While most people focus on the physical benefits of a diet—like fat loss, improved energy, or cardiovascular health—the ketogenic diet stands out for its profound effects on the brain. In fact, many of keto’s most powerful benefits stem not from what it does to the body, but from what it does in the brain.
On the Standard American Diet (SAD), which is typically composed of between 250 to 300 grams of carbohydrates a day, the body runs almost entirely on glucose from these carbohydrates, with insulin correspondingly high to manage the excess glucose.
You might also think that when glucose levels are high in the body, they will also be high in the brain. Paradoxically, the opposite is true. When the body is insulin resistant, the brain can receive less glucose than it needs.
This might seem counterintuitive—after all, if there’s plenty of sugar in the blood, shouldn’t the brain have easy access to energy? The problem is that insulin is needed to help glucose enter certain brain cells, especially in regions involved in memory, learning, and higher cognitive functions. In a state of insulin resistance, this signaling breaks down, meaning those neurons can’t effectively absorb and use the glucose—even though it’s circulating in abundance.
As a result, the brain is essentially starved for energy amid excess. This “energy crisis” in the brain is thought to contribute to cognitive decline and may be one reason insulin resistance is closely linked to Alzheimer’s disease, sometimes referred to as “type 3 diabetes.” Unlike glucose, ketones can fuel the brain without needing insulin, offering a more reliable energy source when glucose metabolism falters.
Many believe ketones, and the state of ketosis in general, to be a backup fuel for the brain, but given the option, scans have shown that the brain prefers to absorb and burn ketones even when glucose is plentiful. While the exact reason for this is unknown, it does suggest that there may be distinct advantages to spending time in ketosis.
Being in ketosis also activates powerful repair pathways that are normally suppressed in a high-carb, high-insulin state. These include autophagy, which cleans out damaged brain cells, and neuroplasticity pathways, which help your brain form new connections—crucial for learning, memory, and long-term cognitive health.
One of the keys to brain health is ensuring that the brain can process glucose at an optimal pace, unhindered by insulin resistance.
Dr. Georgia Ede, author of “Change Your Diet, Change Your Mind”, explains that for a diet to be considered “brain-healthy,” it must nourish, protect, and energize the brain.
While the Mediterranean diet (previously considered the best diet for brain health) excels at nourishing and protecting the brain, it falls short when it comes to energizing. In contrast, the ketogenic diet reliably lowers glucose and insulin levels, making it incredibly effective at addressing insulin resistance and energizing the brain through the production of ketones.
Keeping your metabolism on its toes by regularly switching up its fuel source appears to be one of the secrets of robust mental and physical health. Most of us have lost our metabolic flexibility after years and decades of glucose and carb dependence, and need to begin spending time in ketosis to not only train our body and brain to run efficiently on ketones but also to be able to be metabolically flexible and flip effortlessly between burning glucose and ketones for fuel.