From my experience it is eminently sustainable. Not having to inject insulin every morning alone makes this a huge improvement in my quality of life.


As to healthy, unless you have familial hyperlipidemia, a small percentage of humans do, it is eminently fine. You know what is not healthy and will lead to an early death for a T2D? The current recommendations. Doctors are embracing this way of eating. There is a reason for that. Putting diabetes into remission requires a low carb diet and should be the standard of care at this point.

https://www.huffpost.com/archive/ca/entry/low-carb-high-fat-is-what-we-physicians-eat-you-should-too_a_23232610

At one point, before Ancel Keys war on fat went full crazy Keto pretty much was the standard recommendation for people to lose weight. It was what my dad received as a T2D at Rochester, in the 1960s. This fad, as termed by dietitians and many doctors, is as old in the current form, as the 19th century. This is why in the UK it is known as the Banting diet.

It is in its most controlled form, trust me, nowhere near that, is used to treat one particular form of epilepsy. It usually comes with surgical intervention as soon as the young patient is old enough. It is currently though to be a good treatment for Alzheimer’s, which incidentally is termed T3D in some circles.

https://www.frontiersin.org/articles/10.3389/fnut.2021.744398/full

And if I had a family member with Alzheimer’s, guess what I would insist on?

The not sustainable and not healthy is quite frankly partly what we have been told, but the high carb low fat diet of the last fifty years, the standard American diet, SAD for short, is behind the current obesity, metabolic syndrome, non communicable disease pandemic. There is no argument any longer.

Before 1977 Americans ate more fat, and grandmothers knew that potatoes and bread go to the hips. So does candy.

I will argue, that unless you have familial hyperlipidemia, and you are overweight to obese, keto for hormonal reasons, is a very good choice. Obesity is not about calories, but hormonal disregulation. In particular insulin resistance and leptin resistance.