Ketogenic Diet Chart For Epilepsy
Last Updated: Sep 14, 2019
About
Ketogenic diet for epilepsy is a special low carbohydrate, high fat and ‘moderate’ protein diet for people with epilepsy. It helps to control seizures. It is prescribed by a physician to children who have not responded to 2 or 3 medications. The ketogenic diet was discovered in 1920. Studies show that ketogenic diet reduces seizures in over half of the children who follow the diet by at least 50%. Also, 10-15% of children become free after following the diet for some period of time. It is a very strict diet that involves carefully measured calories, fluids, and proteins. In this diet, the calories for energy production come from fats, not carbohydrates. In a healthy diet for kids, 25 to 40% of calories come from fats. In a ketogenic diet for epilepsy, about 80 to 90% calories comes from fats. A ketogenic ratio is the ratio of fats to carbohydrates and proteins combined in the diet. It ranges from 2:1 to 4:1. Most of the foods with high carbohydrate contain like rice and breads are avoided. Seizure medicines may be reduced during the diet.
Diet Chart
Sunday | |
Breakfast (8:00-8:30AM) | 1 cup strawberry smoothie + 1 cup cottage cheese + 5-6 tofu pakora |
Mid-Meal (11:00-11:30AM) | 1 cup black beans soup + 1 cup sauteed vegetables (mushrooms, spinach, capsicum- with butter and olive oil) |
Lunch (2:00-2:30PM) | 1 plate chicken salad with veggies (chicken breast) (onion, tomato, capsicum, mushrooms) |
Evening (4:00-4:30PM) | 1 sliced cucumber |
Dinner (8:00-8:30PM) | 1 cup creamy spinach soup with cottage cheese |
Monday | |
Breakfast (8:00-8:30AM) | 1 cup blackberry smoothie + 1 cup soybean salad + 1 cup grilled cottage cheese |
Mid-Meal (11:00-11:30AM) | 1 cup vegetable poha |
Lunch (2:00-2:30PM) | 1 cup black chana salad (cucumber, tomato, spinach) |
Evening (4:00-4:30PM) | 1 cup vegetable upma |
Dinner (8:00-8:30PM) | 1 cup creamy mushroom soup with cottage cheese pakora |
Tuesday | |
Breakfast (8:00-8:30AM) | 1 cup blueberry smoothie + 3 boiled eggs + 1 cup suteed veggies (capsicum, mushroom, tomato) |
Mid-Meal (11:00-11:30AM) | 1 cup vegetable poha |
Lunch (2:00-2:30PM) | 1 bowl fish stew + 1 cup brown rice |
Evening (4:00-4:30PM) | 1 cup avocado smoothie |
Dinner (8:00-8:30PM) | 1 cup creamy cauliflower soup |
Wednesday | |
Breakfast (8:00-8:30AM) | 1 cheese omelette (2 eggs, 20 gm cheese, tomato, capsicum) + 1 portion cucumber lettuce salad with olive oil dressing |
Mid-Meal (11:00-11:30AM) | 1 cup greek yogurt |
Lunch (2:00-2:30PM) | 1 grilled chicken breat with green salad (cucumber, lettuce, capsicum, mushroom) |
Evening (4:00-4:30PM) | 1 cup raspberry smoothie |
Dinner (8:00-8:30PM) | 1 cup creamy chicken soup |
Thursday | |
Breakfast (8:00-8:30AM) | 1 cup soy milk + fish pakora + green salad (cucumber, tomamto, lettuce, capsicum, spinach) |
Mid-Meal (11:00-11:30AM) | 1 cup Cooked broad beans salad |
Lunch (2:00-2:30PM) | 1 cup grilled soy chaap with mint chutney |
Evening (4:00-4:30PM) | 1 sliced cucumber |
Dinner (8:00-8:30PM) | 1 cup creamy toamto soup |
Friday | |
Breakfast (8:00-8:30AM) | 1 vegetable omelette (2 eggs) + 1 cup strawberry smoothie + 2 walnuts |
Mid-Meal (11:00-11:30AM) | 1 cup kidney beans salad |
Lunch (2:00-2:30PM) | 1 plate chicken salad with veggies (chicken breast) (onion, tomato, capsicum, mushrooms) |
Evening (4:00-4:30PM) | 1 cup of chicken stew with garlic and pepper |
Dinner (8:00-8:30PM) | 1 cup creamy broccoli soup |
Saturday | |
Breakfast (8:00-8:30AM) | 1 cup scrambled egg (2 eggs) + green salad (lettuce, capsicum, spinach) + 1 cup soy milk |
Mid-Meal (11:00-11:30AM) | 1 cup Broccoli cream soup |
Lunch (2:00-2:30PM) | 1 bowl fish stew + 1 cup brown rice |
Evening (4:00-4:30PM) | 1 cup vegetable upma |
Dinner (8:00-8:30PM) | 1 cup chicken stew |
Food Items To Limit
Cereals, bread, bakery foods and sweets high in carbs, roots, free calorie drinks such as carboanted beverages, candies, ice creams, jams and jellies has to be avoided as they are a great source of carbohydrates and the amount has to be restricted for 20-50 gm per day.
Do's And Dont's
Do's:
- Choose grass-fed meats, skin-on poultry and fattier fish.
- Drizzle on coconut, olive and flaxseed oils.
- Do mix up the fats you’re using.
Don'ts:
- Eat carb-rich foods like bread or pasta.
- Go for starchy veggies like potatoes or turnips.
Food Items You Can Easily Consume
- Fats & Oils. Try to get your fat from natural sources like meat and nuts. Supplement with saturated and monounsaturated fats like coconut oil, butter, and olive oil.
- Protein. Try to stick with organic, pasture-raised and grass-fed meat where possible. Most meats don’t have added sugar in them, so they can be consumed in moderate quantity. Remember that too much protein on a ketogenic diet is not a good thing.
- Vegetables. Fresh or frozen doesn’t matter. Stick with above ground vegetables, leaning toward leafy/green items.
- Dairy. Most dairy is fine, but make sure to buy full-fat dairy items. Harder cheeses typically have fewer carbs.
- Nuts and Seeds. In moderation, nuts and seeds can be used to create some fantastic textures. Try to use fattier nuts like macadamias and almonds.
- Beverages. Stay simple and stick to mostly water. You can flavor it if needed with stevia-based flavorings or lemon/lime juice.
References
- Schwartz RH, Eaton J, Bower BD, Aynsley‐Green A. Ketogenic diets in the treatment of epilepsy: short‐term clinical effects. Developmental Medicine & Child Neurology. 1989 Apr;31(2):145-51. [Cited 02 July 2019]. Available from:
- Lefevre F, Aronson N. Ketogenic diet for the treatment of refractory epilepsy in children: a systematic review of efficacy. Pediatrics. 2000 Apr 1;105(4):e46. [Cited 02 July 2019]. Available from:
- Zupec‐Kania BA, Spellman E. An overview of the ketogenic diet for pediatric epilepsy. Nutrition in Clinical Practice. 2008 Dec;23(6):589-96. [Cited 02 July 2019]. Available from:
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