Low-Carb and Ketogenic Diets

Low-carb eating during feeding windows reduces insulin spikes, accelerates fat adaptation, and suppresses hunger. Stable blood sugar is presented as eliminating hunger and cravings caused by glucose spike-and-crash patterns. Very low-carbohydrate or ketogenic diets can improve type 2 diabetes and metabolic syndrome outcomes and may achieve T2D remission. The low-carbohydrate dietary approach is endorsed by the Australian Diabetes Society Clinical Advisory Committee. SGLT2 inhibitors are ceased at the commencement of the remission phase per Australian Diabetes Society Clinical Advisory Committee deprescribing guidelines. Low-carbohydrate or ketogenic eating can work synergistically with intermittent fasting. Fat and protein as primary macronutrients are said to keep the body satiated longer and make extended fasting feel natural. Commonly recommended alternatives to low-carbohydrate diets, such as low-calorie diets or bariatric surgery, face substantial accessibility barriers in rural and remote settings. A low-carb or ketogenic diet during feeding windows is listed as one intervention for reversing insulin resistance.