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Created page with "There are several Health Risks of the Ketogenic Diet, so unlike other diets, health tests and monitoring are important. Note that a ketogenic diet should be under medical ..."
There are several [[Health Risks of the Ketogenic Diet]], so unlike other diets, health tests and monitoring are important. Note that a ketogenic diet should be under medical supervision, which includes this monitoring.
{{Skeleton}}
=Basic Monitoring=
* [[Measuring Ketones| Ketone Testing]]. To know if you are on a ketogenic diet or not, you will need to check your ketone levels.
** Daily Blood Ketone Testing. The levels of Blood [[Ketones]] should be checked each day. At the same time it may be useful to measure [[Blood Glucose]]. (Say why)
** Urine Ketone Levels. In addition to checking Blood Ketones, it is fairly cheap and simple to check urine ketone levels. This is not as accurate, or reliable, but it can be performed more frequently, so you get a sense of how your ketone levels change to the day.
* Blood in the Urine. Because of the risk of kidney stones, urine should be checked for trace levels of blood at least weekly. It can be done with [http://www.amazon.com/Multistix-10-100-Test-Strips/dp/B004WNSZGC Multistix] or the cheaper [http://www.amazon.com/Phinex-Parameter-Urinalysis-Reagent-Strips/dp/B0099WTWTA Phinex Multistix equivalent]. These strips check for 10 different things, including trace blood, Ketone levels, hydration status and urine acidity.
* Blood lipid levels. Cholesterol and triglyceride levels should be checked before starting the diet, and every few months<ref name="Kossoff-2011-2882"/>.
=Recommended Laboratory Tests=
The following tests are recommended for children starting the ketogenic diet for epilepsy<ref name="Kossoff-2011-1889"/>.
* Complete blood count with platelets.
* Electrolytes, including serum bicarbonate, total protein, calcium, zinc, selenium, magnesium and phosphate.
* Serum liver and kidney test (including albumen, AST, ALT, blood urea nitrogen creatinine)
* Fasting lipid profile.
* Serum acylcarnitine profile.
* Urinalysis.
* Urine calcium and creatinine.
* Urine organic salts.
* Serum amino acids.
=References=
<references>
<ref name="Kossoff-2011-1889">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Location 1889</ref><ref name="Kossoff-2011-2882">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Location 2882</ref></references>
{{Skeleton}}
=Basic Monitoring=
* [[Measuring Ketones| Ketone Testing]]. To know if you are on a ketogenic diet or not, you will need to check your ketone levels.
** Daily Blood Ketone Testing. The levels of Blood [[Ketones]] should be checked each day. At the same time it may be useful to measure [[Blood Glucose]]. (Say why)
** Urine Ketone Levels. In addition to checking Blood Ketones, it is fairly cheap and simple to check urine ketone levels. This is not as accurate, or reliable, but it can be performed more frequently, so you get a sense of how your ketone levels change to the day.
* Blood in the Urine. Because of the risk of kidney stones, urine should be checked for trace levels of blood at least weekly. It can be done with [http://www.amazon.com/Multistix-10-100-Test-Strips/dp/B004WNSZGC Multistix] or the cheaper [http://www.amazon.com/Phinex-Parameter-Urinalysis-Reagent-Strips/dp/B0099WTWTA Phinex Multistix equivalent]. These strips check for 10 different things, including trace blood, Ketone levels, hydration status and urine acidity.
* Blood lipid levels. Cholesterol and triglyceride levels should be checked before starting the diet, and every few months<ref name="Kossoff-2011-2882"/>.
=Recommended Laboratory Tests=
The following tests are recommended for children starting the ketogenic diet for epilepsy<ref name="Kossoff-2011-1889"/>.
* Complete blood count with platelets.
* Electrolytes, including serum bicarbonate, total protein, calcium, zinc, selenium, magnesium and phosphate.
* Serum liver and kidney test (including albumen, AST, ALT, blood urea nitrogen creatinine)
* Fasting lipid profile.
* Serum acylcarnitine profile.
* Urinalysis.
* Urine calcium and creatinine.
* Urine organic salts.
* Serum amino acids.
=References=
<references>
<ref name="Kossoff-2011-1889">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Location 1889</ref><ref name="Kossoff-2011-2882">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Location 2882</ref></references>