Keto Diet Safety and Compliance 2

Question 1

Which population should NEVER start a ketogenic diet without close medical supervision due to a life-threatening metabolic risk?

Accepted Answer

Individuals with type 1 diabetes

Answer

People with type 1 diabetes risk diabetic ketoacidosis (DKA) on keto and require strict medical oversight.

Question 2

A patient on lithium therapy asks about starting keto. The primary safety concern is that ketosis may:

Accepted Answer

Increase lithium absorption to toxic levels

Answer

Ketogenic diets can reduce kidney clearance of lithium, raising serum lithium to potentially toxic levels.

Question 3

Which lab marker should be monitored specifically to detect early kidney stress during long-term ketogenic dieting?

Accepted Answer

Serum creatinine and eGFR

Answer

Creatinine and eGFR directly reflect kidney filtration function, which can be stressed by high protein intake on keto.

Question 4

How should someone with a history of kidney stones approach a ketogenic diet?

Accepted Answer

Consult a nephrologist and increase fluid intake

Answer

Keto can raise uric acid and calcium oxalate levels, so nephrology guidance and hydration are critical for stone-prone individuals.

Question 5

Pregnant women are generally advised to avoid strict ketogenic diets because ketones:

Accepted Answer

Cross the placenta and may impair fetal brain development

Answer

Elevated ketones can cross the placental barrier and potentially disrupt fetal neurological development.

Keto Diet Practice Test