a review. For permission requests or more information, contact
us at the email address below.
Ellen Davis
Gutsy Badger Publishing
Cheyenne, Wyoming
Email: [email protected]
Visit www.ketogenic-diet-resource.com
All of the information provided in and throughout this book (hereafter known as Publica-
tion) and offered at http://www.ketogenic-diet-resource.com is intended solely for general
information and should NOT be relied upon for any particular diagnosis, treatment, or care.
This is not a substitute for medical advice or treatment. This Publication and the website are
only for general informational purposes. It is strongly encouraged that individuals and their
families consult with qualified medical professionals for treatment and related advice on
individual cases before beginning any diet. The full legal disclaimer is located in appendix E.
The Ketogenic Diet for Type 1 Diabetes / Ellen Davis and Keith Runyan
ISBN 978-1-943721-05-4 (Paperback)
ISBN 978-1-943721-07-8 (Electronic)
To everyone struggling with the harsh reality of a diabetes diagnosis and,
especially, to my mother, who died of diabetic complications and liver
cancer at the young age of sixty-three. I wish with all my heart that I had
known then what I know now.
Ellen Davis, MS
To all who are affected every hour of every day with diabetes: to those
concerned with when the next low-blood-sugar event will occur; to those
worried about future complications of diabetes, including blindness,
amputation, kidney failure, heart disease, and premature death; and to
those who will need ever-increasing medications at ever-increasing costs
on their current high-carbohydrate diets. The information presented here
has given many of my patients (and me) a new lease on life. It is my sincere
hope that you will experience all the benefits that my patients and I are
now enjoying: reduction or elimination of hypoglycemia, hyperglycemia,
and diabetic complications, along with an improvement in blood sugars
and a reduction in medications.
And to my parents, Barbara Z. Runyan and John W. Runyan Jr., who
have supported me my entire life and therefore made this book possible.
Keith R. Runyan, MS, MD
Note to reader: This electronic version is identical to the paperback version,
so you will see blank pages at the end of some of the chapters.
Contents
Using This Book ix
Introduction xi
Preface xiii
Part 1 Setting the Stage ............................................................1
1 Power of the Ketogenic Diet: Personal Stories 3
2 Ketogenic Diets and Diabetes 19
What Is a Ketogenic Diet? 19
What Is Diabetes? 21
Nutritional Ketosis and Your Brain 27
Benefits of a Ketogenic Diet 30
Dietary Myth Busting 33
Specific Notes for Type 1 Children 40
Protein Needs for Children 42
Ketogenic Diets Are Not for Everyone 43
Part 2 The Ketogenic Diet in Action ....................................................45
3 Getting Ready to Start 47
Goals, Monitoring, and Side Effects 48
Goal #1: Lower Blood Sugar, Increase Ketones 49
Goal #2: Treat Possible Side Effects 51
Fifteen Tips for Success 58
4 Food Facts and What to Eat 61
About Dietary Fats 61
About Protein 64
About Carbohydrates 65
Foods To Eat 70
Foods to Avoid 76
Tips on Avoiding High-Carb Favorites 79
5 Personalizing a Ketogenic Diet 81
Start a Ketogenic Diet with Three Rules 81
Five Steps to Personalize Ketogenic Meals 82
Tips on Using Your Customized Diet Plan 90
6 Cooking, Dining Out and Traveling 93
Ketogenic Cooking Techniques 93
What if I Hate to Cook? 96
Quick Ketogenic Snack Ideas 96
Recipe Resources 98
Low-Carbohydrate Cookbooks 99
Dining Out on a Ketogenic Diet 100
Travel Tips 104
Part 3 Managing Blood Sugar and Insulin ........................................107
7 Type 1 Diabetes Mellitus 109
Latent Autoimmune Diabetes in Adults 110
ADA Blood-Sugar Recommendations 111
8 Blood-Sugar Management for T1DM 115
Why Blood Glucose Is So Variable for Type 1 Diabetics 115
Blood-Glucose Management Skills 119
Using Blood-Glucose Meters 120
Real-Time Continuous Glucose Monitors 121
Measuring, Tracking, and Establishing Glucose Profiles 122
Times and Reasons to Measure Blood Sugar 123
Blood-Sugar Reference Tables 128
Hypoglycemia: Symptoms and Treatment 129
Hyperglycemia and Glycation Damage 132
Hemoglobin A1c Test Accuracy 134
Fructosamine 135
Troubleshooting Elevated Blood Glucose 136
Monitoring Ketone Levels 138
9 Insulin: Action, Peak, and Duration 143
Carbohydrate Counting Doesn’t Work 146
Insulin Pumps 149
Insulin Therapy for Type 1 Diabetes Mellitus 151
Basal-Insulin Therapy 152
Mealtime Insulin Therapy 153
T1DM Insulin-Management Skills: An Example 155
10 Hypoglycemic Drugs for T1DM 161
A Note on Nutritional Supplements 166
Part 4 Exercise and Other Factors .....................................................169
11 The Role of Exercise 171
Carb-Adapted versus Keto-Adapted Muscles 173
Benefits of a Ketogenic Diet for Diabetic Athletes 175
12 Other Factors to Consider 177
Ketogenic Diet and Vegetarianism 177
How Long Should I Stay on the Diet? 178
Alcohol Consumption While on the Diet 178
How Stress Affects Ketosis 179
Ketone Supplementation 180
Skeptical Physicians and Diabetes Educators 180
Resources for More Information 181
Appendixes ........................................................................................183
Appendix A: Supplement Recommendations 185
Appendix B: Suggested Daily Protein Amounts 187
Appendix C: Food Reference Lists 189
Appendix D: Conversions and Measurements 197
Appendix E: Legal Disclaimer and Terms of Use 201
References .........................................................................................203
Glossary 205
Endnotes 217
Acknowledgments 225
About the Authors 227

Using This Book
Here are some tips on getting the most out of this book.
ӹ Do yourself a favor: Read this entire book carefully. Don’t skim it
or skip pages. Although we welcome questions, individuals have
written to us about suffering side effects that could have been
avoided by reading the book carefully and in its entirety.
ӹ In the References section, we have included a glossary of terms and
endnotes listing studies that support the statements in this book.
The endnotes are designated throughout the book by number.
ӹ Additional information and more technical discussions on various
topics are discussed in separate Tech Notes, which are available at
no charge upon request. These notes are supplemental information
and are offered for those who appreciate learning more about the
science and medicine of health and diabetes. If you are that type
of person, please let us know, and we will email you a PDF of the
information, or you can download the file from this link: http://
www.ketogenic-diet-resource.com/support-files/kd-t1-diabetes-tn.
pdf.
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