Nutrition 179

Course overview

HOUR 1: Metabolic Mechanisms and Rationale for Use *Compare and contrast different approaches to therapeutic carbohydrate restriction (low-carbohydrate diets, very-low-carbohydrate diets, and ketogenic diets.) *Describe the effect of dietary carbohydrate restriction on blood glucose regulation. *Summarize the metabolic effects of insulin beyond controlling blood glucose. *Outline how carbohydrate restriction affects fuel partitioning. *Summarize the process of ketogenesis. HOUR 2: Therapeutic Applications for Ketogenic Diets *List three effects of carbohydrate restriction besides weight loss. *Distinguish between applications for which a strict ketogenic diet may be most effective and those for which a more flexible low-carb approach may be sufficient. *Name at least three conditions ketogenic diets have been shown to improve or put into remission. *State three areas of emerging research for ketogenic diets. *Discuss the potential synergies and areas of concern when combining a GLP-1/GIP receptor agonist medication with carbohydrate restriction. HOUR 3: Practical Implementation & Troubleshooting *Give examples of the foods that can be included in a ketogenic diet and the foods that are best avoided. *List three factors that frequently prevent people from achieving their desired results on a low-carb or ketogenic diet. *Contrast the pros & cons of measuring blood sugar and ketones. *Summarize what occurs during the adaptation period (a.k.a. "keto flu") and how to ease the transition. *Recognize routinely prescribed medications that may need to be adjusted quickly upon adopting a low-carb or ketogenic diet. HOUR 4: Ketogenic Diet Myths & Misperceptions *Summarize the history of clinical use of ketogenic diets and other forms of carbohydrate restriction. *State the differences between nutritional ketosis and diabetic ketoacidosis. *Describe the effects of carbohydrate restriction on cardiovascular disease risk. *Outline the effects of carbohydrate restriction on liver and kidney function. *Recall the absolute contraindications for a ketogenic diet.