Ketogenic Diet
The Ketogenic Diet and Variations


 

The Classical Ketogenic Diet and Variations

The original version of the Ketogenic Diet is often referred to as the "Classical" or "Traditional" Ketogenic Diet. Variations of the classical ketogenic diet have been developed to provide different options for patients who may benefit from the dietary management of epilepsy. These include the Modified Atkins Diet (MAD), the Medium Chain Triglyceride Ketogenic Diet (MCTKD), and the Low Glycemic Index Treatment (LGIT). The ketogenic health care team, usually the neurologist and dietitian, selects the diet that is most appropriate for each patient and his or her family.

    All versions of the ketogenic diet:
  • Restrict carbohydrate intake
  • Increase fat intake
  • Should be used only under close medical supervision


The table below compares the main characteristics of each diet.

 

1 Henderson CB, et al. Efficacy of the ketogenic diet as a treatment option for epilepsy: meta-analysis. J Child Neurol. 2006 Mar;21(3):193-8.
2 Neal, E. Dietary treatment of epilepsy: practical implementation of ketogenic therapy. Chichester, West Sussex: Wiley-Blackwell, 2012.
3 Liu YmC, Wang HS. Medium-chain Triglyceride Ketogenic Diet, An Effective Treatment for Drug-resistant Epilepsy and A Comparison with Other Ketogenic Diets. Biomed J 2013;36:9-15
4 Miranda MJ, et al. Alternative diets to the classical ketogenic diet--can we be more liberal? Epilepsy Res. 2012 Jul;100(3):278-85.
5 Neal, E. Dietary treatment of epilepsy: practical implementation of ketogenic therapy. Chichester, West Sussex: Wiley-Blackwell, 2012.