Keto banana bread
This article is about a dietary keto banana bread for epilepsy. For information on ketogenic diets as a lifestyle choice or for weight loss, see Very low-carbohydrate ketogenic diet. A test strip is compared with a colour chart that indicates the degree of ketonuria. Normally carbohydrates in food are converted into glucose, which is then transported around the body and is important in fueling brain function.
The original therapeutic diet for paediatric epilepsy provides just enough protein for body growth and repair, and sufficient calories to maintain the correct weight for age and height. In 1994, Hollywood producer Jim Abrahams, whose son’s severe epilepsy was effectively controlled by the diet, created the Charlie Foundation for Ketogenic Therapies to further promote diet therapy. Epilepsy is one of the most common neurological disorders after migraine and stroke, affecting around 50 million people worldwide. The ketogenic diet is a mainstream medical dietary therapy that was developed to reproduce the success and remove the limitations of the non-mainstream use of fasting to treat epilepsy.
See image description page for full text. Physicians of ancient Greece treated diseases, including epilepsy, by altering their patients’ diet. Its author argued against the prevailing view that epilepsy was supernatural in origin and cure, and proposed that dietary therapy had a rational and physical basis. In the same collection, the author of Epidemics describes the case of a man whose epilepsy is cured as quickly as it had appeared, through complete abstinence of food and drink. The first modern study of fasting as a treatment for epilepsy was in France in 1911. Twenty epilepsy patients of all ages were “detoxified” by consuming a low-calorie vegetarian diet, combined with periods of fasting and purging. Two benefited enormously, but most failed to maintain compliance with the imposed restrictions.
Around this time, Bernarr Macfadden, an American exponent of physical culture, popularised the use of fasting to restore health. His disciple, the osteopathic physician Dr. Conklin’s fasting therapy was adopted by neurologists in mainstream practice. In 1921, Rollin Turner Woodyatt reviewed the research on diet and diabetes. 15 g of carbohydrate per day, and the remainder of calories from fat.
Peterman’s work in the 1920s established the techniques for induction and maintenance of the diet. This changed in 1938 when H. The ketogenic diet achieved national media exposure in the US in October 1994, when NBC’s Dateline television programme reported the case of Charlie Abrahams, son of Hollywood producer Jim Abrahams. The two-year-old had epilepsy that had remained uncontrolled by mainstream and alternative therapies.
By 2007, the ketogenic diet was available from around 75 centres in 45 countries, and less restrictive variants, such as the modified Atkins diet, were in use, particularly among older children and adults. The ketogenic diet was also under investigation for the treatment of a wide variety of disorders other than epilepsy. Three-quarters of children who respond do so within two weeks, though experts recommend a trial of at least three months before assuming it has been ineffective. Another difference between older and newer studies is that the type of patients treated with the ketogenic diet has changed over time. A study with an intent-to-treat prospective design was published in 1998 by a team from the Johns Hopkins Hospital and followed-up by a report published in 2001. It is possible to combine the results of several small studies to produce evidence that is stronger than that available from each study alone—a statistical method known as meta-analysis. One of four such analyses, conducted in 2006, looked at 19 studies on a total of 1,084 patients.
A Cochrane systematic review in 2018 found and analysed eleven randomized controlled trials of ketogenic diet in people with epilepsy for whom drugs failed to control their seizures. Six of the trials compared a group assigned to a ketogenic diet with a group not assigned to one. A systematic review in 2018 looked at 16 studies on the ketogenic diet in adults. It concluded that the treatment was becoming more popular for that group of patients, that the efficacy in adults was similar to children, the side effects relatively mild. However, many patients gave up the diet, for various reasons, and the quality of evidence was inferior to studies on children.
