Difference between revisions of "Modified Atkins Diet"

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Introduction/Summary.
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The Modified Atkins Diet (MAD) is a type of [[Ketogenic Diet]] used to [[Ketogenic Diets for Epilepsy| to treat Epilepsy]]. The MAD started by accident, when a child was put onto the Adkins diet prior to starting the [[Ketogenic Ratio Diet]] and their seizures stopped<ref name="Kossoff-2011-2926"/>. The MAD is similar to the induction phase of the Adkins diet, with children allowed 10 grams/day of carbohydrate rather than the 20 grams/day allowed for adults<ref name="Kossoff-2011-2935"/>.  
{{Skeleton}}
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* The [[Ketogenic Ratio]] of the MAD is typically between 1.5:1 and 2:1<ref name="Kossoff-2011-2936"/>, though the MAD does not restrict protein<ref name="Kossoff-2011-2968"/> so the ketogenic ratio could be much lower.
* The MAD started by accident, when a child was put onto the Adkins diet prior to starting the traditional ketogenic diet and their seizures stopped.  
+
* Unlike the [[Ketogenic Ratio Diet]], the MAD does not restrict calories<ref name="Kossoff-2011-2968"/>.
* The MAD is similar to the induction phase of the Adkins diet, with children allowed 10 grams/day of carbohydrate rather than the 20 grams/day allowed for adults.
+
* Only Carbohydrate is restricted: Children start on 10 g/day for a month, then 15g/day, rising to 20-30g depending on seizure control. Adults start on 15 g/day, rising to 20-30 g/day after a month<ref name="Liu-2012"/>.
* The ketogenic ratio of the MAD is typically between 1.5:1 and 2:1
+
* Adding a [http://www.amazon.com/Nutricia-Ketocal-4-1-Supplement/dp/B004YMOEAW Nutricia Ketocal] shake to the MAD raises the [[Ketogenic Ratio]] to 1.8:1<ref name="Kossoff-2011-3055"/> which in turn raises the success rate from 50% to 80%<ref name="Kossoff-2011-3055"/>. The additional Ketocal shake is only needed in the first month of the MAD<ref name="Kossoff-2011-3057"/>. (The Ketocal shake has a 4:1 [[Ketogenic Ratio]].
* The MAD does not start with a hospital stay or a fast.  
+
* Unlike other the [[Ketogenic Ratio Diet]], the MAD does not start with a hospital stay or a fast<ref name="Kossoff-2011-2888"/>.
* Adding a ketocal shake to the MAD raises the ketogenic ratio to 1.8:1, which raises the success rate from 50% to 80%.
+
* Going from the MAD to the traditional ketogenic diet resulted in 37% having at least a 10% improvement in seizures, but only a few became seizure free and no child that had no improvement on MAD had an improvement on the traditional ketogenic diet<ref name="Kossoff-2011-3122"/>.
* Going from the MAD to the [[Ketogenic Ratio Diet]] resulted in 37% having at least a 10% improvement in seizures, but only a few became seizure free and no child that had no improvement on MAD had an improvement on the traditional ketogenic diet.  
+
* There have been no reported cases of kidney stones on MAD<ref name="Kossoff-2011-3028"/>.  
 
{{KetoSeeAlso}}
 
{{KetoSeeAlso}}
 
 
=References=
 
=References=
 
<references>
 
<references>
 +
<ref name="Liu-2012">YM. Liu, HS. Wang, Medium-chain triglyceride ketogenic diet, an effective treatment for drug-resistant epilepsy and a comparison with other ketogenic diets., Biomed J, volume 36, issue 1, pages 9-15, doi [http://dx.doi.org/10.4103/2319-4170.107154 10.4103/2319-4170.107154], PMID [http://www.ncbi.nlm.nih.gov/pubmed/23515148 23515148]</ref>
 +
<ref name="Kossoff-2011-3028">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 3028</ref>
 +
<ref name="Kossoff-2011-3122">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 3122</ref>
 +
<ref name="Kossoff-2011-2888">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 2888</ref>
 +
<ref name="Kossoff-2011-3057">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 3057</ref>
 +
<ref name="Kossoff-2011-3055">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 3055</ref>
 +
<ref name="Kossoff-2011-3055">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 3055</ref>
 +
<ref name="Kossoff-2011-2968">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 2968</ref>
 +
<ref name="Kossoff-2011-2968">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 2968</ref>
 +
<ref name="Kossoff-2011-2936">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 2936</ref>
 +
<ref name="Kossoff-2011-2935">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 2935</ref>
 +
<ref name="Kossoff-2011-2926">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 2926</ref>
 
</references>
 
</references>

Latest revision as of 07:24, 29 October 2014

The Modified Atkins Diet (MAD) is a type of Ketogenic Diet used to to treat Epilepsy. The MAD started by accident, when a child was put onto the Adkins diet prior to starting the Ketogenic Ratio Diet and their seizures stopped[1]. The MAD is similar to the induction phase of the Adkins diet, with children allowed 10 grams/day of carbohydrate rather than the 20 grams/day allowed for adults[2].

  • The Ketogenic Ratio of the MAD is typically between 1.5:1 and 2:1[3], though the MAD does not restrict protein[4] so the ketogenic ratio could be much lower.
  • Unlike the Ketogenic Ratio Diet, the MAD does not restrict calories[4].
  • Only Carbohydrate is restricted: Children start on 10 g/day for a month, then 15g/day, rising to 20-30g depending on seizure control. Adults start on 15 g/day, rising to 20-30 g/day after a month[5].
  • Adding a Nutricia Ketocal shake to the MAD raises the Ketogenic Ratio to 1.8:1[6] which in turn raises the success rate from 50% to 80%[6]. The additional Ketocal shake is only needed in the first month of the MAD[7]. (The Ketocal shake has a 4:1 Ketogenic Ratio.
  • Unlike other the Ketogenic Ratio Diet, the MAD does not start with a hospital stay or a fast[8].
  • Going from the MAD to the traditional ketogenic diet resulted in 37% having at least a 10% improvement in seizures, but only a few became seizure free and no child that had no improvement on MAD had an improvement on the traditional ketogenic diet[9].
  • There have been no reported cases of kidney stones on MAD[10].

1 See Also

2 References

  1. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2926
  2. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2935
  3. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2936
  4. 4.0 4.1 Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2968
  5. YM. Liu, HS. Wang, Medium-chain triglyceride ketogenic diet, an effective treatment for drug-resistant epilepsy and a comparison with other ketogenic diets., Biomed J, volume 36, issue 1, pages 9-15, doi 10.4103/2319-4170.107154, PMID 23515148
  6. 6.0 6.1 Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 3055
  7. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 3057
  8. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2888
  9. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 3122
  10. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 3028