In my opinion the plant based diet won outright. The doctor says here that the keto diet might be better for diabetes, but I'm not certain if that's really true in the long run. He does make the good point, though, that both diets in the study used high quality food and did not contain highly processed foods, which can harm health when too many of them consumed.
Doctor Explains the Latest Vegan vs Keto Head to Head Study
A plant based diet is good for the prevention of type 2 diabetes.
A plant-based diet for the prevention and treatment of type 2 diabetes
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As a type 2 diabetic, I can tell you that a fully plant based diet is immensely harder to maintain than KETO. One may want to limit the amount of meat one consumes, but, in the absence of the easy saturated fats and satiation that meat provides, along with fast access to protein, the temptation to gorge oneself on carbs is immensely harder to resist. All those vegetarians gorging themselves on rice (a great methane producer, see https://www.independent.co.uk/climate-change/news/rice-farming-climate-change-global-warming-india-nitrous-oxide-methane-a8531401.html)could not do so if they were trying to keep down their blood sugar levels. That level of carb consumption is completely unsustainable and dangerous for a type 2 diabetic. To reduce blood glucose disturbance one typically has to lower the body fat percentage -- this can be done in significant part by building muscle, which is easier on a higher-protein diet. Of course, there are other options -- beans etc. -- which work as well as meat, but that sort of diet requires immensely more discipline and self-restriction. In my opinion, KETO works better for type 2 diabetics -- but especially if they are doing exercise to build muscle. At the same time, there is a evidence that a very low calorie diet (of any kind) can significantly reduce levels of visceral fat in people with type 2 diabetes.
Everyone is different, and keto obviously works best for you. Diabetics UK is cautious but says its worth a try if diabetics want to go vegan,
as many do.
https://www.diabetes.org.uk/guide-to-diabetes/enjoy-food/eating-with-diabetes/veganism-and-diabetes
Just know that everyone is different, and thus there is no one-diet-fits-all.
Also, avoid extremes. Ok, so you're watching your weight, but don't start counting every single damn calorie you put in your mouth.
All these diet gurus on tv and online, like hell they practice what they preach. Wasn't that long ago where one famous vegetarian youtuber was caught in a restaurant gorging herself on meats.
According to my dentist, if you're going to eat the sweet stuff, best to eat it early in the day this way your saliva will have a chance to clear the sugar from your mouth. Brushing? According to him and his 30+ years experience, we are all lousy brushers :)
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