Among the many methods for treating epilepsy, the keto diet is undoubtedly an attractive option. This high-fat, low-carbohydrate diet has been used to treat difficult-to-control epilepsy, especially in children, since the 1920s.
The keto diet changes the way your body fuels your brain by causing it to burn fat instead of carbohydrates.
Normally, carbohydrates in food are converted into glucose and then transported to various parts of the body to support brain function. But if the diet is low in carbohydrates, the liver converts fat into fatty acids and ketone bodies, which replace glucose as a source of energy for the brain. Ultimately, increased ketone body levels in the body can effectively reduce the frequency of epileptic seizures.
Research shows that about half of children with epilepsy reduce the frequency of their seizures by at least half after trying a keto diet, and the improvements last even after they stop the diet.
Many children are able to significantly improve their seizure control and even return to a normal life after following a keto diet.
Although the keto diet has its therapeutic effects, its side effects cannot be ignored, including constipation, high cholesterol, slow growth, acidosis, and kidney stones. Therefore, the diet needs to be formulated by a professional physician to ensure therapeutic efficacy while minimizing the occurrence of adverse reactions.
The keto diet has its roots in ancient times, when doctors in ancient Greece began using dietary changes to treat a variety of illnesses, especially epilepsy. In 1921, the medical community began to study the effectiveness of fasting as a treatment for epilepsy, and subsequent developments led to the birth of the modern keto diet.
After many years of evolution, the keto diet is now gaining more and more attention, especially for those with drug-resistant epilepsy.
The keto diet fell into disfavor in the 1920s as new anti-epileptic drugs became available. However, for patients who cannot effectively control their condition with medication, the effectiveness of this diet has gradually attracted renewed attention, especially after media reports, which has promoted the resurgence of the keto diet.
Limited carbohydrates and high fat intake put the body into a state of ketosis, and in this state, many epileptic patients have a significant improvement in the frequency of seizures. Specifically, the success of the keto diet in epilepsy treatment depends on several factors, including the patient's age, medical history, and level of compliance with the diet.
Many studies have also shown that for patients with epilepsy that is not well controlled by medication, switching to a keto diet as an adjunct therapy can provide results that other treatments cannot achieve. What’s more, seniors and adults can also benefit from this diet, although the challenges they face in sticking to it may be more daunting.
According to the latest systematic review, the potential efficacy of the keto diet in adults is similar to that in children, but many people still give up this diet for various reasons.
The resurgence of the keto diet has led to a deepening of scientific research into its applications. In recent years, this dietary pattern has been considered to have potential therapeutic effects on a variety of neurological diseases, not only epilepsy, but also Alzheimer's disease, Parkinson's disease, etc. As scientific research continues to advance, the keto diet may find its way into more clinical settings.
Before implementing the keto diet, a professional medical team needs to develop a personalized diet plan for each patient to reduce risks and enhance efficacy. Faced with the increasing number of epilepsy patients falling into the quagmire of drug treatment, more feasible non-drug treatment options are bound to become an important issue in the future management of epilepsy.
How will our society's acceptance of this innovative treatment affect the quality of life of epilepsy patients in the future?