Under normal circumstances our body uses glucose from carbohydrate foods for energy. In the absence of glucose, a process called ketosis occurs. This is a state in which the body burns fats instead of carbohydrates as its main fuel source. When we don’t eat carbs, the liver breaks down fat stores to produce energy. This energy is in the form of (and also creates) molecules called ‘ketones’. Ketogenic diets were originally developed to treat epilepsy in children as it appears to reduce the frequency of seizures. It should be noted that using the diet in this context should not be attempted without the supervision of a specialised doctor. From these medical origins, the diet was picked up by the mainstream media and marketed as a weight loss regime – it is in this context that we will be discussing the diet for the purpose of this article. This eating plan certainly contradicts most people’s understanding of a healthy, balanced diet which typically promotes the consumption of protein, fat and carbohydrates. From an evolutionary perspective, ketosis is a normal adaptive response which enabled humans to withstand periods of famine throughout history. Today, this natural physiological mechanism has been exploited by a number of low-carb diet regimes. Following such a diet means you will be replacing carbs with foods rich in fat and protein, and if followed over an extended period of time this may have unfavourable consequences for some individuals. An intake of high fat foods is likely to increase your saturated fat intake which current UK government guidelines recommend that we limit to 30g for men and 20g for women. High levels of dietary protein are thought to be an issue if you have an underlying kidney condition. However, most ketogenic diets supply moderate rather than high levels of protein.
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