Keto Diet Assessment and Evaluation 4

Question 1

A keto dieter's fasting glucose consistently reads 95–105 mg/dL despite ketosis. What is the most likely explanation?

Accepted Answer

Physiological insulin resistance — a normal adaptation preserving glucose for the brain

Answer

Physiological or 'adaptive' glucose sparing is a benign state where the body conserves glucose for organs that require it during prolonged keto.

Question 2

Which non-scale victory (NSV) metric best evaluates real-world functional improvement on a keto diet?

Accepted Answer

Improved energy levels and reduced brain fog reported consistently over 4+ weeks

Answer

Sustained energy improvement and reduced cognitive fog reported over weeks are reliable functional outcome markers of successful keto adaptation.

Question 3

A GKI (Glucose Ketone Index) of 1.0 indicates what metabolic state?

Accepted Answer

Deep therapeutic ketosis, relevant for conditions like cancer or epilepsy

Answer

A GKI of 1.0 or below reflects deep ketosis used therapeutically for neurological conditions and certain metabolic diseases.

Question 4

Why might HbA1c appear falsely low in someone who is well-adapted to a ketogenic diet?

Accepted Answer

Increased red blood cell turnover can reduce HbA1c independently of glucose control

Answer

Some individuals on keto have faster red blood cell turnover, resulting in newer cells with less accumulated glycation and lower HbA1c despite normal glucose.

Question 5

What does a rising LDL-C with normal triglycerides and elevated HDL likely represent in a lean keto dieter?

Accepted Answer

A lean mass hyper-responder pattern that may require particle size testing for true risk assessment

Answer

Lean individuals on keto can show an LDL-C rise driven by large, buoyant LDL particles, which carry different risk implications than small dense LDL.

Keto Diet Practice Test

Keto Diet Practice Test

Keto Diet Assessment and Evaluation 4