Your anecdote is supported by clinical evidence. Virta Health has been conducting clinical studies over the past few years on treating T2D with nutritional ketosis with a high rate of success in putting T2D into remission leading to many patients coming off of their meds and insulin entirely.
The ADA has quietly acknowledged these studies in their Standard of Care and more recently has adopted a position of endorsing low-carb, but they're still ignoring keto despite the clinical evidence.
As you said, the ADA's guidelines are focused on managing T2D as a progressive disease which inevitably leads to increased medical requirements over time. Although T2D remains incurable, there's enough clinical evidence to conclude that for many people it's treatable with nutritional ketosis.
I like to think I'm a rational person and don't subscribe to conspiracy theories in general, but something about the ADA and their relationship with pharmaceutical companies just rubs me wrong. To my knowledge, their largest financial sponsor is Eli Lilly which also happens to be one of the world's largest manufacturers of diabetes drugs, including insulin.
<20g is just the threshold that's guaranteed to put most people into ketosis, but the exact number will vary by person. <50g is also a common threshold that works for many people. I'm not an expert on what qualifies as a "ketogenic diet" but personally I would say that if your diet consistently leaves you in a state of ketosis, then it's ketogenic. I would hope that any study on ketogenic eating is actually measuring blood ketones to determine this.
For sure. It's not trivial but I also wouldn't say it's difficult either, maybe more of a moderate difficulty? The policy file format is straight forward, as are the necessary TXT and CNAME records.
In my case, I use Cloudflare for my domain so I set up a Cloudflare Pages project to generate and host the policy file at the mta-sts subdomain which is nice because I don't have to worry about hosting or SSL/TLS.
As long as your provider supports MTA-STS, you're only on the hook for setting up the records and hosting the policy file.
The ADA has quietly acknowledged these studies in their Standard of Care and more recently has adopted a position of endorsing low-carb, but they're still ignoring keto despite the clinical evidence.
As you said, the ADA's guidelines are focused on managing T2D as a progressive disease which inevitably leads to increased medical requirements over time. Although T2D remains incurable, there's enough clinical evidence to conclude that for many people it's treatable with nutritional ketosis.
I like to think I'm a rational person and don't subscribe to conspiracy theories in general, but something about the ADA and their relationship with pharmaceutical companies just rubs me wrong. To my knowledge, their largest financial sponsor is Eli Lilly which also happens to be one of the world's largest manufacturers of diabetes drugs, including insulin.