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Carbohydrate-free diet

, medical expert
Last reviewed: 07.06.2024
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A carbohydrate-free diet, as the name suggests, restricts carbohydrate intake to a minimum or eliminates it completely from the diet. This diet can be used in a variety of medical situations and has different variations depending on the goal of treatment. Here are some of the main uses of a carbohydrate-free diet:

  1. Diabetes: Doctors may recommend a carbohydrate-free or very low-carbohydrate diet to control blood sugar levels in people with diabetes. This can help reduce fluctuations in blood glucose levels.
  2. Ketogenic Diet: The ketogenic diet is a type of carbohydrate-free diet where the body's main source of energy becomes fat rather than carbohydrates. It can be used for weight loss or as a treatment for certain medical conditions such as epilepsy.
  3. Diabetes mellituswith consequences: For some patients with complications of diabetes mellitus, such as diabetic nephropathy or vascular problems, carbohydrate-free diets may be recommended to control the condition.
  4. Metabolic Shift Syndrome: This condition is characterized by a metabolic disorder, elevated blood sugar and insulin levels. A carbohydrate-free diet can help stabilize your metabolism.
  5. Gastrointestinal Diseases: Carbohydrates can cause gastrointestinal irritation in some people, so a carbohydrate-free diet can be used in the treatment of conditions such as irritable bowel syndrome (IBS).

It is important to realize that a carbohydrate-free diet can be very restrictive and should be done under the supervision of a doctor or nutritionist. It may be beneficial for some medical purposes, but is not recommended for everyone. Before starting any diet, including a carbohydrate-free diet, it is important to consult with a medical professional to assess its suitability for your health and needs.

Indications

A carbohydrate-free diet can be used in different medical situations and for different indications. Below are some of the main indications for the use of a carbohydrate-free diet:

  1. Diabetes mellitus: A carbohydrate-free or very low-carbohydrate diet may be recommended to control blood sugar levels in patients with diabetes. It is especially helpful in type 1 diabetes, when the body does not produce enough insulin to manage glucose levels.
  2. Epilepsy: The ketogenic diet, which is a type of carbohydrate-free diet, can be used in the treatment of epilepsy, especially in children in whom medications are not effective.
  3. Metabolic shift syndrome: This diet may be recommended for patients with metabolic shift syndrome, characterized by metabolic disorders, insulin resistance and elevated blood sugar levels.
  4. Diabetes mellitus with complications: Some patients with diabetes may develop complications such as diabetic nephropathy or cardiovascular problems. A carbohydrate-free diet may be recommended to control the condition.
  5. Irritable bowel syndrome (IBS): In some IBS patients, carbohydrates can cause symptoms such as bloating, abdominal pain, and diarrhea. A carbohydrate-free diet can help reduce these symptoms.
  6. Obesity and weight loss: Some people use a carbohydrate-free diet as a method for weight loss. However, this requires strict monitoring and medical supervision.
  7. Other Medical Conditions: In some cases, a carbohydrate-free diet may be recommended to manage other diseases or conditions, such as certain cancers.

It is important to note that a carbohydrate-free diet can be very restrictive and should be done under the supervision of a physician or dietitian. It is not recommended for everyone and should be personalized according to the patient's medical conditions and needs. It is important to consult a medical professional before starting any diet, including a carbohydrate-free diet.

General information of the carbohydrate-free diet

A carbohydrate-free diet, also known as a very low carbohydrate diet or a ketogenic diet, is a type of diet in which carbohydrates are restricted to a minimum and the body's main source of energy is made up of fats and proteins. The essence of a carbohydrate-free diet is the following principles:

  1. Carbohydrate restriction: The main principle of this diet is to severely limit carbohydrate intake. Typically, carbohydrates are reduced to less than 50 grams per day, sometimes even less than 20 grams per day. This can be achieved by eliminating or minimizing the consumption of carbohydrate-rich foods such as sugar, sugary drinks, bread, potatoes, rice, pasta and fruits.
  2. Increased fat intake: Fats, both saturated and unsaturated, become the main source of energy. Patients may consume fats from sources such as butter, nuts, seeds, avocados, and fatty animal products.
  3. Moderate protein intake: Protein is also an important part of a carbohydrate-free diet, but its intake usually remains at a moderate level. Protein can be obtained from meat, fish, eggs, dairy products and plant sources.
  4. Forming a state of ketosis: In this diet, the body switches to using fat as its main source of energy. This leads to the formation of a substance called ketones in the liver. The condition in which the level of ketones in the blood is elevated is called ketosis.

The ketogenic diet was first developed to treat epilepsy, but in recent decades it has become popular among those who want to lose weight or improve metabolic health. However, this diet can have its risks and limitations, and it is not suitable for everyone. Before starting a carbohydrate-free diet, you should discuss it with your doctor or dietitian to make sure it is right for you and will be safe for your current health and medical conditions.

List of allowed foods on a carbohydrate-free diet

A carbohydrate-free diet strictly limits the consumption of foods containing carbohydrates. Here is a list of foods that can be consumed on this diet:

  1. Meat: Beef, pork, lamb, poultry (chicken, turkey), fish (salmon, tuna, cod, etc.), seafood (shrimp, mussels, octopus).
  2. Eggs: Eggs in any form (boiled, fried, omelets).
  3. Low-carbohydrate dairy products: Hard cheeses (cheddar, parmesan, mozzarella), buckwheat, yogurts and kefir with low or no lactose.
  4. Low Carb Vegetables: Broccoli, cauliflower, asparagus, spinach, celery, cucumbers, avocados, mushrooms, green salad and other low-calorie vegetables.
  5. Fats and oils: Olive oil, coconut oil, avocado, butter, ghee (pure butter from milk).
  6. Nuts and seeds: Almonds, walnuts, pecans, pine nuts, pine nuts, flaxseeds, chia seeds.
  7. Semi-finished products: Artificial sweeteners (stevia, erythritol), protein (protein shakes), protein bars.
  8. Drinks: Water, black coffee, green tea, carbohydrate-free carbonated drinks, some herbal teas.
  9. Seasonings and spices: Salt, pepper, garlic, basil, thyme, rosemary and other carbohydrate-free seasonings.

This is a general list of foods, but it is important to consider your individual needs and the recommendations of your doctor or nutritionist. Before starting a carbohydrate-free diet, it is advisable to consult a medical professional to make sure it is suitable for you and does not pose risks to your health.

Benefits

A carbohydrate-free diet, or ketogenic diet, can have several potential health benefits, but it's worth remembering that it's not suitable for everyone and can have its own limitations and risks. Here are some of the potential benefits of a carbohydrate-free diet:

  1. Weight loss: A carbohydrate-free diet can help with weight loss. The ketosis that occurs with this diet promotes the burning of fat for energy, which can lead to fat loss and weight loss.
  2. Improve blood sugar levels: For some people, especially those with type 2 diabetes, a carbohydrate-free diet can help control blood sugar levels and reduce the need for insulin or other medications.
  3. Improve cardiometabolic factors: Some studies show that a carbohydrate-free diet may help lower triglycerides, improve blood cholesterol levels and lower blood pressure, which may reduce the risk of cardiovascular disease.
  4. Improving Epilepsy: The ketogenic diet was originally developed to treat epilepsy and may be effective in reducing the frequency and severity of epileptic seizures in some patients.
  5. Improving Neurological Diseases: Some studies suggest that a ketogenic diet may be beneficial for nervous system diseases such as Parkinson's and Alzheimer's, but more research is needed to confirm these findings.

Harms of a carbohydrate-free diet

A carbohydrate-free diet, despite some potential benefits, can also have its drawbacks and harmful effects. Here are some of them:

  1. Vitamin and Mineral Deficiencies: One of the major disadvantages of a carbohydrate-free diet is the lack of many important vitamins and minerals such as B vitamins, vitamin C, folic acid and minerals including calcium, magnesium and potassium. This can lead to deficiencies and health.
  2. Risk of dehydration: On a ketogenic diet, the kidneys begin to excrete more fluid, which can lead to dehydration. Low carbohydrates can also reduce water retention in the body, which increases the risk of dehydration.
  3. Potential Side Effects: Ketosis, a condition in which the body uses fat instead of carbohydrates for energy, can cause a variety of side effects such as bad breath, abdominal pain, constipation, fatigue, and irritability.
  4. Restriction of food groups: A carbohydrate-free diet restricts many types of foods, including fruits, vegetables, grains, and dairy products. This can lead to a lack of a variety of nutrients.
  5. Difficulty to maintain: Maintaining a carbohydrate-free diet can be difficult because it requires careful planning and constant adherence. This can create an additional stressful burden and limit social and culinary options.
  6. Not suitable for everyone: A carbohydrate-free diet is not suitable for everyone. It may be dangerous for individuals with certain medical conditions such as kidney disease, liver disease, heart disease, or metabolic disorders. It may also not be appropriate for active athletes who need more energy.

It is important to remember that the long-term effects of a carbohydrate-free diet are not yet fully understood, and it can have different effects on different people. Before starting such a diet, you should consult a doctor or dietitian to assess your needs and risks.

What can and what can not?

A carbohydrate-free diet strictly limits carbohydrate intake, including sugars and starches. Here is a list of foods that can and cannot be eaten on a carbohydrate-free diet:

What you can do:

  1. Protein: Meat, poultry, fish, eggs, dairy products (provided they do not contain added sugars), soy products.
  2. Fats: Olive oil, coconut oil, avocado oil, walnuts, olives, peanut butter and other healthy fats.
  3. Vegetables: Low-carb vegetables such as leaf lettuce, spinach, broccoli, cauliflower, and greens (parsley, dill, basil).
  4. Some nuts and seeds: Almonds, hazelnuts, pine nuts, chia seeds, flaxseeds (in limited amounts).

What you can't:

  1. Carbohydrates: Sugar, sugar-containing foods, cereals (rice, wheat, corn, oats, buckwheat), breads and pastries, potatoes, bananas, high-sugar fruits, pasta, and other carbohydrates.
  2. Sweets and sweet drinks: Chocolate, candy, honey, syrups, carbonated drinks, juices.
  3. Alcohol: Most alcoholic beverages contain carbohydrates.
  4. Most dairy products: Milk, yogurts with added sugar, sweet cream.
  5. Fruit: Most fruits (apples, pears, grapes, etc.) because of their high sugar content.
  6. Cereal products: Bread, rolls, porridge and other cereal products.

It is important to remember that a carbohydrate-free diet can be very restrictive and is not recommended for long-term use without medical reasons. Before starting such a diet, you should consult your doctor or dietitian to ensure that it is suitable for you and will not cause negative health effects. Long-term adherence to a carbohydrate-free diet can be unsafe and unbalanced for the body.

Contraindications

A carbohydrate-free diet can have benefits for certain medical conditions, but it can also be unsuitable or even dangerous in some cases. Contraindications to a carbohydrate-free diet may include:

  1. Type 1 diabetes: Intype 1 diabetes, the body does not produce enough insulin to control blood glucose levels. A very low-carbohydrate diet may require a higher dose of insulin and may be difficult to manage.
  2. Type 2 Diabetes Mellitus: In the case of type 2 diabetes, in the presence of uncontrolled glucose levels, a carbohydrate-free diet can be beneficial, but should be used under medical supervision.
  3. Pregnancy and breastfeeding: It is important that pregnant and breastfeeding women get enough carbohydrates to ensure normal development of the baby. A carbohydrate-free diet is not recommended during this period.
  4. Childrenand adolescents: Children and adolescents need adequate carbohydrates for growth and normal development. A carbohydrate-free diet for children should only be used under strict medical supervision.
  5. Cardiovascular disease: A very low-carbohydrate diet may have an effect on blood fat levels and cardiac parameters. Patients with cardiovascular disease need careful medical counseling when using such a diet.
  6. KidneyDisease: Patients with kidney disease may have limitations in protein intake that may occur with a carbohydrate-free diet.
  7. Individual Intolerance: Some people may have allergies or intolerances to certain foods that are often used in a carbohydrate-free diet.

In any case, before starting a carbohydrate-free diet or any other highly restrictive diet, it is important to consult with a medical professional or dietitian. They can assess your health and look at your individual characteristics to determine if this diet is right for you.

Possible risks

A carbohydrate-free diet can have some potential risks and negative effects, especially if it is not applied under medical supervision or used indiscriminately. Here are some of the possible risks and complications associated with a carbohydrate-free diet:

  1. Hypoglycemia: Very low carbohydrate intake can cause a drop in blood glucose levels (hypoglycemia). This can lead to weakness, dizziness, hunger, loss of consciousness and in some cases even seizures. People with diabetes, especially those taking insulin, are at risk of this.
  2. Ketoacidosis: During a ketogenic diet (a variation of a carbohydrate-free diet), when the body starts using fat instead of carbohydrates as an energy source, ketoacidosis can occur. This is a serious condition characterized by a buildup of ketone bodies in the blood and can cause symptoms such as nausea, vomiting, abdominal pain, and even coma.
  3. Restriction of food groups: A carbohydrate-free diet excludes many foods, including fruits, vegetables, grains, and legumes, which typically contain important nutrients including vitamins, minerals, and dietary fiber. Restricting these food groups can lead to vitamin and mineral deficiencies.
  4. Digestive problems: Some people may experience digestive problems, such as constipation, due to the lack of dietary fiber in a carbohydrate-free diet.
  5. Cardiovascular Risks: Prolonged consumption of high amounts of saturated fat in a ketogenic diet may increase the risk of cardiovascular disease.
  6. Lack of energy: Cutting out carbohydrates, which are the body's main source of energy, can lead to feelings of fatigue and weakness.
  7. Social and psychological aspects: A very restrictive diet can be socially and psychologically unpleasant because it limits food choices and food-related social interactions.

It is important to note that a carbohydrate-free diet is not suitable for everyone and should be done under the supervision of a doctor or dietitian, especially if you have medical conditions such as diabetes. Before starting such a diet, it is important to consult with a medical professional to assess the risks and benefits and determine if it is appropriate for your needs and health.

Carbohydrate-free diet menu for each day

Carbohydrate-free diet menu for a week can include a variety of foods rich in fats and proteins. However, it is worth remembering that such a diet requires careful planning and may not be suitable for everyone. Here is a sample menu for a week:

Day 1:

  • Breakfast: Omelet with spinach and cheese, coffee without sugar.
  • Afternoon snack: Walnuts.
  • Lunch: Chicken thighs baked with olive oil and spices, coleslaw with oil, lemon juice and mustard.
  • Afternoon snack: Canned tuna in its own juice.
  • Dinner: Salmon baked with lemon and rosemary, broccoli with butter.

Day 2:

  • Breakfast: Buckwheat with butter, egg, coffee without sugar.
  • Afternoon snack: Peanut butter.
  • Lunch: Pork with broccoli and garlic, Greek salad with olive oil and feta.
  • Afternoon snack: Avocado.
  • Dinner: Chicken baked with artichokes and spinach.

Day 3:

  • Breakfast: Omelet with mushrooms and cheese, coffee without sugar.
  • Afternoon snack: Almond butter.
  • Lunch: Fish fillet (salmon or cod) with sesame seeds, avocado and cucumber salad.
  • Afternoon snack: Almond Nuts.
  • Dinner: Pork ribs with mustard and celery sauce.

Day 4:

  • Breakfast: Meat sausage with eggs and spices, coffee without sugar.
  • Afternoon snack: Walnuts.
  • Lunch: Beef stew with cauliflower and turmeric.
  • Afternoon snack: Salmon canned in olive oil.
  • Dinner: Chicken breast with anchovies and olives.

Day 5:

  • Breakfast: Omelet with bacon and cheese, coffee without sugar.
  • Afternoon snack: Peanut butter.
  • Lunch: Pork baked with cabbage and onions.
  • Afternoon snack: Avocado.
  • Dinner: Cod with lemon and greens.

Day 6:

  • Breakfast: Buckwheat with butter, egg, coffee without sugar.
  • Afternoon snack: Almond butter.
  • Lunch: Chicken thighs with broccoli and garlic, cucumber and tomato salad with olive oil.
  • Afternoon snack: Walnuts.
  • Dinner: Salmon with greens and lemon.

Day 7:

  • Breakfast: Omelet with mushrooms and cheese, coffee without sugar.
  • Afternoon snack: Canned tuna in its own juice.
  • Lunch: Fish fillet with sesame seeds, avocado and cucumber salad.
  • Afternoon snack: Almond Nuts.
  • Dinner: Pork ribs with mustard and celery sauce.

This is just one of the menu options for a carbohydrate-free diet. Before starting such a diet, it is recommended that you consult a doctor or dietitian to make sure it is right for you and your health.

Carbohydrate-free diet recipes

Here are some recipes suitable for a carbohydrate-free diet:

  1. Spinach and avocado omelet:

    • Ingredients: eggs, spinach, avocado, coconut oil or olive oil, salt and pepper.
    • Instructions: Beat eggs, add spinach and fry in olive oil or coconut oil. Serve with sliced avocado.
  2. Chicken and walnut salad:

    • Ingredients: chicken breast, salad leaves, nuts (walnuts, almonds, pecans), olive oil, lemon juice, salt and pepper.
    • Instructions: Roast the chicken fillets and cut them into strips. Mix salad leaves, nuts, chicken fillets, olive oil and lemon juice. Pepper and serve.
  3. Beef goulash:

    • Ingredients: beef meat, onion, garlic, paprika, tomatoes, broth, salt and pepper.
    • Instructions: Fry beef meat, onion and garlic, add paprika, tomatoes and broth. Cook until the meat is cooked through. Serve the goulash hot.
  4. Salmon and spinach:

    • Ingredients: salmon fillets, spinach, olive oil, salt and pepper.
    • Instructions: Bake the salmon fillets in the oven or in a pan with olive oil until tender. Serve with roasted spinach.
  5. Caesar salad without the bread:

    • Ingredients: chicken breast, romaine lettuce, parmesan, sugar-free mayonnaise, salt and pepper.
    • Instructions: Roast chicken fillets and cut into strips. Mix with lettuce, mayonnaise, parmesan, and pepper.
  6. Keto omelet with bacon and spinach:

    • Ingredients: eggs, bacon, spinach, oil, salt and pepper.
    • Instructions: Fry the bacon in a frying pan until crispy. Remove the bacon and in the same skillet, fry the spinach. Whisk the eggs and make an omelet. Then add the fried bacon and spinach. Season to taste.
  7. Keto chicken with avocado and mayo:

    • Ingredients: chicken fillet, avocado, sugar-free mayonnaise, salt and pepper.
    • Instructions: Fry the chicken fillet in a frying pan. While it is cooking, slice the avocado. Serve the chicken fillet with avocado and mayonnaise.
  8. Keto Buckwheat Salad:

    • Ingredients: quinoa (suitable for keto), chicken breast, cucumber, tomatoes, olive oil, lemon juice, salt and pepper.
    • Instructions: Boil the quinoa and stir fry the chicken fillets. Slice the cucumbers and tomatoes. Mix all ingredients and season with olive oil, lemon juice, salt and pepper.
  9. Keto salad with avocado and salmon:

    • Ingredients: salmon fillet, avocado, romaine lettuce, olive oil, lemon juice, salt and pepper.
    • Instructions: Bake the salmon fillets in the oven or in a pan with olive oil until tender. Slice the avocado and lettuce. Mix all ingredients and season with lemon juice, salt and pepper.
  10. Keto beef goulash:

    • Ingredients: beef, onion, garlic, paprika, tomatoes, broth, olive oil, salt and pepper.
    • Instructions: Stir fry the beef, onion and garlic. Add paprika, tomatoes and broth. Cook until meat is cooked through. Serve the goulash hot.

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