Ketogenic diet for diabetes
Czerniak emphasizes that the ketogenic diet was invented 100 years ago for drug‑resistant epilepsy and is now underutilized in diabetes. He criticizes the medical system for teaching students only to prescribe sulfonylureas and insulin instead of dietary interventions. He notes that even a moderate reduction to 100 g of carbs can induce ketosis in older patients. He warns that the initial fasting phase will cause discomfort because ‘glucose makes you lazy,’ but patients must push through. He claims that on this diet, glucose can safely fall to 25 mg/dL without hypoglycemic symptoms, a state that would normally trigger panic. He insists that this approach addresses the root cause by lowering the demand on the pancreas, unlike drugs that only mask high glucose.
By drastically reducing carbohydrate intake, the body shifts from glycolysis to lipolysis and ketogenesis. Lower glucose levels reduce the need for insulin secretion, sparing the remaining beta cells. Ketones provide an alternative fuel for the brain, preventing the energy deficit that underlies diabetic complications like retinopathy and neuropathy. The diet also improves insulin receptor sensitivity, an effect he recalls a professor demonstrating but never translating into clinical directives.
dieta ketogeniczna … należy rozpocząć od 2 do 3 dni postu czyli jedziemy tylko na wodzie … przy diecie ketogenicznej możemy dojść nawet do dwudziestu pięciu i będziemy świetnie funkcjonować

