What if I told you there's a way to lower your A1C, lose weight, and regain your energy—without relying solely on medication?
In this guide, I’ll walk you through how a ketogenic (keto) diet helped me lower my A1C by 6 points, and share 7 key strategies that made it sustainable—even enjoyable. Whether you’re just starting or looking to fine-tune your approach, this could be your roadmap.
1. Why More People with Diabetes Are Turning to the Keto Diet
For years, the standard advice for diabetes was to eat low-fat, high-carb meals and take medications as needed. But many of us discovered that this path only delayed the inevitable.
I was one of them—until I learned about the low-carb, high-fat ketogenic diet.
Here’s why keto is gaining traction among those managing type 2 diabetes:
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Lower insulin demand: Fewer carbs = less insulin needed
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Stable blood sugar: Fat and protein don’t cause blood sugar spikes
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Weight loss without hunger: A natural result of burning fat
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Reduced medication dependency: Backed by clinical studies and real-world results
Even the American Diabetes Association now acknowledges low-carb diets as a valid option for blood sugar management—a big shift in mainstream thinking.
2. How the Keto Diet Actually Works for Blood Sugar Control
Your body normally burns glucose from carbs for energy. When you drastically reduce carbs (under 30–50g/day), your body switches to burning fat for fuel, creating substances called ketones in the liver. This state is called ketosis.
Here's how this benefits people with type 2 diabetes:
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Improved insulin sensitivity over time
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Lower hepatic glucose production (your liver makes less sugar)
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Reduced visceral fat, which helps fight insulin resistance
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Less inflammation, lowering the risk of complications
In a 2019 study, type 2 diabetics on a ketogenic diet for one year:
✔ 60% reduced or eliminated medications
✔ A1C dropped by an average of 1.3%
3. A Sample 7-Day Keto Meal Plan for Blood Sugar Control
You don’t have to give up flavor or your cultural food identity. I adapted this 7-day meal plan to fit an Asian palate while keeping daily carbs below 30g.
MONDAY
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Breakfast: Scrambled eggs with avocado & bacon
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Lunch: Tuna salad with mayo, celery, avocado
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Dinner: Beef steak with buttered asparagus
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Snack: A handful of macadamia nuts
TUESDAY
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Breakfast: Unsweetened Greek yogurt with coconut milk & almonds
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Lunch: Chicken breast salad with olive oil
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Dinner: Grilled salmon with sautéed broccoli
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Snack: Half an avocado with sea salt
WEDNESDAY
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Breakfast: Bulletproof coffee + 2 boiled eggs
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Lunch: Korean bulgogi in lettuce wraps
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Dinner: Grilled pork shoulder with a bit of kimchi
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Snack: Cheddar cheese cubes
THURSDAY
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Breakfast: Keto pancakes (almond flour, eggs, cream cheese)
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Lunch: Smoked duck breast over arugula
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Dinner: Roasted chicken drumsticks with stir-fried spinach
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Snack: Bacon-wrapped asparagus
FRIDAY
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Breakfast: Avocado egg salad
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Lunch: Creamy mushroom soup (no flour)
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Dinner: Stir-fried shrimp with bok choy
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Snack: A handful of walnuts
SATURDAY
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Breakfast: Keto granola (nuts, coconut flakes) with Greek yogurt
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Lunch: Korean-style beef stew (no noodles)
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Dinner: Grilled pork belly with lettuce wraps
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Snack: Olives and feta cheese
SUNDAY
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Breakfast: Keto bread with avocado spread
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Lunch: Chicken curry (with coconut flour)
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Dinner: Braised short ribs + cauliflower rice
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Snack: A few berries with whipped cream
The key is to keep carbs low but not zero, and find satisfying, flavorful replacements.
4. Foods to Avoid and Smart Keto Swaps
Avoid These High-Carb Foods:
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Grains (rice, bread, pasta, corn, oats)
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Starchy vegetables (potatoes, sweet potatoes, carrots)
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Most fruits (especially bananas, apples, grapes)
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Sugary snacks (cookies, ice cream, soda)
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Processed sauces and marinades (check for added sugar)
Use These Keto-Friendly Alternatives:
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Rice → Cauliflower rice
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Flour → Almond or coconut flour
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Sugar → Stevia, erythritol, or xylitol
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Potatoes → Radish, lotus root, or turnip
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Fruit → Berries (small amounts only)
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Soy sauce/miso → Low-sugar versions
Hidden sugar is the #1 pitfall. Always check nutrition labels or make your own sauces when possible.
5. Adjusting Your Keto Diet Based on Your A1C
A1C 6.5–7.5% (Mild Diabetes)
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Daily carbs: 30–50g
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3 meals per day, consistent timing
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Light post-meal walks
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Gradual carb reduction
A1C 7.5–9.0% (Moderate)
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Daily carbs: 20–30g
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3 meals, limit snacking
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Mix cardio + light strength training
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Keep a food log & monitor blood sugar
A1C 9.0%+ (Severe)
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Daily carbs: Strictly under 20g
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Consider intermittent fasting (with medical guidance)
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Collaborate closely with your doctor
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Adjust medications as needed
⚠ Don’t make big dietary changes without frequent monitoring and professional supervision, especially if you’re on insulin or other meds.
6. What You Need to Know Before Starting a Keto Diet for Diabetes
The keto diet can be effective for managing type 2 diabetes, but it’s not one-size-fits-all. Here are some important precautions to keep in mind:
Consult Your Doctor First
If you're on diabetes medications—especially insulin—you must consult your healthcare provider. Keto can lower your blood sugar quickly, which may require medication adjustments. Some people have experienced hypoglycemia from starting keto without medical advice.
Be Prepared for the “Keto Flu”
During the first 3–7 days, you may feel headaches, fatigue, or dizziness. This is called "keto flu" and happens while your body shifts from burning glucose to burning fat. Stay hydrated and replenish electrolytes like sodium, potassium, and magnesium to ease symptoms.
Kidney Health Matters
Keto tends to increase protein intake, which may stress the kidneys. If you have existing kidney issues (a common complication of diabetes), talk to your doctor about modifying protein levels accordingly.
Watch Your Lipids
Since fat intake increases on keto, regular cholesterol and lipid tests are a must. Most people see an increase in HDL (good cholesterol) and a drop in triglycerides—but individual responses vary.
Micronutrient Gaps
Because fruit and some vegetables are limited, you may become low in certain nutrients like magnesium, potassium, vitamin C, and fiber. Make sure to eat plenty of keto-friendly vegetables and consider supplements if needed.
Can You Stick With It?
Keto works—but long-term success depends on sustainability. Being overly strict can lead to burnout. Many succeed by starting strict and gradually adapting it into a more flexible low-carb lifestyle over time.
7. Real Case Study: How One Person Lowered Their A1C by 6 Points with Keto
Let me share the story of someone who inspired many—including me.
At 55 years old, he was diagnosed with a frightening A1C of 12.9% and a fasting blood sugar of 230 mg/dL. His doctor recommended immediate insulin therapy. But he wanted to try a diet-based approach first—with medical supervision.
Here’s what happened:
First Month: Adjustment Phase
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Carbs: Kept under 20g per day
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Blood sugar checks: 4 times daily (before & after meals)
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Exercise: 30-minute walks after meals
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Results: Lost 11 lbs (5kg); fasting glucose dropped to 150 mg/dL
He admitted giving up rice and noodles was hard—but discovered alternatives like cauliflower rice and shirataki noodles helped him stay on track.
2–3 Months: Stabilization Phase
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Carbs: Increased slightly to 30g/day
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Monitoring: Blood sugar checked 2x/day
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Exercise: Added light resistance training
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Results: Lost another 9 lbs (4kg); fasting glucose down to 110 mg/dL
By now, he was trying out new keto recipes like Korean-style kimchi stew, sugar-free bulgogi, and even keto-friendly tteokbokki using konjac noodles.
4–6 Months: Breakthrough Phase
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Diet: Strict keto during the week, more relaxed meal on weekends
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Monitoring: Down to 3 times per week
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Exercise: Daily walks + strength training 3x/week
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Results: A1C dropped from 12.9% → 8.5%, cut metformin dose by 50%
He reported higher energy, better mental clarity, and less food obsession. Allowing a slightly relaxed meal on weekends made the plan more sustainable.
7–12 Months: Maintenance Phase
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Diet: Low-carb (up to 50g/day) instead of strict keto
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Monitoring: Once or twice a week
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Exercise: More intense workouts
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Results: A1C down to 6.9%; lost a total of 66 lbs (30kg); stopped all medications
The most dramatic change? He regained control over his health without meds. His knee pain vanished, and he said his energy levels were like being in his 20s again.
Final Thoughts: You Can Take Back Control
Keto may not be for everyone—but if you're motivated to reduce your medication reliance and control your blood sugar naturally, it’s a strategy worth exploring.
The biggest lesson?
Type 2 diabetes is not a hopeless disease. With the right combination of nutrition, movement, and medical guidance, you can take the driver's seat again.
Start small, stay consistent, monitor your progress, and don’t hesitate to ask for help. You’re not alone on this journey.
Have questions? Drop them in the comments—I'm happy to share what worked for me and others who’ve succeeded.
Here’s to your healing and your future. 💪
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