- Messages
- 2,374
- Type of diabetes
- Type 2
- Treatment type
- Diet only
A friend who is obese and recently diagnosed with diabetes commented yesterday that there is push back against the ketogenic diet by doctors who say the diet is dangerous. I didn't anticipate this. My bad. I responded as best I could.
Then last night I come across this on a website based out of New York City, The Daily Meal - All Things Food & Drink...
‘Keto Rash’ Is the Horrifying New Side Effect of Eating Low-Carb
July 19, 2019 | 12:16pm
Holly Van Hare
The rash can literally scar you for life
Here's the link... https://www.thedailymeal.com/healthy-eating/keto-rash-side-effect-low-carb/071919
After reading the last two paragraphs...
"The condition is called prurigo pigmentosa. Existing scientific literature shows a link between ketosis and the rash, though studies show other intervening factors (such as sunlight, extreme heat, allergens and sweating) may worsen the condition. Going on the keto diet is not the only way humans can enter ketosis. Conditions such as diabetes mellitus and anorexia nervosa can also lead to this state, as well as fasting and dieting.
A 2018 case study showed that prurigo pigmentosa can only really be treated by eating a lot more carbs — i.e., quitting keto. Other options, such as topical creams and anti-inflammatory drugs, may temporarily relieve symptoms — but if you don’t quit the diet, the rash is likely to return in full force once you stop using them. “There is no dietary treatment option to successfully treat the rash without sacrificing ketosis,” the study reads. And once the rash disappears, there is no known method of getting rid of the dark brown spots prurigo pigmentosa leaves behind."
I asked the question, "What is "prurigo pigmentosa"? This was my first search result...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5945928/
From the abstract:
"Prurigo pigmentosa is a rare inflammatory dermatitis first described in 1971. While the etiology of Prurigo pigmentosa is yet unknown, conditions associated with ketosis often accompany this rash. Prurigo pigmentosa is successfully treated with antibiotics and by resolution of ketosis. However, there is no dietary treatment option to successfully treat the rash without sacrificing ketosis. We report two cases successfully treated with increase of dietary carbohydrate intake. The second case suggests that cessation of ketosis may not be necessary to resolve Prurigo pigmentosa.
Keywords: Ketogenic Diet, Prurigo Pigmentosa, Epilepsy"
From the first paragraph of the Introduction...
"Prurigo pigmentosa (PP) is considered a rare inflammatory dermatitis first described by Nagashima, et al, in 1971.1 It typically occurs in Asian women of child-bearing age but has also been documented in individuals in other regions and ethnicities, as well as in men.2–9 Certain systemic conditions, including adult—onset Still's disease,10 atopy,11H. pylori infection,12 and Sjögren's syndrome13 have been associated with PP. It has also been strongly associated with conditions that commonly produce ketosis, such as restrictive dieting, fasting, and uncontrolled diabetes mellitus.2,14–18 Nutrition—related PP has not been reported in the pre-pubescent population.2 It is rarely reported in the United States, although this may be due to the unfamiliarity of practitioners with this condition.7"
Interestingly, the journalist failed to report that the doctors who wrote the above above article - (click on the second link) - state in the Discussion section...
"To our knowledge, we are the first to demonstrate that complete resolution of ketosis may not be necessary to successfully treat the rash, which is of particular importance in cases where the KD is therapeutically valuable as a successful treatment modality for medical conditions."
Learning about the ketogenic diet as a means to put my diabetes in remission was an exciting and life changing moment for me in 2015. Starting was easy, but staying on it those first few months was scary because it went against everything I'd been taught about diet up until that point. Don't know how I could have continued had it not been for the support of forum members here who provided me link after link to the research that support this way of eating.
Thankfully, the doctors are slowly coming on board, as are some in the food industry. Our local food co-op prepares and offers a variety of healthy, organic, "keto" foods on their hot bar and from their bakery daily. And just the other day I passed a local coffee house advertising "keto coffee drinks". It's a slow slog but we're making progress despite those who want to maintain the status quo of diets that include unhealthy, processed starches, sugars, and seed oils...that are slowly killing us.
Then last night I come across this on a website based out of New York City, The Daily Meal - All Things Food & Drink...
‘Keto Rash’ Is the Horrifying New Side Effect of Eating Low-Carb
July 19, 2019 | 12:16pm
Holly Van Hare
The rash can literally scar you for life
Here's the link... https://www.thedailymeal.com/healthy-eating/keto-rash-side-effect-low-carb/071919
After reading the last two paragraphs...
"The condition is called prurigo pigmentosa. Existing scientific literature shows a link between ketosis and the rash, though studies show other intervening factors (such as sunlight, extreme heat, allergens and sweating) may worsen the condition. Going on the keto diet is not the only way humans can enter ketosis. Conditions such as diabetes mellitus and anorexia nervosa can also lead to this state, as well as fasting and dieting.
A 2018 case study showed that prurigo pigmentosa can only really be treated by eating a lot more carbs — i.e., quitting keto. Other options, such as topical creams and anti-inflammatory drugs, may temporarily relieve symptoms — but if you don’t quit the diet, the rash is likely to return in full force once you stop using them. “There is no dietary treatment option to successfully treat the rash without sacrificing ketosis,” the study reads. And once the rash disappears, there is no known method of getting rid of the dark brown spots prurigo pigmentosa leaves behind."
I asked the question, "What is "prurigo pigmentosa"? This was my first search result...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5945928/
From the abstract:
"Prurigo pigmentosa is a rare inflammatory dermatitis first described in 1971. While the etiology of Prurigo pigmentosa is yet unknown, conditions associated with ketosis often accompany this rash. Prurigo pigmentosa is successfully treated with antibiotics and by resolution of ketosis. However, there is no dietary treatment option to successfully treat the rash without sacrificing ketosis. We report two cases successfully treated with increase of dietary carbohydrate intake. The second case suggests that cessation of ketosis may not be necessary to resolve Prurigo pigmentosa.
Keywords: Ketogenic Diet, Prurigo Pigmentosa, Epilepsy"
From the first paragraph of the Introduction...
"Prurigo pigmentosa (PP) is considered a rare inflammatory dermatitis first described by Nagashima, et al, in 1971.1 It typically occurs in Asian women of child-bearing age but has also been documented in individuals in other regions and ethnicities, as well as in men.2–9 Certain systemic conditions, including adult—onset Still's disease,10 atopy,11H. pylori infection,12 and Sjögren's syndrome13 have been associated with PP. It has also been strongly associated with conditions that commonly produce ketosis, such as restrictive dieting, fasting, and uncontrolled diabetes mellitus.2,14–18 Nutrition—related PP has not been reported in the pre-pubescent population.2 It is rarely reported in the United States, although this may be due to the unfamiliarity of practitioners with this condition.7"
Interestingly, the journalist failed to report that the doctors who wrote the above above article - (click on the second link) - state in the Discussion section...
"To our knowledge, we are the first to demonstrate that complete resolution of ketosis may not be necessary to successfully treat the rash, which is of particular importance in cases where the KD is therapeutically valuable as a successful treatment modality for medical conditions."
Learning about the ketogenic diet as a means to put my diabetes in remission was an exciting and life changing moment for me in 2015. Starting was easy, but staying on it those first few months was scary because it went against everything I'd been taught about diet up until that point. Don't know how I could have continued had it not been for the support of forum members here who provided me link after link to the research that support this way of eating.
Thankfully, the doctors are slowly coming on board, as are some in the food industry. Our local food co-op prepares and offers a variety of healthy, organic, "keto" foods on their hot bar and from their bakery daily. And just the other day I passed a local coffee house advertising "keto coffee drinks". It's a slow slog but we're making progress despite those who want to maintain the status quo of diets that include unhealthy, processed starches, sugars, and seed oils...that are slowly killing us.
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