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Group Questions

Ketogenic Diets. Highly restricted Carb intakeClaimsMobilize fat stores for energyInduce Ketosis (incomplete fat breakdown)Ketones suppress appetiteMany ketones lost through urineAmounts to

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Group Questions

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    1. Group Questions Low Carb Diets Diabetes LPL / Cholesterol

    2. Ketogenic Diets Highly restricted Carb intake Claims Mobilize fat stores for energy Induce Ketosis (incomplete fat breakdown) Ketones suppress appetite Many ketones lost through urine Amounts to “lost”energy Moderates Insulin response / increases glucagon levels

    3. Ketogenic Diets What actually occurs Urinary ketone loss accounts for at most 100-150 kcal/day = 0.45 kg weight loss/month Gluconeogenesis using amino acids from Lean body tissue (glucagon) = ? LBM Dehydration 2O fluid loss due to ? [ketones and amines] in urine.

    4. Ketogenic Diets What actually occurs (cont.) Acidosis ? cardiac arrhythmias ? Exercise performance due to ? glycogen stores / fatigue / headache / irritability Unfavorable blood lipid profile 70% + calories from fat not uncommon Vitamin / mineral deficiencies Especially w/ some pre-packaged diets

    5. Ketogenic Diets Why you loose weight Dehydration Loss of LBM Often consume much less food over time as you tire of the diet. Suppression of appetite from ketosis (not necessarily a good thing?) 40/30/30 – Minimum diet recommended

    6. Diabetes Diet Minimize simple carbohydrate intake Emphasize complex / high fiber carbohydrate sources. Pay attention to Glycemic Index of food / eat more frequent, small meals Moderate carbohydrate intake Consider 40/30/30

    8. Diabetes Exercise w/ No Insulin Hyperglycemia Possible Cells will not receive needed glucose and will stimulate breakdown of glycogen stores May risk diabetic shock if blood sugar gets to high Ketosis likely due to increase of fat mobilization. Diabetics should eat light snack before exercise and take small insulin dose in non-active muscle.

    9. Diabetes Too much insulin Hypoglycemia Glucose crosses cell membrane too fast Blood sugar drops Diabetic coma possible Can be fatal if sugars are not taken in to offset

    10. LPL / Cholesterol LPL activity Increase Exercise More muscle mass involved the better LPL is endothelially bound to capillary beds Released with increased blood flow Hypertrophy / Increased capillary density Medication Some cholesterol lowering medications have effects on LPL activity

    11. LPL / Cholesterol Fate of Glycerol & FA’s Energy Storage (Fat) Taken up by VLDL, LDL, or HDL LPL activity (Reverse Cholesterol Transport) VLDL ? LDL and eventually increasing HDL – C.

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