who should try keto? a woman standing in front of a mirror looking at a slimmer self

Who Should Try Keto? Key Groups That Benefit from This Low-Carb Lifestyle

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The ketogenic diet, often referred to as “keto,” is a low-carbohydrate, high-fat eating plan designed to shift your body into a state of ketosis, where fat becomes the primary energy source instead of carbs. While this approach has gained attention for its potential benefits, it’s not a one-size-fits-all solution. Who should try Keto? Well, those looking to manage weight, stabilise blood sugar levels, or address specific health conditions like type 2 diabetes or epilepsy might find keto particularly helpful. However, understanding its suitability for your lifestyle and goals is key. To understand the basics of keto and its science-backed benefits, visit our Introduction to the Ketogenic Diet.

Understanding the Ketogenic Diet

The ketogenic diet has become a popular topic for those looking to transform their health, manage weight, or improve overall energy levels. It’s a powerful tool, but its effectiveness lies in understanding how it works and what benefits it offers. Let’s explore the science behind this lifestyle.

What is Ketosis?

At its core, ketosis is a natural metabolic process where the body shifts from using glucose (carbohydrates) as its primary energy source to utilising fat. When carb intake is extremely low, the body begins to break down stored fat into molecules called ketones, which act as an alternative energy source. This process generally kicks in after a few days of consuming minimal carbs.

Ketosis essentially puts your body in fat-burning mode, which can lead to weight loss and lower blood sugar levels. This state differs significantly from how most of us usually function, where carbs dominate our diet. If you’re interested in the science of ketosis, you might find our comprehensive guide on the topic helpful.

How the Keto Diet Works

The keto diet flips the typical macronutrient ratio of most diets. In this lifestyle, roughly 70-80% of your daily calories come from fat, about 10-20% from protein, and 5-10% from carbohydrates. This strict ratio allows the body to maintain a state of ketosis consistently.

Here are the types of foods central to keto:

  • Healthy Fats: Avocado, olive oil, coconut oil, and nuts.
  • Proteins: Grass-fed meat, eggs, and fatty fish like salmon.
  • Low-Carb Vegetables: Spinach, broccoli, cauliflower, and zucchini.
  • High-Fat Dairy: Heavy cream, butter, and cheese.

On the flip side, foods high in carbs such as bread, pasta, rice, and sugary treats are kept to a bare minimum. For a deeper dive into what you can eat on a ketogenic diet, check out our Ultimate Keto Diet Food List.

Benefits of the Keto Diet

Many people turn to keto for its well-known benefits:

  • Weight Loss: By prioritising fat-burning over carbs, the diet makes it easier to shed unwanted weight.
  • Improved Energy Levels: Ketones provide a more stable and lasting energy source compared to glucose, avoiding the highs and crashes typical of carb-heavy diets.
  • Mental Clarity: Many keto followers report enhanced focus and reduced brain fog.
  • Blood Sugar Management: The diet can help stabilise blood sugar, making it particularly beneficial for those with type 2 diabetes.

Historically, the keto diet was developed as a treatment for epilepsy, particularly in children. Studies have shown it can effectively reduce seizure frequency. Today, its use extends beyond medical conditions, attracting athletes, weight-loss seekers, and those looking to improve overall health. For further research, you can explore studies such as this one discussing ketogenic diet impacts.

From historical medical applications to being a go-to weight management strategy, the ketogenic diet offers a range of benefits that go beyond just losing a few pounds. Understanding its science will better prepare you for deciding if keto aligns with your goals.

Who Should Try the Keto Diet?

The keto diet isn’t a universal fit for everyone, but it offers distinct advantages for certain groups of people looking to address specific health goals or conditions. Let’s explore who might benefit most from trying this high-fat, low-carb lifestyle.

Individuals with Type 2 Diabetes

One of the most compelling reasons for trying keto is its potential benefits for those living with type 2 diabetes. By significantly reducing carbohydrate intake, the diet helps stabilise blood sugar levels and improve insulin sensitivity. When glucose levels are well-controlled, individuals may even reduce their reliance on medications.

Research highlights the impact of the ketogenic diet in lowering HbA1c levels, a key marker for long-term blood sugar control. If you’re considering keto for managing diabetes, empowering yourself with resources like this research may help you make an informed decision.

Those Seeking Weight Loss

For those struggling with obesity or excess weight, keto can be a game-changer. The diet flips the metabolic switch, encouraging your body to burn fat for energy instead of storing it. Many people find it easier to manage portion sizes on keto because the high-fat content naturally suppresses appetite.

Unlike traditional calorie-restricting diets, keto allows you to enjoy satisfying meals while shedding pounds. Need inspiration? Check out our case study on keto week 1 results to see how quickly some people notice changes.

People with Neurological Disorders

Originally developed as a treatment for epilepsy, the ketogenic diet has proven effective in reducing the frequency and severity of seizures, especially in children. Beyond epilepsy, emerging research suggests potential benefits for neurological conditions like Alzheimer’s and Parkinson’s diseases.

The brain thrives on ketones, which may provide neuroprotective effects. While additional studies are required, preliminary findings are promising. For instance, you might find more insights in this article on the benefits of a ketogenic lifestyle.

Athletes and Fitness Enthusiasts

While it might seem counterintuitive for active individuals to cut carbs, a ketogenic diet can actually enhance fat metabolism and endurance. Athletes in sports requiring sustained energy, like marathon runners or cyclists, often report improved stamina once their bodies are fully adapted to burning ketones.

For those into strength training, pairing keto with the right intake of protein and fats ensures optimal muscle recovery without needing traditional carb-loading strategies.

Other Health Conditions

The scope of keto’s benefits doesn’t stop there. Here’s a quick look at some other conditions where the keto diet might be worth considering:

  • Metabolic Syndrome: Keto reduces markers like waist circumference, fasting glucose, and triglycerides.
  • Polycystic Ovary Syndrome (PCOS): Low-carb diets may help regulate hormones and improve symptoms.
  • Chronic Inflammation: By cutting excess sugar, keto may reduce inflammation linked to various illnesses.

Before embarking on this lifestyle, it’s essential to weigh the pros and potential challenges to see if it aligns with your health goals. If you’re still unsure, start with our introductory guide to the ketogenic diet for a better foundation.

Who Should Avoid the Keto Diet?

The ketogenic diet has surged in popularity as a potential solution for weight loss, blood sugar management, and more. However, it’s not suitable for everyone. Before diving into keto, it’s essential to evaluate whether it aligns with your current health status and nutrition needs. Certain groups must approach this high-fat, low-carb lifestyle with caution—or avoid it altogether. Let’s break down who these individuals are and why keto might not be the best choice for them.

Individuals with Certain Medical Conditions

Not all medical conditions are compatible with ketogenic eating. For example, people with pancreatic disease, liver dysfunction, or gallbladder issues may struggle to process the high-fat content of a keto diet. These organs play critical roles in fat digestion, and overburdening them could lead to complications.

Similarly, individuals with chronic kidney disease should avoid keto. The increased acid levels associated with ketosis might strain the kidneys, potentially worsening their condition. People with Type 1 diabetes also face risks, as keto can lead to potentially dangerous changes in blood glucose and ketone levels, increasing the risk of diabetic ketoacidosis. According to this study, such contraindications make keto hazardous for certain patient groups.

Always consult a healthcare provider if you fall into any of these categories before considering keto.

Pregnant and Breastfeeding Women

Pregnancy and breastfeeding demand higher levels of nutrients and calories to support both the mother and the baby’s growth. A ketogenic diet might not meet these dietary requirements, as it significantly restricts carbohydrates, which are a crucial source of energy during these periods. Additionally, keto’s limited food options could lead to deficiencies in essential nutrients like folate, iodine, and magnesium—all vital for healthy fetal development and breastfeeding.

Instead of keto, pregnant and breastfeeding women are encouraged to focus on balanced meals that include a wide variety of whole foods. If you’re considering any dietary changes during these stages, consult a prenatal nutritionist or healthcare provider.

Children and Adolescents (Unless Medically Supervised)

While the ketogenic diet has been used in clinical settings to manage epilepsy in children, it’s typically done under careful medical supervision. For healthy children and adolescents, however, keto might not provide the broad range of nutrients necessary for their rapid growth and development.

A growing body needs carbohydrates to fuel physical activity and support brain development. Restricting this vital macronutrient could lead to stunted growth, delayed puberty, or other developmental issues. If keto is considered for a child or adolescent due to medical reasons, a qualified medical professional should oversee the process.

Those with a History of Disordered Eating

If you’ve struggled with disordered eating patterns, the restrictive nature of the ketogenic diet may worsen these tendencies. The focus on tracking macros, avoiding “forbidden” foods, and adhering to rigid dietary rules can be triggering for some people. This approach might lead to unhealthy behaviours, including guilt around eating or obsessive thoughts about food.

For those in recovery from disordered eating, a flexible, balanced diet is often a safer and more sustainable option. Always prioritise mental health when considering drastic dietary changes.


If you’re unsure about your compatibility with the ketogenic diet, it’s always wise to start with a deeper understanding of how keto works. A solid starting point is our Introduction to the Ketogenic Diet to explore whether it aligns with your health and lifestyle goals.

who should try keto? a woman standing in front of a mirror looking at a slimmer self

Considerations Before Starting the Keto Diet

Before diving into the ketogenic lifestyle, there are several important considerations to keep in mind. Planning ahead can help you navigate potential challenges and improve your chances of successfully transitioning into ketosis. This section outlines key steps to take before embracing the keto diet.

Consulting with a Healthcare Professional

Starting any new diet without consulting a professional could be like driving without a map—it can lead to avoidable complications. If you have any underlying conditions such as diabetes, high blood pressure, or heart issues, talking to your doctor or a registered dietitian is critical before trying keto. They can help you determine whether this plan aligns with your individual nutritional needs and health goals.

Additionally, certain conditions like chronic kidney disease or gallbladder problems aren’t compatible with a high-fat intake. Medical advice ensures you’re not unknowingly putting stress on vital organs. To gain a deeper understanding of how keto works and its potential effects, you might find our Introduction to the Ketogenic Diet helpful for context.

Starting Slow: Transitioning to Keto

Jumping headfirst into keto can overwhelm your body, leading to side effects such as the infamous “keto flu.” This temporary reaction happens as the body adapts to burning fat instead of carbs. Symptoms might include headaches, fatigue, and irritability, but they can be managed or avoided with a gradual approach.

Here are some tips for a smooth transition:

  • Reduce Carbs Gradually: Decrease carbohydrate intake over a series of weeks instead of cutting them out overnight.
  • Stay Hydrated: Drink plenty of water to counteract potential dehydration, a common issue during the transition.
  • Increase Electrolytes: Nutrients like sodium, potassium, and magnesium can help minimise symptoms. Add foods like avocados, leafy greens, and bone broth to your diet.
  • Prioritise Rest: Your body needs extra downtime as it adjusts to a new fuel source.

A slow and steady start allows your system to adapt to ketosis at a reasonable pace, avoiding unnecessary discomfort.

Common Challenges and How to Overcome Them

Like any lifestyle change, keto comes with its own set of challenges. Understanding these issues beforehand can make the process easier to manage.

1. Meal Planning
At first, planning meals within keto’s specific macronutrient ratios can feel overwhelming. Simplify this process by dedicating time each week to prepping keto-friendly dishes. Keep your fridge stocked with staples like eggs, fatty fish, and low-carb vegetables. Our Ultimate Keto Diet Food List is a handy starting point to build a functional shopping list.

2. Nutrient Deficiencies
The restrictive nature of keto may lead to deficiencies in certain vitamins and minerals, such as fibre and vitamin C. To keep your diet balanced, include low-carb vegetables, nuts, seeds, and supplements if necessary. A quick chat with a nutritionist can guide you on maintaining your micronutrient intake.

3. Sticking to the Plan
Consistency is tougher than it seems, especially during social events or dining out. Combat this by having a repertoire of go-to meals that you know meet your macros. Many restaurants offer keto-friendly options; don’t hesitate to make custom requests.

By preparing for these hurdles and staying informed, you can set yourself up for a successful keto journey. If you’re just getting started, our introductory guide to keto has more tips to make the process more manageable.

Final Thoughts on Trying Keto

When considering whether the ketogenic diet is right for you, it’s important to weigh both the benefits and potential challenges. While keto offers a range of health advantages for many, such as weight loss, mental clarity, and blood sugar control, it’s not a universal solution. Let’s break down key points to help you decide if this path aligns with your goals and lifestyle.

The Importance of Long-Term Commitment

The keto diet is much more than a temporary fix; it’s designed for sustained lifestyle changes. Unlike a quick detox or a short-term weight-loss strategy, keto requires consistent effort to maintain the state of ketosis. This means strictly managing carbohydrate intake every day.

For individuals who thrive on structure and routine, the ketogenic diet can be a great fit. However, if your eating habits are more flexible or you’re prone to social dining, the level of discipline required might feel overwhelming. To better understand what commitment entails, you can explore what a keto cleanse involves for insight into managing transitions within this lifestyle.

Is Keto Sustainable for You?

Sustainability is key with any diet. Keto works well for people who enjoy high-fat, low-carb foods and are willing to plan meals in advance. However, some find its restrictions challenging over the long term, especially when it comes to eating out or navigating social events.

To build sustainability, many people adopt variations of keto, such as cyclical keto or targeted keto, which allow for occasional carb intake. Asking yourself, “Can I realistically maintain this way of eating?” is crucial before diving in. If you’re unsure, there’s a great comparison of similar diet options like paleo in our Paleo vs Keto Diets guide to help you analyse what feels right for you.

Things to Keep in Mind Before Trying Keto

Before starting keto, it’s worth noting that everyone’s experience can vary. While it has proven benefits, particularly for managing conditions like type 2 diabetes or epilepsy, it’s not a one-size-fits-all approach. Consulting a healthcare professional or a nutritionist before making drastic dietary changes is always recommended. If you’re looking for a detailed exploration, consider reading Harvard Health’s guide to the keto diet.

Adapting to keto can also bring challenges like the “keto flu,” nutrient deficiencies, or difficulty in balancing meals. Success often depends on preparation and having clear goals. If you’re approaching keto for weight loss or other health purposes, starting slow and educating yourself is the best way to set yourself up for success.

Conclusion

When deciding if keto is right for you, reflect on your health goals and personal needs. This diet has shown potential benefits for certain groups, including individuals managing type 2 diabetes, those seeking weight loss, or people with specific neurological conditions. However, it’s not suited for everyone, especially those with certain medical conditions or unique dietary needs.

Consult with a healthcare provider to ensure keto aligns with your health and lifestyle. Their guidance can help minimise risks and set the foundation for a successful transition. If you’re still exploring whether this diet fits your life, start with our Introduction to the Ketogenic Diet for a deeper understanding.

Ultimately, the decision to try keto should be well-informed and centered around your long-term wellness. Is this a lifestyle you can maintain, and does it support your overall health? Consider these questions as you chart your course forward.