What is a low-carb diet?

A low-carb diet is a dietary regimen that restricts carbohydrate intake, leading to metabolic changes. The main principles of this diet include reducing carbohydrate consumption to 20-150 grams per day, depending on individual goals and characteristics.

Main Principles of a Low-Carb Diet

Key aspects of a low-carb diet:

  • Focus on proteins and healthy fats.
  • Exclusion or significant reduction of sugar and starch intake.
  • Increased consumption of vegetables, especially non-starchy ones.

This approach can contribute to weight loss and improved metabolic indicators, especially in the presence of conditions such as type 2 diabetes [1].

Difference Between Low-Carb and Traditional Diets

The main distinction between a low-carb diet and traditional diets lies in the macronutrient ratio. Traditional diets typically include a significant portion of carbohydrates, while low-carb diets drastically reduce their share.

Traditional diets usually focus on:

  • Increasing carbohydrate intake (50-60% of total calories).
  • Reducing fat content.

Low-carb diets may be more effective for blood sugar control and weight loss in some individuals, as supported by research [2][1].

Mechanism of Action of a Low-Carb Diet

Principle of Caloric Deficit and Energy Balance

A low-carb diet is based on creating a caloric deficit, which leads to weight loss. This is achieved by limiting carbohydrate intake, which in turn reduces the total number of calories consumed.

As carbohydrate intake decreases, the body begins to use fat stores as its primary source of energy. This state is called ketosis, where fats are broken down into ketone bodies that can be used instead of glucose.

Impact on Metabolism and Insulin Levels

Reducing carbohydrates significantly affects metabolism and insulin levels in the body. With decreased carbohydrate intake, insulin levels drop, which helps improve insulin sensitivity and reduces the risk of developing insulin resistance [3].

Additionally, low-carb diets can help control blood sugar levels in people with type 2 diabetes, as confirmed by several studies [1]. This is because reducing carbohydrates diminishes glucose fluctuations after meals.

It is worth noting that metabolic changes during a low-carb diet can lead to an improved lipid profile, lowering triglycerides and raising levels of good cholesterol [4].

How to Implement a Low-Carb Diet

Recommendations for Food Choices

When following a low-carb diet, it is important to choose quality foods. The main food groups include:

  • Meat: beef, pork, chicken, turkey. Preference should be given to meat without additives and preservatives.
  • Fish: salmon, tuna, mackerel. Fish contains healthy fats and protein.
  • Eggs: eggs are an excellent source of protein and healthy fats.
  • Vegetables: broccoli, spinach, cauliflower. Vegetables should be low in carbohydrates and high in fiber.
  • Nuts: almonds, walnuts, cashews. Nuts are healthy, but it is important to control their quantity due to high caloric content.

Examples of Low-Carb Dishes and Meal Plans

Below are examples of low-carb dishes:

  • Omelet with vegetables and cheese.
  • Tuna salad with olive oil and herbs.
  • Baked chicken fillet with broccoli and cheese.
  • Shrimp with garlic and cauliflower.

Example of a daily meal plan:

  1. Breakfast: omelet with spinach and tomatoes.
  2. Lunch: salad with chicken, avocado, and olive oil.
  3. Dinner: baked fish with vegetables.

It should be noted that low-carb diets can impact health, and it is important to consult a doctor before making dietary changes [2][1].

Risks and Contraindications of a Low-Carb Diet

Potential Health Risks

A low-carb diet may lead to various nutrient deficiencies. Restricting carbohydrates often results in decreased consumption of fruits, vegetables, and whole grains, which can cause a lack of vitamins and minerals.

The following deficiencies are often observed:

  • B vitamins - important for metabolism and nervous system health.
  • Potassium and magnesium - their deficiency can lead to muscle cramps and heart rhythm disturbances.
  • Fiber - low intake may cause digestive issues such as constipation.

Additionally, some individuals may experience side effects such as headaches, fatigue, and irritability, especially at the beginning of the diet.

Contraindications for People with Certain Conditions

A low-carb diet may be contraindicated for individuals with a number of conditions. These include:

  • Diabetes - while some studies show its effectiveness, it is important to consider individual characteristics and possible risks [1].
  • Kidney diseases - high protein content may worsen kidney function in individuals with pre-existing conditions.
  • Digestive issues - such as irritable bowel syndrome, where sudden dietary changes may exacerbate symptoms [5].

Before starting a low-carb diet, it is advisable to consult a doctor, especially if there are chronic diseases or other medical conditions.

Comparison of Low-Carb Diets

Type of DietMain FoodsBenefitsDrawbacks
Keto DietMeat, fish, eggs, nuts, oilsWeight loss, improved blood sugar controlMay cause vitamin deficiencies, difficulty adhering
Low-Carb DietVegetables, meat, dairy productsImproved metabolism, reduced appetiteMay lead to fatigue, headaches
Low FODMAP DietSome vegetables, meat, fishReduction of IBS symptoms, improved digestionLimited food choices, need for individual approach
Meat DietMeat, fish, eggsEase of adherence, high satietyRisk of fiber and other nutrient deficiencies
Popularity of Low-Carb Diets25.4 search queries (mill.)Keto Dietdiet15.2 search queries (mill.)16/8 Diet10.8 search queries (mill.)5:2 Diet8.5 search queries (mill.)Carbon Dietsdiet

This diagram illustrates the popularity of various low-carb diets based on the number of search queries on the internet. All values are estimates based on search query data.

Common questions

What foods can you eat on a low-carb diet?

On a low-carb diet, you can consume meat, fish, eggs, dairy products, low-carb vegetables, nuts and seeds, as well as oils and fats. Avoid sugar, bread, pasta, and most fruits.

How long can you follow a low-carb diet?

A low-carb diet can be followed for an extended period, however, it is recommended to periodically consult with a doctor or dietitian to assess health status and adjust the diet.

Are there side effects from a low-carb diet?

Some people may experience side effects such as headaches, fatigue, constipation, and digestive issues, especially at the beginning of the diet. These symptoms often resolve over time.

How does a low-carb diet affect blood sugar levels?

A low-carb diet can help lower blood sugar levels and improve insulin sensitivity, which is especially important for people with type 2 diabetes [1].

Can you exercise on a low-carb diet?

Yes, exercising is possible on a low-carb diet, however, adaptation and time may be required to achieve optimal results. It is important to monitor energy levels and adjust the diet as needed.

Low-carb diets can assist in weight loss and blood sugar control.

This material is informational and does not replace a doctor's consultation.

References

  1. [1] Goldenberg JZ, et al. Efficacy and safety of low and very low carbohydrate diets for type 2 diabetes remission: systematic review and meta-analysis of published and unpublished randomized trial data. BMJ. 2021. PMID: 33441384. https://doi.org/10.1136/bmj.m4743 PubMed
  2. [2] Marques-Vidal P, et al. Diet and nutrition in cardiovascular disease prevention: a scientific statement of the European Association of Preventive Cardiology and the Association of Cardiovascular Nursing & Allied Professions of the European Society of Cardiology. Eur J Prev Cardiol. 2025. PMID: 40504596. https://doi.org/10.1093/eurjpc/zwaf310 PubMed
  3. [3] Muscogiuri G, et al. European Association for the Study of Obesity (EASO) Position Statement on Medical Nutrition Therapy for the Management of Individuals with Overweight or Obesity and Cancer. Obes Facts. 2025. PMID: 39433024. https://doi.org/10.1159/000542155 PubMed
  4. [4] Zhou C, et al. Ketogenic Diet Benefits to Weight Loss, Glycemic Control, and Lipid Profiles in Overweight Patients with Type 2 Diabetes Mellitus: A Meta-Analysis of Randomized Controlled Trails. Int J Environ Res Public Health. 2022. PMID: 36012064. https://doi.org/10.3390/ijerph191610429 PubMed
  5. [5] Chey WD, et al. AGA Clinical Practice Update on the Role of Diet in Irritable Bowel Syndrome: Expert Review. Gastroenterology. 2022. PMID: 35337654. https://doi.org/10.1053/j.gastro.2021.12.248 PubMed