先说原理，俺本来不想说大家去看去听自己悟， 俺又不是专家。 anyway，KETO 吃法是 70% fat (油）, 25% protein (肉，蛋), 5% carb（碳水化合物）. I will switch to type in English because my chinese typing is too painfully slow. type II diabetes are due to insulin sensitivity due to prolonged excessive carb intake. because other part of body are insensitive to the insilin, that force the pancrease to work extra hard to pump more insilin, the various drug also squeez the pancrease to work even harder, the end result is pancrease will just give up. Keto is scientifically design to bypass this problem. As you can see from the attached chart, when intake carb, the body will spike the insilin to deal with the carb, protein will also demand insulin but more moderate and delayed, but when eat fat, body almost does not need insulin to respond.
Another reason to do Keto is this diet is so low in Carbohydrate that it force the body to use Ketone as fuel instead of carbohydrate, and if body is in this mode, when there is not enough fat intake, the body will utilize the stored fat, thus Keto is very good for people who want to lose weight.
The prolonged keto force the body not to produce that much insilin thus give the pancrea time to 休养生息。 there are cases that after 12 to 18 month of Keto, some people will recover some pancreas function thus be able to eat somewhat more carb, but this is still not a cure.
The above is only an very over simplified way to describe Keto. 多看多听。如有需要请咨询医生。
Some here ask about the intermittent fasting, the reason is the same, I eat two meals lunce at 1~2, and dinner at 7:00. after dinner no food, no snack, only tea and water will the next day lunch. This also let body not to produce insilin and give pancreas a break. this will also force the body in low sugar mode thus good for blood glucose and A1C.
As for safty, the VIRTA health in US has five years of documented and published/peer reviewed safty and effective data. Very impressive, Norwood health in English has data for eight years. Beyond that, Keto diet is being used for more than 100 years for other illness. Some people say that body need some glucose, that is correct. But the human body is very intelligent, when there is not enough glucose intake the body/liver will produce glucose from stored fat through the gluconeogenesis process. for example, the eskimo indian who live in Arctic year round live on fish and animal products, no carb what so ever. They live normal health lives.
I am extremely happy with the result. I will continue this for one year。 我的终极目标是 A1C below 5， weight below150， waist 30“。 另外想说，糖尿病不是不治之症， 相信科学远离所谓中 ”医“
跟贴讲的对我的方法只是治了血糖，并没有治好糖尿病。 请注意我用的是逆转（reverse），不是治愈（cure）。 目前糖尿病还是不能治愈的，有stem cell 的治愈研究，希望能成。 二十年前谁想过HIV可以克服？ 现在已经实现。
先说原理，俺本来不想说大家去看去听自己悟， 俺又不是专家。 anyway，KETO 吃法是 70% fat (油）, 25% protein (肉，蛋), 5% carb（碳水化合物）. I will switch to type in English because my chinese typing is too painfully slow. type II diabetes are due to insulin sensitivity due to prolonged excessive carb intake. because other part of body are insensitive to the insilin, that force the pancrease to work extra hard to pump more insilin, the various drug also squeez the pancrease to work even harder, the end result is pancrease will just give up. Keto is scientifically design to bypass this problem. As you can see from the attached chart, when intake carb, the body will spike the insilin to deal with the carb, protein will also demand insulin but more moderate and delayed, but when eat fat, body almost does not need insulin to respond.
Another reason to do Keto is this diet is so low in Carbohydrate that it force the body to use Ketone as fuel instead of carbohydrate, and if body is in this mode, when there is not enough fat intake, the body will utilize the stored fat, thus Keto is very good for people who want to lose weight.
The prolonged keto force the body not to produce that much insilin thus give the pancrea time to 休养生息。 there are cases that after 12 to 18 month of Keto, some people will recover some pancreas function thus be able to eat somewhat more carb, but this is still not a cure.
The above is only an very over simplified way to describe Keto. 多看多听。如有需要请咨询医生。
Some here ask about the intermittent fasting, the reason is the same, I eat two meals lunce at 1~2, and dinner at 7:00. after dinner no food, no snack, only tea and water will the next day lunch. This also let body not to produce insilin and give pancreas a break. this will also force the body in low sugar mode thus good for blood glucose and A1C.
As for safty, the VIRTA health in US has five years of documented and published/peer reviewed safty and effective data. Very impressive, Norwood health in English has data for eight years. Beyond that, Keto diet is being used for more than 100 years for other illness. Some people say that body need some glucose, that is correct. But the human body is very intelligent, when there is not enough glucose intake the body/liver will produce glucose from stored fat through the gluconeogenesis process. for example, the eskimo indian who live in Arctic year round live on fish and animal products, no carb what so ever. They live normal health lives.
there are much more similar examples .....
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想在此将我最近两个月的体验分享一下，作为回馈。 纯娱乐如想尝试请千万跟自己医生讨论再进行。
本人糖尿病十五年A1C最高去到11.5. 两个月前还是7.5. 体重 179 lbs.用药 metformin 2000， Jardiance 25mg. 经过大量阅读和听专家报告， 于两个月前决定尝试 intermittent fasting and ketogenic diet(一日两餐） to reverse diabetes and lose some weight. 坚持了两个月， 昨天体检报告出来了。 体重 179 lbs -> 157 lbs. A1C 7.5 -> 5.9, triglycerides 149 -> 68 waist 34 -> 31. 我已于一个月前停用Lipito人和 JARDIANCE。 metformin cut to 1000 mg. 我打算不停用最后的metformin， 因为此药很安全而且已证明可以抗癌和抗衰老功效。
I am extremely happy with the result. I will continue this for one year。 我的终极目标是 A1C below 5， weight below150， waist 30“。 另外想说，糖尿病不是不治之症， 相信科学远离所谓中 ”医“
分享几个有关的视频：
https://youtu.be/cFMKCmYGwNE
https://youtu.be/heV34wKXOdo
https://youtu.be/XQUnedwWHqk
我就是直觉, 生酮饮食要强迫自己的身体改变自然的状态，是比较极端的作法，肯定有很大危险性，需要特别谨慎吧。
A生酮+間歇性斷食減肥非常成功，曾經羨煞很少人，但是她基本不能吃碳水，一吃立刻強力反彈，現在就在減肥-反彈-減肥之間來來回回拉鋸；我跟她不熟，只是知道這個故事而已。
B聽了A的成功深受鼓舞，去年開始也正式生酮+間歇性斷食，好像到了夏天就減了二三十磅，而且各種體徵變好，比如關節不疼了，上下樓身輕如燕，睡眠變好等等，等等。然後，我不知道當初的各種變好是事實還是幻象，反正後來她可能自己都沒意識到，她整天抱怨手關節疼，疼到要吃藥；也動不動就抱怨睡眠不好；還有就是血脂的問題，這個是體檢結果，醫生讓她吃藥，好像很嚴重。而且她也是不敢沾碳水，她自己說只要放縱一點，立馬報復性反彈。我不知道她現在的具體數據，只是前陣子我很不會說話地問她，“這些日子你怎麼臉腫了？”
兩個人都是60+。
我先生也是资深糖尿病患者，虽然我特别相信自然疗法，但他生活不自律，所以一直都是服用西药的。他的医生看他的血糖控制得不好，大概四年前才把Metformin 的量从500mg 升到 1000 mg, 升了之后血糖下降了不少，但还是比较高（》6.5）. 他的医生说先这样吧，不敢再往上加剂量了。他从来不忌嘴（米面肉，好吃的来者不拒），也不搞什么断食，也不锻炼。从开始服用 1000mg 之后就开始稳定地掉体重，应该四年内也掉了15磅左右吧。那个药确实也有抗衰老的功效，瘦了之后人也很精神。不过我还是有点担心的，现在在劝他练练养生气功，看看能不能把Metformin 降到 500mg/天。
LZ只提血检 triglyceride，问他 LDL, HDL指标却避而不答，报喜不报忧啊：）曾问过另外几位生酮饮食网友也是绕道只字不提 LDL。唯有一位回答的，称关注 LDL, HDL指标的过时了，都是庸医伪专家。哈哈哈。
减了十几磅， 后来也没反弹。 但是女儿回学校， 我也没动力继续做。
因为疫情不大运动了， 所以血糖上到120以上， 吃1/4片可以降低15左右， 后来开始运动， 就不用吃也在110了。
最近在搞比较认真的186， 而且早饭light，尽量不惊动血糖， 下午饭吃够一天的营养， 其他时间就是喝水， 血糖可以到100了。