Guidelines for keto diet treatments for adult epilepsy


Forgive me for being ignorant but I thought a ketogenic diet for epilepsy is an old therapeutic, even for adults, from decades ago. Nevertheless, apparently the first ever guidelines where released. By the way, KDT in the linked article refers to Ketogenic Diet Therapies.

KDTs are high fat, low-carbohydrate, and adequate protein diets that induce fat metabolism and ketone production. Despite its use as an effective antiseizure therapy since the 1920s, KDT remains novel in adult neurology.

Furthermore, while there are established guidelines for KDTs to reduce seizures in children, there were no formal recommendations for adults, until now.

Drawing on the experience of experts at 20 centers using KDTs in more than 2100 adults with epilepsy in 10 countries, Cervenka and an international team developed recommendations on use of KDTs in adults.

The panel notes, “with a relatively mild side effect profile and the potential to reduce seizures in nearly 60% of adults with drug-resistant epilepsy, KDTs should be part of the repertoire of available options.”

KDTs are appropriate to offer to adults with seizure types and epilepsy syndromes for which these treatments are known to be effective in children, they say.

The history of the Keto Diet


If you’re curious how this all came to be the latest fad Men’s Health Magazine has a good article with a rundown on how it all came to be. There aren’t really any conclusions drawn about the Keto Diet and I think the article does provide some balance. It especially emphasizes that with all diets you have to tailor it to the individual. Different people will respond differently to different diets. Do what works for you.

If you’re like most fitness-minded people, you’ve probably dabbled with trendy eating plans at least once. But what makes a fad diet tip? That’s a question that Adrienne Rose Bitar, a nutrition historian at Cornell University, has spent her career answering. “Most diets start with some unhappiness we have with our lives and bodies,” she says. This makes us susceptible to simple, counter-intuitive messages that blame our dissatisfaction on a single culprit. Low-fat diet: fat is bad, so don’t eat it. Paleo: processed foods are bad, so stick to the kind of “pre-industrial” food that your ancestors ate.

With keto, you do exactly what your doctor (and likely mother) told you not to: eat the delicious, fatty foods and skip the vegetables. While this might partly explain keto’s rise in popularity, it overlooks a crucial aspect of the story. The keto diet, it turns out, was not developed to aid weight loss. It was designed for epileptics.

Men’s Health