Unraveling the Complex Interplay of Medication and the Keto Diet
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Dr. Eric Westman’s journey with the ketogenic diet began not in a research lab, but in a waiting room, where patients took their health into their own hands, often starting the diet before even meeting with him. Two patients, in particular, highlighted the diet’s potential and taught him more than he expected. This phenomenon of patients becoming their own educators underlines the simplicity and accessibility of the diet: it’s about changing what you eat.
The Silent Dangers of Over-Medication
As the keto diet gains popularity, Dr. Westman warns about the potential dangers of over-medication, especially when mixed with dietary changes. Some medications, particularly those for diabetes and heart failure like SGTLT2 inhibitors, have side effects that can be exacerbated by the keto diet.
Dr. Westman notes the irony that some medications used to treat diabetes can cause side effects such as metabolic acidosis, a condition not typically seen with the keto diet alone.
— from the video
Keto for Heart Health: A Surprising Ally
Dr. Westman shares an inspiring case where a patient with heart failure experienced significant improvement by switching to the keto diet. She lost 140 pounds, and her heart function improved dramatically, highlighting the diet’s potential beyond weight loss.
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Rethinking Diabetes Management
In the realm of diabetes, the focus often mistakenly centers on cholesterol levels rather than addressing the more crucial issue of insulin resistance. Historically, insulin was used to treat both type 1 and type 2 diabetes, yet it was only later understood that type 2 diabetes is characterized by already high levels of insulin.
Discuss any new medications with your doctor, especially if you're on a keto diet.
Research side effects of medications, particularly for those treating diabetes and heart conditions.
Consider continuous glucose monitoring to understand your body's response to dietary changes.
The Role of Continuous Glucose Monitors
Continuous glucose monitors (CGMs) offer a window into how your body processes sugar, especially useful for those on a keto diet. Dr. Westman points out that while CGMs can be informative, they may also cause unnecessary anxiety if not understood in context.
As we navigate the complex interplay between medication and diet, Dr. Westman’s insights remind us to be mindful of how these elements can interact. Understanding the potential risks and benefits of dietary changes like the keto diet allows us to make informed decisions about our health, especially in conversation with healthcare providers.
