Department of Pharmaceutical Sciences & Technology, Maharaja Ranjit Singh Punjab Technical University, Bathinda, Punjab, India.
Chitkara College of Pharmacy, Chitkara University, Punjab, India.
Life Sci. 2021 Jan 1;264:118661. doi: 10.1016/j.lfs.2020.118661. Epub 2020 Oct 26.
Obesity and diabetes are the two major metabolic complications linked with bad eating habits and the sedentary (lazy) lifestyle. In the worst-case situation, metabolic problems are a causative factor for numerous other conditions. There is also an increased demand to control the emergence of such diseases. Dietary and lifestyle improvements contribute to their leadership at an elevated level. The present review, therefore, recommends the use of the ketogenic diet (KD) in obesity and diabetes treatment. The KD involves a diet that replaces glucose sugar with ketone bodies and is effective in numerous diseases, such as metabolic disorders, epileptic seizures, autosomal dominant polycystic disease of the kidney, cancers, peripheral neuropathy, and skeletal muscle atrophy. A lot of high profile pathways are available for KD action, including sustaining the metabolic actions on glucose sugar, suppressing insulin-like growth factor-1 (IGF1) and phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathways, altering homeostasis of the systemic ketone bodies, contributing to lowering diabetic hyperketonemia, and others. The KD regulates the level of glucose sugar and insulin and can thus claim to be an effective diabetes approach. Thus, a stopgap between obesity and diabetes treatment can also be evidenced by KD.
肥胖症和糖尿病是与不良饮食习惯和久坐(懒惰)生活方式相关的两种主要代谢并发症。在最坏的情况下,代谢问题是许多其他疾病的致病因素。因此,也有更高的需求来控制这些疾病的出现。饮食和生活方式的改善有助于将这些疾病控制在较高水平。因此,本综述建议将生酮饮食(KD)用于肥胖症和糖尿病的治疗。KD 涉及用酮体替代葡萄糖糖的饮食,对代谢紊乱、癫痫发作、常染色体显性多囊肾病、癌症、周围神经病和骨骼肌萎缩等多种疾病有效。KD 有许多高知名度的作用途径,包括维持对葡萄糖糖的代谢作用、抑制胰岛素样生长因子-1 (IGF1) 和磷脂酰肌醇 3-激酶 (PI3K)/蛋白激酶 B (AKT)/哺乳动物雷帕霉素靶蛋白 (mTOR) 途径、改变全身酮体的动态平衡、有助于降低糖尿病性高酮血症等。KD 调节葡萄糖糖和胰岛素的水平,因此可以说是一种有效的糖尿病治疗方法。因此,KD 也可以证明是肥胖症和糖尿病治疗之间的一个临时解决方案。