Keto or Mediterranean: The diet considered better for diabetes management is…

She adds, “The Mediterranean diet is generally considered more sustainable than the keto diet. Diets high in animal products, such as the ketogenic diet, have a greater negative environmental impact. A plant-forward diet like the Mediterranean diet has higher relative sustainability.”

 

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Which diet is more sustainable in the long run for diabetes management?

Malhotra informs, “For long-term diabetes management, the Mediterranean diet is generally more sustainable than the ketogenic diet. While both diets improve glycemic control, the Mediterranean diet’s broader food selection, including whole grains, fruits, and vegetables, promotes better adherence and reduces the risk of nutrient deficiencies.” 

She further elaborates that the Mediterranean diet improves “fasting glucose and A1C levels.” The ketogenic diet’s restrictive nature can lead to challenges in maintaining it long-term and may also have a greater negative environmental impact than a plant-forward diet. Individual needs, culture, and food preferences should always be considered. 

Specific types of diabetics (Type 1 vs. Type 2) who might benefit more from one diet over the other

While both Type 1 and Type 2 diabetics benefit from healthy eating, Malhotra says, specific needs differ. For Type 1, consistent carbohydrate intake is crucial,as well as  balancing meals with insulin doses. Those with Type 2 often benefit from diets that reduce refined sugars and increase fibre-rich foods. A Type 2 diabetes diet is often focused on weight management. The Mediterranean diet, for example, may be advantageous for Type 2 due to its emphasis on whole foods and potential for improving insulin sensitivity. “However, individual responses vary, and personalised meal planning, in consultation with a qualified professional, is essential,” she stresses. 

Some risks a diabetic must consider regarding both types of diets

Malhotra asserts, “Both ketogenic and Mediterranean diets pose risks for diabetics. The ketogenic diet may cause hypoglycemia, especially for those on insulin. It also carries a risk of diabetic ketoacidosis (DKA), particularly in Type 1 diabetes. The diet can also cause spikes in cholesterol.”

While generally safe, the Mediterranean diet may lead to increased carbohydrate intake, requiring careful monitoring and potential medication adjustments. “Consistent blood sugar monitoring is crucial for both diets,” adds Malhotra. 

DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.