For patients initiating a ketogenic plan, eating cooked and cold potatoes, rice, lentils for resistant starch, do you preemptively have them count these carbs in the macronutrient breakdown or disregard and follow postprandial blood sugars and ketones?

Another from Jessica, “For patients initiating a ketogenic plan, eating cooked and cold potatoes, rice, lentils for resistant starch, do you preemptively have them count these carbs in the macronutrient breakdown or disregard and follow postprandial blood sugars and ketones?”

Chris: The latter is probably a better strategy because it will depend on the patient. For some people, even eating cooked and cold potatoes seems to throw them out of ketosis, whereas for others it doesn’t make a difference. Just using the blood ketone meter is the best way to do it.