Worse case scenario is you eat lots of saturated fat on keto, then your glucose goes very high when you purposefully or inadevertently take in carbs. This is why we need randomized trials, biomarkers and anecdotes are not useful for complete picture or safety of these diets.

This is from 1927, note glucose effect after 2 days diet of all fat vs all carb diet. The introduction of glucose on a fat diet overwhelms the ability to keep glucose in check, suggesting downregulation of insulin sensitivity Nothing new under then 🌞 doi.org/10.1001/archin…

I need to research this more and get advice from experts.

I think one lesson is if one see-saws from keto to carb, it does not appear to be good for short-term glucose control. I don't know how much carb on keto diet affects insulin sensitivity. Could be one of many achilles heels of keto long-term.

Thanks, that is helpful. I dont see the variability like in this graph also. One will only know this with a continuous glucose monitor, like I have on right now.

To close loop on lame n=1 glucose/keto, 5 days p/ back to Med Diet, insulin resistance back to baseline by CGM, gray scale 60-250 mg/dL. No breakfast, boiled salmon lunch, lamb stew w/potato/bread/olive oil dinner, ~125 gm Carbs, + wine. Καλή όρεξη

And thank you to EHJ Editor-in-Chief for accepting the paper, lots of exciting new data being generated on apoCIII and TG Michael D. Shapiro Christie Ballantyne

Thank you Tom Brady, 20 years of magic in New England-forever grateful for all the joy you brought to us long suffering fans and the region. GOAT🐐 New England Patriots wsj.com/articles/tom-b…