Veggie Blog

Planning for Atkins

When it comes to the Atkins diet, your success depends on your planning. Having the right foods on hand when you begin makes a big difference to how well you do. There are plenty of suggestions for Atkins meals in the Atkins books, and plenty of low-carb recipes online.

Planning your meals and snacks is an essential part of any diet, not only this one. If you eat whatever is nearest, it is easy to gain weight, and a lot of us got where we are by letting our eating habits go unchecked for years. A little planning brings them back under control.

Why is it hard at first?

Like every eating plan, the Atkins way of eating takes some effort and an adjustment period. The conventional Western diet relies heavily on carbohydrates. Many people grew up on favorites such as spaghetti and meatballs, meat and potatoes, and pasta casseroles. It will take patience to get used to eating in a different way.

What are the two approaches?

There are two ways to change your diet. The first is to find replacements for your favorite foods with low-carb versions. A lasagna made with slices of eggplant or zucchini instead of pasta has far fewer carbohydrates than the usual one, and spaghetti squash makes a good substitute for spaghetti. There are also low-carb or carb-free substitutes for bread, pasta and sugary products, although you should check the labels, because some contain sweeteners that upset the stomach.

The second approach is to learn recipes that center on protein and other low-carb foods. If you eat meat and fish, there is a wide variety beyond ground beef and chicken. You can add pork, lamb and ham to your weekly routine, or try game birds such as Cornish hen, quail and pheasant. If you have never liked fish, try a different type, because some people who dislike trout love salmon. Shellfish such as mussels, clams and shrimp are also on the list. Vegetarians can build meals around eggs, cheese, tofu, tempeh, nuts and seeds, with plenty of non-starchy vegetables.

What can you keep on hand?

Make sure you have some quick foods ready for snacks and fast meals. Sliced cucumber, radishes and celery tossed with lemon mayonnaise make a great low-carb lunch or side salad. Sautéed peppers, mushrooms and garlic served on arugula with feta cheese is another good option.

How do you plan your meals?

Research and try different low-carb recipes before you need them, so that you have a good idea of what to cook. The most important step you can take is planning. A good stock of easy-to-prepare meals will keep you from hitting the drive-through or a restaurant and breaking your diet. Write a shopping list for the week, and prepare some food in advance when you have time.

If you have tasty food to look forward to every day, you will be less likely to feel deprived. Even during the restrictive first phase, there are many food combinations to try. At first glance the vegetable and protein options may seem limited, but that is only when you compare them with what you were used to. With a little planning and creativity, you can find something interesting to eat every day.

Where can you learn more?

Our posts on Atkins induction rules, Atkins diet foods, Atkins shopping tips and Atkins and sugar cravings cover the details. Low-carbohydrate diets are not suitable for everyone, so talk to your doctor before you start, especially if you have diabetes or kidney problems, or are pregnant.

The old version of this post asked whether the Atkins diet is right for you, and answered with a list of reasons to try it, including a family history of diabetes, being overweight and having certain eating habits. Some of that advice is sensible, and some goes too far. This rewrite keeps the questions and fixes the parts that overreach.

What is your dieting history?

The old post suggests writing down every diet you have tried, what worked, what did not and why you stopped. That is a good exercise. It also says that if low-fat diets have worked well for you and low-carb diets have not, Atkins is probably not for you. The research backs the idea that personal fit matters: in a 12-month trial of 609 adults, a healthy low-carb diet and a healthy low-fat diet produced similar weight loss on average (6.0 kg compared with 5.3 kg, a difference that was not significant), which suggests that a plan you can keep following matters more than the label on it. Read the trial abstract.

Are you “carb sensitive”?

The old post lists signs: feeling hungry right after meals, strong urges to eat during the day, feeling dizzy, foggy and tired without sugar, and feeling sluggish after a meal rich in carbohydrates. “Carb sensitivity” is an informal term, not a diagnosis, and the same symptoms can come from skipped meals, poor sleep or medical problems. MedlinePlus lists anemia, thyroid disease, diabetes, sleep disorders and depression among the causes of fatigue. If you often feel like this, ask your doctor for a check before blaming carbohydrates.

What does your medical history say?

The old post said that if you have prediabetes or diabetes, a low-carb diet such as Atkins may be right for you, and that a family history of diabetes can create a need for it. The truth is more careful. The American Diabetes Association’s 2019 consensus report says that for select adults with type 2 diabetes who are not meeting blood sugar targets, or for whom reducing medicine is a priority, low- or very-low-carbohydrate eating is a viable approach. It also says that a very-low-carb plan can cause fluid loss and a quick drop in blood sugar, so you need advice from a knowledgeable practitioner at the start to prevent dehydration and low blood sugar. The ADA’s 2019 standards of care did not recommend low-carb plans for pregnant or lactating women, people with or at risk of disordered eating, or people with kidney disease, and said to use them with caution with SGLT2-inhibitor drugs because of the risk of ketoacidosis (check the current edition of the standards). Our post on Atkins and diabetes looks at this in more detail, and you can read the ADA consensus report.

Does being overweight make Atkins a better fit?

The old post says that the more overweight you are, the more likely you are to have high blood pressure, high triglycerides and high blood glucose, which is true. But it is not a reason to choose one diet over another. The National Heart, Lung, and Blood Institute notes that adults with overweight or obesity can lower LDL cholesterol and raise HDL by losing only 3 to 5 percent of their weight, whichever way they do it. Pick the plan you can follow, and ask your provider to check your blood pressure, cholesterol and glucose while you lose weight.

Can you live with the rules?

Think about the practical side. The first two weeks can bring headaches, tiredness and constipation, and you need to count carbohydrates. Atkins currently offers plans at different carbohydrate levels (about 20, 40 or 100 grams of net carbs a day, according to its website), and the old post mentioned a “modified” version for people who had bad experiences with both low-fat and low-carb diets. See the Atkins diet basics and Atkins induction rules to find out what is involved, and common mistakes Atkins dieters make for traps to avoid.

What should you do next?

Talk to your doctor if you have diabetes, kidney disease, heart disease or high cholesterol, or if you take regular medication. Write down your answers to the questions above, choose a start date and plan your meals before you begin. If Atkins is not right for you, that is fine; there are other ways to lose weight and keep it off.

View this book on Amazon (affiliate link: we may earn a commission at no cost to you)

Getting the right amount of vitamins

If you eat healthy and balanced meals every day, you will get most of the vitamins and minerals your body needs to function. Even though we all have different dietary needs, we all need vitamins in order to live healthy lives and prevent disease. Vitamins were discovered in the early twentieth century, and since then we have learned a lot about how they keep us healthy.

There are many vitamins, and you need a certain amount of each one to keep your body healthy. They are classed by letter, including A, B, C, D, E and K. Each one serves a unique purpose for your body and your health; vitamin C, for example, is needed to make collagen and helps the body absorb iron.

The B vitamin family

When it comes to variety, the B vitamins are the most diverse. They were first thought to be a single vitamin, but scientists later found that ‘vitamin B’ is really a group of different compounds. Today the B vitamin family has eight members: B1, B2, B3 (niacin), B5, B6, B7, B9 (folate) and B12.

As with other vitamins, a lack of B vitamins can lead to different conditions, such as weight loss, weakness, tiredness, diarrhoea, anaemia and, with a long-term lack of B12, nerve damage and memory problems. If you think you may be low in a B vitamin, see your doctor, who can check with a blood test.

Together, the B vitamins help your body turn food into energy and keep your skin, nerves and blood cells healthy. Getting enough of them supports good health, but taking extra beyond what you need will not speed up your metabolism or lift your mood. All of these vitamins should be part of a balanced daily diet.

Even on a good diet, some people do not get enough of certain B vitamins. Vegans and many older people need a source of B12, such as fortified foods or a supplement, and women who may become pregnant are advised to take folic acid. If this applies to you, ask your doctor or pharmacist about vitamin supplements. For most people who eat a varied diet, supplements are not necessary, and very high doses of some B vitamins (such as B6) can cause harm.

When people begin the Atkins program they are often tempted by the many low-carb products on the market: snack bars, baking mixes, pasta and bread substitutes. The old version of this post argued that you should use them sparingly and build your plan on fresh foods instead. That advice holds up, but a few of the supporting claims do not, so I have rewritten the post.

What does an unprocessed Atkins plate look like?

Atkins’ own plan is built on foods such as vegetables, meat, fish, eggs, natural cheeses and, in later phases, fruit and whole grains. The old post said that the center of the plan is fresh vegetables and fresh meat, with natural cheeses, some fruit and, in time, whole unprocessed grains, and no packaged meats, canned vegetables or instant foods. Atkins says that in its Pre-Maintenance phase you still take 12 to 15 grams of net carbs a day from foundation vegetables, and that you add foods such as legumes, fruit and whole grains one at a time. Atkins has renamed some of its plans, but the approach is still built around whole foods. Our guide to Atkins diet foods and how to plan lists them.

Are low-carb packaged foods a problem?

The old post said that these products are technically allowed, can help in a pinch with cravings, but are chemically processed, can trigger carbohydrate cravings in some people and may have hidden carb counts. The last point is the one that holds up best. According to the Ohio State Wexner Medical Center, “net carbs” is a term invented by food companies, and neither the FDA nor the American Diabetes Association endorses it. Read the total carbohydrate line, the fiber and the sugar alcohols. Some people find that sweet low-carb foods make them want more, which is worth noticing for yourself, although I did not find a study that proves it. For better snacks, see low-carb snack ideas.

Is bacon a problem?

The old post said that many Atkins dieters eat bacon daily, and that bacon contains sodium nitrite, which is known to cause cancer. The real concern is wider than one chemical. The World Health Organization classifies processed meat (meat that has been salted, cured, fermented or smoked, such as bacon, ham and sausage) as Group 1, carcinogenic to humans, because there is sufficient evidence that it causes colorectal cancer. The WHO says the risk increases with the amount eaten, and that it could not name a safe level. Red meat is classed as Group 2A, probably carcinogenic. The WHO also says meat can be part of a healthy diet and that many national guidelines recommend limiting processed and red meat. So a low-carb plan built on fish, eggs, poultry, vegetables, nuts and olive oil is a better choice than one built on daily bacon. See the WHO questions and answers on red and processed meat.

Are raw foods always more nutritious?

The old post said raw, whole foods contain more vitamins and nutrients than processed ones and that manufactured foods may contain chemical additives. As a rule, fresh foods have fewer additives and less added salt and sugar, and that is the real argument. But “processed” covers a wide range: frozen vegetables and plain canned fish are processed and can be good options. What matters is the label.

What if weight loss stalls?

The old post says to check whether low-carb processed foods are adding hidden carbs, to focus on the foods in the Atkins pyramid and to shop the outer edges of the store. This is sensible, and our post on overcoming plateaus on the Atkins diet has more ideas. If cravings are the problem, read carbohydrate cravings and the Atkins diet.

Can you still use packaged foods?

Yes, in moderation. The old post admits that busy people may use canned soup or canned vegetables from time to time. Check salt, sugar and added carbohydrates, and keep most of your meals simple.

A cholesterol test report is full of numbers, and it is easy to feel lost. Knowing what each one means makes it much simpler to see where you stand and what, if anything, to change. Here is a plain guide to the main numbers, with the levels that MedlinePlus lists as healthy for most adults.

What does a cholesterol test measure?

A standard blood test, called a lipid panel, shows your total cholesterol, LDL cholesterol, HDL cholesterol and triglycerides. LDL is often called “bad” cholesterol because it is the main source of cholesterol buildup and blockage in the arteries. HDL is the “good” kind, because it helps remove cholesterol from your arteries. Triglycerides are not cholesterol, but they are another type of fat in the blood, and they can also raise your risk of heart disease. Some reports also give a non-HDL number, which is your total cholesterol minus your HDL.

Your doctor may ask you to fast for 9 to 12 hours before the test, which means nothing but water. Follow the instructions you are given.

What are healthy levels?

MedlinePlus gives these general targets for adults aged 20 and older, measured in milligrams per deciliter (mg/dL): total cholesterol under 200, non-HDL under 130, and LDL under 100. HDL of 60 or more is best, and below 40 in men or below 50 in women is considered low. Triglycerides are normal below 150, borderline high at 150 to 199 and high at 200 or more. Your own targets may differ with your age, blood pressure, weight, family history and other conditions, so ask your doctor what they should be for you.

Why does the balance matter?

Having a lot of LDL and little HDL is what puts you at risk. Over time, extra LDL helps form plaque on artery walls, which can narrow them, and this can lead to heart attack or stroke. A high number is not a diagnosis of anything by itself, but it is a warning that is worth acting on while you can still do so with food and exercise.

How can you improve your numbers?

There are four main routes, and they usually work best together.

Eat for your heart. Eat less saturated fat from fatty meat, butter and full-fat dairy, and more fish, fruit, nuts, oats and vegetables. See our guides on how to lower cholesterol through diet and a diet to lower cholesterol.

Move more. Regular physical activity lowers LDL and triglycerides and raises HDL. Our post on exercise and cholesterol explains how much to aim for.

Aim for a healthy weight. The National Heart, Lung, and Blood Institute notes that adults with overweight or obesity can lower LDL and raise HDL by losing only 3% to 5% of their weight.

Take medicine if your doctor recommends it. Several kinds exist, including statins, ezetimibe and bile acid sequestrants. Read more in our post on when lifestyle is enough and when medicine helps. Some of these drugs have side effects, so your doctor should explain them to you before prescribing.

How often should you get tested?

Practice varies with your age and risk, but according to MedlinePlus, younger adults aged 21 to 65 should generally have the test every 5 years, and men aged 45 to 65 and women aged 55 to 65 every 1 to 2 years. People older than 65 should be tested every year. If cholesterol problems, early heart disease or diabetes run in your family, your doctor may suggest testing sooner or more often. A regular checkup costs far less than treating a heart attack, and it gives you the chance to prevent one.