The Atlanta Journal-Constitution

FOOD Curious about keto?

Get to know the original low-carb diet.

- By Kate Williams For the AJC

Get to know the original low-carb diet.

Low-carbohydra­te diets are inescapabl­e these days. There’s a good chance at least one person in any given social circle is on Whole30 or trying out paleo. But what these all have in common, besides a lack of starchy grains, is a root in a highly restrictiv­e diet known today as simply “keto” (pronounced “KEE-toe”).

The basic premise of the keto, or ketogenic, diet is that, by replacing carbohydra­tes with fat, you’ll trick your body into a starvation mode called ketosis. In ketosis, the liver breaks down fat into molecules called ketone bodies, which can then be used for energy instead of glucose from carbohydra­tes. In order to reach ketosis, one must eat a diet that is approximat­ely 70 to 75 percent fat, plus a little protein and even fewer carbs.

If you read this and think you’re having Atkins diet deja vu, you’re not wrong. The keto diet was, in fact, a precursor to Atkins, as well as other low-carbohydra­te diets. Modern keto dieters have also adopted one of the Atkins diet’s premises, that of “net carbs,” as a measuremen­t tool. Net carbs are carbohydra­tes minus indigestib­le nutrients, such as fiber and sugar alcohols. Along with fat and protein, these are also one of three “macros” (short for “macronutri­ents”) typically listed with all keto recipes.

Keto has its roots in medicine: The diet was originally developed in the 1920s as a treatment for childhood epilepsy, as elevated ketone bodies in the brain reduce the occurrence of seizures. This therapeuti­c keto diet is severely restrictiv­e in both protein and carbohydra­tes, requiring around a 4-1 ratio of fat to combined carbs and protein.

And its precursor was even more restrictiv­e — fasting, which also promotes ketosis, [ JUMP] was an early treatment for the disease.

Interest in dietary treatments for epilepsy waned after the advent of anti-convulsant medication­s but experience­d a rebirth in the mid1990s after a “Dateline NBC” episode and subsequent TV movie about Charlie Abrahams, the son of a Hollywood producer, who found success treating his uncontroll­able epilepsy with the keto diet. It is now even more popular today, and the keto diet is being studied as a treatment for other neurologic­al diseases such as Alzheimer’s and autism.

Today, you’ll find both strong proponents and detractors of the diet. Some say keto is highly effective as a weight loss tool and is useful for Type 2 diabetics needing to control their glycemic index. Detractors say the high-fat content of keto-friendly meals can be dangerous for long-term heart health and that the side effects of a longterm keto diet have not yet been given enough study.

Regardless, trying out a few keto recipes can be a fun way to experiment in the kitchen. Vegetables, like cauliflowe­r, can be transforme­d into dead ringers for Southern classics like cheese grits, and other meatfocuse­d dishes, such as the Lao salad larb, are keto-friendly all on their own.

 ?? CONTRIBUTE­D PHOTOS BY HENRI HOLLIS ?? Keto Shrimp and Cauliflowe­r Grits doesn’t skimp on taste but does substitute finely ground cauliflowe­r for grits to keep the carbs down.
CONTRIBUTE­D PHOTOS BY HENRI HOLLIS Keto Shrimp and Cauliflowe­r Grits doesn’t skimp on taste but does substitute finely ground cauliflowe­r for grits to keep the carbs down.
 ??  ?? With some adjustment­s to the Lao salad known as larb, you can make a keto-friendly recipe such as Keto Pork Larb Lettuce Cups.
With some adjustment­s to the Lao salad known as larb, you can make a keto-friendly recipe such as Keto Pork Larb Lettuce Cups.
 ?? CONTRIBUTE­D PHOTOS BY HENRI HOLLIS ?? Keto Shrimp and Cauliflowe­r Grits doesn’t skimp on taste but does substitute finely ground cauliflowe­r for grits to keep the carbs down.
CONTRIBUTE­D PHOTOS BY HENRI HOLLIS Keto Shrimp and Cauliflowe­r Grits doesn’t skimp on taste but does substitute finely ground cauliflowe­r for grits to keep the carbs down.
 ??  ?? With some adjustment­s to the Lao salad known as larb, you can make a keto-friendly recipe such as Keto Pork Larb Lettuce Cups.
With some adjustment­s to the Lao salad known as larb, you can make a keto-friendly recipe such as Keto Pork Larb Lettuce Cups.

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