Keto Diet For Diabetics

As with any diet, some precautions must be taken before starting a ketogenic diet.

  • This diet is not recommended for all obese and type 2 diabetes patients. Your doctor must monitor your diet.
  • Constant control of sugar readings is highly crucial for people with diabetes, especially when starting a new type of diet. If you’re prescribed insulin or hypoglycemic drugs,  you might need an adjustment of medication dosages since there is a potential risk for hypoglycemia on the Keto Diet. (1)
  • Don’t limit your drinking regimen. Due to the pronounced diuretic effect, drinking at least 1 liter of water daily is essential. You can enjoy water, tea, and coffee daily; ensure they are sugar-free.
  • You should also be aware of the keto-flu period. Your body goes into adaptation mode when you first start a keto diet journey, so you will likely experience temporary flu-like symptoms for up to 2 weeks.
  • Despite being beneficial in several ways, High-fat diets have one significant controversial side effect: increasing cholesterol levels. Therefore, constant check-ups for lipid profiles might be a good idea. Avoid saturated fats and include polyunsaturated fats in your diet to avoid unfavorable results.
  • According to experts, pregnant women and those with kidney disease should avoid using this type of diet since it’s not considered safe.
  • If you wish to maximize the effects of diet and lose extra pounds in a shorter period, adding daily light to moderate physical activity is a great idea.

Is Keto Diet For Diabetics?

As per the National Diabetes Statistics Report, 2020, one in every ten Americans has diabetes, with type 2 accounting for more than 90% of cases. Genetics, lifestyle-related behaviors such as smoking, obesity, and lack of exercise play a significant role in contracting type 2 diabetes.

Diabetes is a condition that affects how the body processes blood glucose (sugar), which is a significant source of nutrients for the body’s cells. Insulin resistance in muscle, fat, and liver cells in people with type 2 diabetes could lead to blood sugar levels climbing dangerously high.

Impairment to the blood vessels might cause cardiovascular and kidney illness, vision, and nerve damage if you do not address the high blood sugar. Dietary changes and weight loss can help stave off the onset of type 2 diabetes.

One of the most effective diet plans that help with diabetes management is the popular and widely used keto diet.

What is the Keto Diet?

Keto Diet For Diabetics

Keto Diet For Diabetics

The ketogenic diet was developed nearly 100 years ago to treat epilepsy, and it has since been used for various therapeutic reasons, mainly pediatric neurological and metabolic diseases. The ketogenic diet is a high-fat, moderate-protein, low-carbohydrate eating plan. Getting into a nutritional state known as ketosis, where the body burns fat for energy instead of glucose, is one of the main goals of the keto diet.

You must strictly limit carbohydrate consumption to deter the liver from generating enough glucose to meet the body’s energy requirements to get into ketosis. The consumption of carbohydrates is significantly limited – up to 20-50 g per day in the form of non-starchy vegetables and fruits. The ratio of fat to total carbohydrates and proteins is 4:1 by weight. Fat accounts for 55-60% of daily caloric intake, making it the most calorically dense food group.

Some high-fat foods can be consumed without restrictions: meat, lard, yolk, fish, unrefined vegetable oils, avocados, nuts and seeds, and whole-fat dairy products, which include sour cream, greek yogurt, butter, cream, and cheese.

In patients with type 2 diabetes mellitus, the keto diet leads to a decrease in glycated hemoglobin, rapid weight loss, reasonable glucose control, and a decrease in antihyperglycemic drugs.

However, the long-term benefits of this diet over other high-carb diets are yet to be proven.

All these promising results can be achieved if you follow a balanced meal plan

Please make sure to receive a consultation from your physician before making significant changes to your diet. 

Keto Diet for Diabetics-Is it Safe?

For people with diabetes, the ketogenic diet can aid in weight loss and diabetes management. However, it is not entirely safe for everyone. Those with a history of eating disorders, kidney or heart diseases, pancreatitis, or other conditions exacerbated by fat intake should try another diet plan instead of the keto diet.

 A ketogenic diet is a good option for type 2 diabetics who have difficulty controlling their symptoms. In addition to feeling better, many people with diabetes find that they are less reliant on medication due to fewer symptoms. Still, not everyone has success on this diet.

Some may find the restrictions too challenging to follow over the long term. Before committing to a keto meal plan, it is essential to consult with your medical professional to ensure it is the proper dietary intervention for you.

When evaluating the safety of the keto diet for diabetes, it is essential to identify between type 1 and type 2 diabetes. Research shows that the keto diet can improve blood sugar control and reduce insulin requirements in people with type 2 diabetes. Still, the available data for its long-term use with type 1 diabetes is insufficient.

People with type 1 diabetes are more likely to develop the potentially life-threatening condition known as ketoacidosis. Extraordinarily high blood sugar and ketone levels can lead to diabetic ketoacidosis (DKA), a life-threatening complication. Chronic high blood sugar levels or failure to comply with prescription meds can lead to this condition, which can be life-threatening.

Fundamental Principles Of Following The Keto Diet For Diabetics

The ketogenic diet aims to put the body into nutritional ketosis, which helps with weight loss and type 2 diabetes management. The apparent worry is the long-term viability of a limited diet. Consult your doctor before starting a ketogenic diet to confirm it is safe and appropriate for your health.

While the keto diet excludes carbs, it emphasizes healthy fats and whole foods high in antioxidants and fiber. Meal planning helps you include a range of unprocessed keto-friendly meals and maintain a ketogenic lifestyle. The following principles will help make your keto diet for diabetes more manageable.

1. Calculate Your Caloric Requirements For The Day

Keto Diet For Diabetics

Carbohydrates, fats, and proteins are macronutrients, which are nutrients that the body requires in large quantities for energy production. Getting into a state of nutritional ketosis requires a precise ratio of macronutrients, as follows:

  • 55-60 percent of the calories should come from fat
  • Protein should account for 30-35 percent of total calories
  • 5% to 10% of the calories should come from carbohydrates

On a keto diet for diabetes, assessing your body’s daily energy (caloric) requirements can help decide the proper amount of food from each food group you should consume.

2. Concentrate On Whole Foods And Stay Away From Processed Foods

Your mind may immediately conjure up images of fatty foods laden with bacon, butter, and cheese when you hear the phrase “high-fat diet.” Even though these foods are keto-friendly, it is essential to include plant-based fats in your diet and a diversity of low-carb, nutrient-dense foods to achieve a balanced diet.

The healthiest keto diet for diabetes focuses on whole, single-ingredient foods, such as the ones listed below:

Healthy Proteins

  • Ground Beef
  • Bacon
  • Chicken
  • Pork Chops
  • Ribs
  • Roast Beef
  • Sausage
  • Steak
  • Turkey
  • Anchovies
  • Clams
  • Crab
  • Lobster
  • Mussels
  • Oysters
  • Salmon
  • Sardines
  • Scallop
  • Shrimp
  • Tuna
  • Eggs
  • Edamame
  • Tempeh
  • Tofu

Full-Fat Dairy Products

  • Butter
  • Cheese: all varieties (limit to one-half cup)
  • Cream
  • Ghee
  • Greek yogurt
  • Sour cream
  • Whipping cream

Healthy Fats and Oils

  • Avocado oil
  • Coconut oil
  • Olive oil
  • Chicken fat
  • Duck fat
  • Lard
  • Nut oils of all types)
  • Tallow

Nuts and Seeds

  • Almonds
  • Brazil nuts
  • Coconut
  • Hazelnuts
  • Macadamia nuts
  • Peanuts
  • Pecans
  • Walnuts
  • Chia seeds
  • Flaxseed
  • Hemp seeds
  • Pumpkin seeds
  • Sesame seeds
  • Sunflower seeds

Vegetables: all non-starch veggies such as:

  • Artichoke
  • Asparagus
  • Bok Choy
  • Broccoli
  • Brussels sprouts
  • Cabbage
  • Cauliflower
  • Celery
  • Leeks
  • Lettuce
  • Mushrooms
  • Okra
  • Olives
  • Green Peppers
  • Spinach
  • Scallions

Low-Carb Fruits

  • Berries
  • Lemons
  • Kiwis
  • Plums

Condiments

  • All herbs and spices (no added sugar)
  • Hot sauce
  • Mustard (plain)
  • Soy sauce or tamari
  • Tomato salsa (limit to 2 tablespoons)

Beverages

  • Water (still or sparkling)
  • Broth
  • Coffee
  • 1 Glass of Dry wine (limit to 1 glass per day, consumed with a meal)
  • Tea

3. Plan Your Meals

Keto Diet For Diabetics

Keto Diet For Diabetics

With just three simple steps, you can keep your blood sugar levels in check. Begin with a protein-rich diet that includes minimally processed fats and maintains a low carbohydrate intake throughout the day. Begin by incorporating adequate-protein, minimally processed fats, and low-carbohydrate meals into your diet.

4. Monitor Your Blood Sugar Response

Maintain a log of your blood sugar levels and what you eat, and adjust your carb intake accordingly.

5. Follow Up With Your Healthcare Provider

Before making dietary changes to manage your diabetes, seek advice from your doctor. Do not ignore any symptoms that cause severe nausea or dizziness because they could be signs of alarmingly low blood sugar.

7 Day Keto Diet for Diabetics Samples

Sample 1 : 

You may make many of these dishes ahead of time and keep them in the freezer or refrigerator until you need them. The preparation time for all recipes is 30 minutes or less. You can also adjust every recipe on this 7-day sample diet plan to suit your tastes or to include more nutrients.

Some recipes call for nutritional supplements or collagen, while others call for nuts or seeds. Additionally, each meal adheres to the ideal macronutrient profile of the ketogenic diet.

  • 5% to 10% of total calories from carbohydrates
  • 70% to 80% of total calories from fat
  • 15% to 20% of protein

Day 1

  • Breakfast: Hormone-free and nitrate-free chicken sausage with oat fiber buttermilk pancakes
  • Morning Snack: One pear with almonds
  • Lunch: Crustless broccoli cheddar quiche with spinach, strawberry salad and vinaigrette
  • Afternoon Snack: Chocolate chip coconut bar
  • Dinner: Shrimp with sheet pan low carb fajitas and a half cup of avocado

Day 2

  • Breakfast: Spinach mushroom cheese quiche
  • Morning Snack: One apple and peanut butter
  • Lunch: Tuna and egg salad with sour cream and sunflower pumpkin seed psyllium bread
  • Afternoon Snack: Creamy coconut milk pudding
  • Dinner: Keto salmon patties with keto cauliflower mashed potatoes, spinach, zucchini drop biscuits, and cheese

Day 3

Keto Diet For Diabetics

  • Breakfast: Cinnamon orange keto muffins with homemade instant hot chocolate mix
  • Morning Snack: 80g Melon
  • Lunch: Low carb broccoli ranch salad with bacon
  • Afternoon Snack: One minute chocolate brownie in a mug cake
  • Dinner: Spiced grilled chicken with cauliflower rice

Day 4

  • Breakfast: Baked eggs with two slices of rye bread
  • Morning Snack: Natural yogurt and pumpkin seeds
  • Lunch: Bang Bang chicken salad
  • Afternoon Snack: Two oatcakes topped with smooth peanut butter
  • Dinner: Aubergine and courgette parmesan bake with rocket, tomato and tinned kidney beans

Day 5

  • Breakfast: Strawberry smoothie
  • Morning Snack: One orange
  • Lunch: Chickpea and tuna salad
  • Afternoon Snack: Keto coconut flour biscuits with cheddar
  • Dinner: Pesto chicken salad wrap

Day 6

  • Breakfast: Oat porridge with, almond milk, blueberries, and pumpkin seeds
  • Morning Snack: One apple
  • Lunch: Chilli bean soup with avocado salsa
  • Afternoon Snack: Celery and peanut butter
  • Dinner: Minced beef and vegetable filo pie

Day 7

  • Breakfast: Mushroom and spring onion omelet
  • Morning Snack: Butterbean paté with carrots
  • Lunch: Two slices of medium wholemeal bread with grated cheddar, vegetable oil-based spread, tomato and cucumber
  • Afternoon Snack: Almond-butter protein bar
  • Dinner: Mackerel tomatoes served with leeks and broccoli
DayBreakfastMorning SnackLunchAfternoon SnackDinner
Day 1Hormone-free and nitrate-free chicken sausage with oat fiber buttermilk pancakesOne pear with almondsCrustless broccoli cheddar quiche with spinach, strawberry salad and vinaigretteChocolate chip coconut barShrimp with sheet pan low carb fajitas and a half cup of avocado
Day 2Spinach mushroom cheese quicheOne apple and peanut butterTuna and egg salad with sour cream and sunflower pumpkin seed psyllium breadCreamy coconut milk puddingKeto salmon patties with keto cauliflower mashed potatoes, spinach, zucchini drop biscuits, and cheese
Day 3Cinnamon orange keto muffins with homemade instant hot chocolate mix80g MelonLow carb broccoli ranch salad with baconOne minute chocolate brownie in a mug cakeSpiced grilled chicken with cauliflower rice
Day 4Baked eggs with two slices of rye breadNatural yogurt and pumpkin seedsBang Bang chicken saladTwo oatcakes topped with smooth peanut butterAubergine and courgette parmesan bake with rocket, tomato and tinned kidney beans
Day 5Strawberry smoothieOne orangeChickpea and tuna saladKeto coconut flour biscuits with cheddarPesto chicken salad wrap
Day 6Oat porridge with almond milk, blueberries, and pumpkin seedsOne appleChilli bean soup with avocado salsaCelery and peanut butterMinced beef and vegetable filo pie
Day 7Mushroom and spring onion omeletButterbean paté with carrotsTwo slices of medium wholemeal bread with grated cheddar, vegetable oil-based spread, tomato and cucumberAlmond-butter protein barMackerel tomatoes served with leeks and broccoli

Sample 2:

Keto Diet For Diabetics
DayBreakfastMorning SnackLunchAfternoon SnackDinner
1Hormone free and nitrate free chicken sausage with oat fiber buttermilk pancakesOne pear with almondsCrustless broccoli cheddar quiche with spinach strawberry salad and vinaigretteChocolate chip coconut barShrimp with sheet pan low carb fajitas and half cup of avocado
2Spinach mushroom cheese quicheOne apple and peanut butterTuna and egg salad with sour cream and sunflower pumpkin seed psyllium breadCreamy coconut milk puddingKeto salmon patties with keto cauliflower mashed potatoes, spinach, zucchini drop biscuits, and cheese
3Cinnamon orange keto muffins with homemade instant hot chocolate mix80g MelonLow carb broccoli ranch salad with baconOne minute chocolate brownie in a mug cakeSpiced grilled chicken with cauliflower rice
4Baked eggs with two slices of rye breadNatural yogurt and pumpkin seedsBang bang chicken saladTwo oatcakes topped with smooth peanut butterAubergine and courgette parmesan bake with rocket, tomato and tinned kidney beans
5Strawberry smoothieOne orangeChickpea and tuna saladKeto coconut flour biscuits with cheddarPesto chicken salad wrap
6Oat porridge with, almond milk, blueberries, and pumpkin seedsOne appleChilli bean soup with avocado salsaCelery and peanut butterMinced beef and vegetable filo pie
7Mushroom and spring onion omeletButterbean paté with carrotsTwo slices of medium wholemeal bread with grated cheddar, vegetable oil-based spread, tomato and cucumberAlmond butter protein barMackerel tomatoes served with leeks and broccoli

Final Thoughts       

Lifestyle and nutrition decisions have a significant impact on the development of type 2 diabetes. For controlling weight gain and type 2 diabetes, the keto diet is more than just a trendy fad diet. Concerns about the long-term viability of high fat, moderate protein, and low carbohydrate diets exist with any restrictive diet.

You can help guarantee that your body receives essential nutrients such as minerals, vitamins, fiber, antioxidants, and electrolytes by incorporating a range of whole foods in your meals. The lack of nutrients and exhaustion of the diet is also avoidable because of this.

Before embarking on a ketogenic diet, you should consult with your doctor to see if it is the appropriate choice for your immediate and long-term well-being.

See Also

Keto Shrimp Scampi Recipe

Keto Frosty Recipe

Keto Bread Recipe

Dash Diet for Diabetes Type 2

Vegetarian Diet for Diabetics

Dirty Keto Diet Plan

28 Day Keto Meal Plan

Keto Cycle Diet

Intermittent Fasting Diet

Vegan Diet Plan for Diabetics

3-Day Cleanse to Lose Belly Fat

Diabetic Diet Food List

Low-Carb Lunch Ideas

Current Version
February 6, 2024
Updated By
Gvantsa Qvariani
March 6, 2022
Written By
Damla Sengul