The ketogenic diet is a medical nutrition therapy that involves participants from various disciplines. Team members include a registered paediatric dietitian who coordinates the diet programme; a paediatric neurologist who is experienced in offering the ketogenic diet; and a registered nurse who is familiar with childhood epilepsy. Additional help may come from a medical social worker who works with the family and a pharmacist who can advise on the carbohydrate content of medicines. Lastly, the parents and other caregivers must be educated in many aspects of the diet for it to be safely implemented.
Because the ketogenic diet alters the body's metabolism, it is a first-line therapy in children with certain congenital metabolic diseases such as pyruvate dehydrogenase (E1) deficiency and glucose transporter 1 deficiency syndrome, which prevent the body from using carbohydrates as fuel, leading to a dependency on ketone bodies. The ketogenic diet is beneficial in treating the seizures and some other symptoms in these diseases and is an absolute indication. However, it is absolutely contraindicated in the treatment of other diseases such as pyruvate carboxylase deficiency, porphyria, and other rare genetic disorders of fat metabolism. Persons with a disorder of fatty acid oxidation are unable to metabolise fatty acids, which replace carbohydrates as the major energy source on the diet. On the ketogenic diet, their bodies would consume their own protein stores for fuel, leading to ketoacidosis, and eventually coma and death.
The principle behind the ketogenic or keto diet is simple, even if it seems counterintuitive. Cut your carbs and eat more fat to force your body to burn more fat. The diet encourages your body to enter a state called ketosis, in which it fuels itself on stored fat. Ketosis can significantly help you lose weight and may also help decrease your blood sugar and hunger while increasing your energy. ×
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Sounds exciting? Well, keto diets are there to help you out to avoid fasting if you are a food lover or avoid constant monitoring of your carbohydrate intake and rather start taking some foods only. A proper keto diet includes more intake of natural fats such as butter, olive oils, etc, fish and seafood, meat, eggs, cheese, vegetables which grow over the ground and less or no intake of rice, bread, pasta, noodles, fruits, chocolates, soft drinks, alcohol, fast foods etc. Keto diet also includes intake of more water, coffee, tea and red wine. All the suggested food options need to be distributed between breakfast, lunch, evening snacks and dinner to obtain the best results.
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