DIETS FOR MEDICAL CONDITIONS: KETOGENIC DIET

Question 1

DEFINE THE KETOGENIC DIET

Answer 1

– High fat, low CHO diet that induces ketosis in the body

Question 2

GIVE THE MCT, CARBOHYDRATE AND PROTEIN RATIO

Answer 2

– MCT: 50-70% of total kJ
– CHO: 19% of total kJ
– Protein: 10% of total kJ

Question 3

WHAT IS THE PURPOSE OF THE KETOGENIC DIET

Answer 3

– Prophylactic treatment of some types of epilepsy in children
– Induce and maintain ketosis to achieve an anticonvulsant effect
– MCT more ketogenic than other fats
– MCT oil makes the diet more palatable

Question 4

WHAT IS THE INDICATION FOR A KETOGENIC DIET

Answer 4

– Control of epilepsy
– Possible surgical applications
– Pyruvate dehydrogenase deficiency

Question 5

WHAT IS THE CONTRA-INDICATIONS FOR A KETOGENIC DIET

Answer 5

– Diabetes
– Hyperosmolar diabetic syndrome
– Ketosis
– Acidosis

Question 6

GIVE NOTES TO CONSIDER WHEN IMPLEMENTING A KETOGENIC DIET

Answer 6

– No carbohydrate containing snacks
– 3-4 servings of MCT oil, preferable with bedtime feeding
– Add MCT oil to casseroles, sauce, pizza, milkshakes and ice-cream

Question 7

LIST FOODS ALLOWED IN A KETOGENIC DIET

Answer 7

–	Meat (medium fat)
–	Skim milk
–	Fruit
–	Bread
–	Starch
–	Vegetables 
–	Fat (MCT)

Question 8

LIST FOODS TO AVOID IN A KETOGENIC DIET

Answer 8

–	High CHO snacks
•	Candy, cakes, cookies and lollipops
–	Alcohol
–	Excessive fluid intake
–	Carbonated beverages