"Reducing CHO intake with an LCD is effective in reducing body weight and, in patients with type 2 diabetes, improving glycemic control, with a stronger effect with a very low carb diet (KD). However, LCD and KD may not be appropriate for all individuals. Especially in patients with type 2 diabetes, it is necessary to balance the potential increase in cardiovascular risk because of the unfavorable lipid profile observed with KD with the benefits deriving from weight loss and improvement of glycemic control. Moreover, long-term compliance with low-CHO diets is still an issue.
In type 1 diabetes, there is no present evidence that an LCD or a KD can delay or prevent the onset of the disease. These diets have the potential to improve metabolic control, but caution is needed because of the risk of DKA, of worsening the lipid profile and, in children, the unknown impact on growth."
The ketogenic diet is a high-fat, moderate-protein, low-carbohydrate diet.
According to Erin Palinski-Wade, RD, CDE, author of 2-Day Diabetes Diet. "When it comes to managing diabetes, you need to focus on lifestyle changes you can stick with long-term. If you cannot envision yourself following a keto diet long-term then it may not be the best choice for diabetes management for you."