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The Ketogenic Diet(info from jamaneurology, pediatricneurology,psu, and other various sources)
The keto diet began in the 20's for treatment of childhood epilepsy. Dr. Peterman successfully treated paediatric patients. It was the basis for Dr. Atkins research into his diet to treat diabetic and heart patients. It is very similar to the Atkins diet for this reason. It is a Low Carb, High Fat, Moderate Protein diet.
1920's Ketogenic Diet Overview
4:1 ratio of fats to protein/carbs combined
prefer medium chain triglycerides(MCT) over the long chain triglycerides(LCT)
--1 gram of protein per 2 kg of weight per day
--10-15g carbohydrates per day
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INDUCTION
-reduce carb intake to 10-15g 1-2 days before induction start
-Fasting starts after 1st reduced dinner
DAY 1 FAST
-60-75 ml per kg of body weight of caffeine-free and carb-free liquids
-Dextrostix check every 6 hours unless falls below 40mg/dl then check every 2 hours
----if symptoms of hypoglycemia check blood glucose
----if blood glucose less than 25mg/dl give 30ml of orange juice and test again
DAY 2 FAST
-lack of energy and lethargy is common; hunger is uncommon
-At 48hrs of fast the calculated per day keto diet((calories per kg in 4:1 ratio using cream and egg) divided by 3) is given as three equal eggnog meals every 8 hours.
-----Ketostix check >160mmol/dl should be achieved by this time
DAY 3
-1/3 of calculated keto diet as eggnog given for breakfast and lunch
-2/3 is given at dinner
-lack of energy and lethargy persist
DAY 4
-2/3 of diet for breakfast and lunch
-full ketogenic meal for dinner
----if ketotic or acidotic, rehydrate with carb-free liquids and continue diet
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DAY 5 and forward
full ketogenic meals
daily sugar-free vitamin + calcium supplement
measure ketones daily 1st in morning upon waking
prefer MCT over LCT
Do not consume any foods on the exclusion list
Do not consume over 10-15g carbs per day
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Food Exclusions
high-carb foods
starchy fruits + vegetables
bread
pasta
grains
sugar
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