Ketogenic diet and bone health
Hi! I have been on a ketogenic diet for 5 years now. I am a 41 year old, type 1 diabetic woman (D for 23 years), osteoporosis diagnosis 8 years ago. Probably caused by my former constant hyperglycemias and ketoasidosis. Keto changed everything with my diabetes, on it, my blood sugar management is exceptional. I have taken bone drug alendronate (aminobisphosphonate) for 4,5 years. Before it, many foot fractures. Very healthy life style, plus vitamin K2, D and calcium. My keto is plant based, mediterranian style, I eat protein around 1,5 g/ kg per day, animal as well as plant (I`m a qualified nutritionist.) In my family everyone else has strong bones. I just got my DEXA scan results yesterday, my osteoporosis keeps getting worse, still. That was a big disappointment. So my question is: Does long term ketogenic affect the bone health? The ketosis part of it, so i got osteoporosis mainly because of ketoacidosis, and I know that nutritional ketosis is not ketoacidosis, but still, those acid compounds, they are the same. I have tried to figure this out for way over past 5 years. Am I doing bad for my bones? Also as a responsible nutritionist that gives instructions to other people, also to those on a ketogenic, i need to know. On a counter side i have to weight the benefits that on a healthy version of the ketogenic my type 1 diabetes management is so much better than it was when I was following the official guide lines. My blood ketone levels have been 0,5-max 3 mml. Sometimes below, never over. Kidneys ok. My lipids are great, also ABOb and LPa are low, no statins yet. No blood pressure any more etc, normal weight. Most of my metabolic health markers, almost all of them, have improved greatly.
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