A new review explains who should—and shouldn’t—follow the trendy diet.
ooked at how low-carbohydrate and very low-carb diets affected body weight and other cardio-metabolic risk factors, such as blood lipids, glycemic control, and high blood pressure.
The review found that while those following keto diets may see more short-term weight loss than those following low-fat diets, after 12 months or more, there is no difference in weight loss. That said, long-term compliance with these diets can be challenging, and the long-term risks—and benefits—of low-carb diets, especially keto, are not yet fully understood, noted Kirkpatrick and Maki.Starting very low-carb diets like keto can also come with some serious side effects.
It’s also important to note that very low-carb or keto diets are not for everyone. People with type 2 diabetes may experience hypoglycemia if they don’t adjust their medication, and those who take vitamin K-dependent anticoagulants may need more frequent monitoring due to a potential change in vitamin K intake. It’s not recommended that people who have
On the flip side, low and very low-carb diets lowered triglyceride levels in study participants compared to those following high-carb, low-fat diets. And while these low-carb diets increased HDL cholesterol levels in the short term, the beneficial effect diminished after six months or longer, especially in people with type 2 or pre-diabetes, said Kirkpatrick and Maki.
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