No. Lots and lots of people tried to follow the recommended low fat diet that was pushed on us in the late 70s and 80s. They went to the gym. They quit eating grilled chicken thighs and went for only the breast. They cut out the alfredo sauce, used marinara, and some people even switched to whole grain pastas and breads. And our society continued to get more and more unhealthy. Don’t you remember the low fat/no cholesterol phase? We could buy fat free cookies. We ate bagels and egg white omelets. We saw boxes of whole grain pasta labeled “no cholesterol.” Yeah.
If you give people who are pre-disposed to diabetes a low fat, moderate protein, high carb (and by no means all junk) diet, many people will still end up with high triglycerides, inflammatory markers, and high blood sugars. Those people cannot metabolize carbohydrates the way that “normal” people do. That’s the thing, much as some seem to believe it’s only the high fat/junk carbs combo that is the problem. I did the “healthy diet” for decades and swore by it. I was skeptical of people who claimed that they ate the same diet as I did and worked out, but continued to get fat.
Until it happened to me. My ability to eat my chicken breasts, egg white omelets, all those “healthy whole grains” and tons of fruit came to a resounding end. I gained weight-and I had been fit and skinny all my life-in spite of “eating healthy” and working out all the time. Nothing changed in my routine, yet all of sudden I was overweight and pre-diabetic. I had some scary blood lipids. Just like my mother.
If you take those same people who didn’t do well (in terms of prediabetses/diabetes/cardiac markers) on the low fat/high carb/moderate protein diet and put them on a keto or very low carb diet, many of them do extraordinarily well. Their triglycerides fall significantly. Their blood sugars normalize. More importantly, their insulin levels decrease and their insulin resistance resolves. With the resolution of insulin resistance, you often see a reduction in blood pressure and an improvement in lipid levels. They lose belly weight, the unhealthy fat pattern.
This just isn’t about people who live on pizza, cheeseburgers, and cheesecake, which as you mention, is the worst of the worst (combining high fat with high refined carbs). This syndrome also happens to people who eat a low fat, moderate protein, high carb (lots of grains, fruits, and starchy veggies) diet. It doesn’t happen to everyone who eats that way, which is part of what some here are saying. How the body reacts to food is unique to the individual, influenced in part by heredity.
People always imagine that the keto diet or other versions of low carb is all about eating bacon dipped in mayonnaise, eating a huge fatty steak, and lathering everything in oil. It’s not. It’s eating moderate protein (think 3-5 oz. of salmon) with low carb -lots of leafy greens and non-starchy vegetables (think a healthy serving of grilled zucchini brushed with avocado oil or a modest pat of butter or a big serving of spinach salad). A small serving of fresh berries with a litte dollop of homemade no sugar added whipped cream for dessert might top off the meal. It’s not a free for all with fats-no transfats or other fats that are documented to increase inflammation are “allowed”.
Eating that kind of diet and doing some IF reversed my insulin resistance and pre-diabetes. My blood work looked like that of another person. Eating high fat/moderate protein/low carb.
The hardest thing is that refined carbs and starches are delicious and ubiquitous. I totally got off the wagon and I’m going to have to start all over again. It’s definitely not easy. And it’s not necessary or most people. I’m just one of the lucky ones who really struggles with insulin resistance and normal measures just do not work for me and others like me.