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.

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