Difference between revisions of "Health Checks for the Ketogenic Diet"

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=Basic Monitoring=
 
=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.
 
* [[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)
+
** Daily Blood Ketone Testing. The levels of Blood [[Ketones]] should be checked each day.  
−
** 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.
+
** 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 as blood testing, but it can be performed more frequently, so you get a sense of how your ketone levels change to the day.
 +
* Blood Glucose. Blood glucose should be monitored every 6–8 hours during the first few days of the diet<ref name="Kossoff-2011-p240"/>.  
 
* 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 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"/>.
 
* Blood lipid levels. Cholesterol and triglyceride levels should be checked before starting the diet, and every few months<ref name="Kossoff-2011-2882"/>.
 +
* Blood selenium levels should be checked every three months, though this may not be frequent enough<ref name="Sirikonda-2012"/>.
  
 
=Recommended Laboratory Tests=
 
=Recommended Laboratory Tests=
−
The following tests are recommended for children starting the ketogenic diet for epilepsy<ref name="Kossoff-2011-1889"/>.  
+
The following tests are recommended for children starting the ketogenic diet for epilepsy<ref name="Kossoff-2011-1889"/>. Details of these tests are outside the scope of this article.
 
* Complete blood count with platelets.
 
* Complete blood count with platelets.
 
* Electrolytes, including serum bicarbonate, total protein, calcium, zinc, selenium, magnesium and phosphate.
 
* Electrolytes, including serum bicarbonate, total protein, calcium, zinc, selenium, magnesium and phosphate.
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=References=
 
=References=
 
<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>
+
<ref name="Sirikonda-2012"> NS. Sirikonda, WD. Patten, JR. Phillips, CJ. Mullett, Ketogenic diet: rapid onset of selenium deficiency-induced cardiac decompensation., Pediatr Cardiol, volume 33, issue 5, pages 834-8, Jun 2012, doi [http://dx.doi.org/10.1007/s00246-012-0219-6 10.1007/s00246-012-0219-6], PMID [http://www.ncbi.nlm.nih.gov/pubmed/22367552 22367552]</ref>
 +
<ref name="Kossoff-2011-, Kindle Offset 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 Offset 1889</ref>
 +
<ref name="Kossoff-2011-, Kindle Offset 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 Offset 2882</ref>
 +
<ref name="Kossoff-2011-, Page 240">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, Page 240</ref>
 +
</references>

Revision as of 12:38, 2 November 2013

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.

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This article is under construction.
Caution: This a skeleton article, so only a rough outline exists. This may consist of semi-completed sections, isolated bullet point and notes to the author.
You are welcome to read what exists so far, and feedback is welcomed. Email "feedback <at> fellrnr <dot> com"

1 Basic Monitoring

  • 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.
    • 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 as blood testing, but it can be performed more frequently, so you get a sense of how your ketone levels change to the day.
  • Blood Glucose. Blood glucose should be monitored every 6–8 hours during the first few days of the diet[1].
  • 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 Multistix or the cheaper 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[2].
  • Blood selenium levels should be checked every three months, though this may not be frequent enough[3].

2 Recommended Laboratory Tests

The following tests are recommended for children starting the ketogenic diet for epilepsy[4]. Details of these tests are outside the scope of this article.

  • 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.

3 References

  1. ↑ Cite error: Invalid <ref> tag; no text was provided for refs named Kossoff-2011-p240
  2. ↑ Cite error: Invalid <ref> tag; no text was provided for refs named Kossoff-2011-2882
  3. ↑ NS. Sirikonda, WD. Patten, JR. Phillips, CJ. Mullett, Ketogenic diet: rapid onset of selenium deficiency-induced cardiac decompensation., Pediatr Cardiol, volume 33, issue 5, pages 834-8, Jun 2012, doi 10.1007/s00246-012-0219-6, PMID 22367552
  4. ↑ Cite error: Invalid <ref> tag; no text was provided for refs named Kossoff-2011-1889

Cite error: <ref> tag with name "Kossoff-2011-.2C_Kindle_Offset_1889" defined in <references> is not used in prior text.
Cite error: <ref> tag with name "Kossoff-2011-.2C_Kindle_Offset_2882" defined in <references> is not used in prior text.
Cite error: <ref> tag with name "Kossoff-2011-.2C_Page_240" defined in <references> is not used in prior text.

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