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Health Checks for the Ketogenic Diet

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=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 reliableas 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 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=
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.
* Electrolytes, including serum bicarbonate, total protein, calcium, zinc, selenium, magnesium and phosphate.
=References=
<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 Location 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 Location 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>

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