Low glycemic index treatment (LGIT) for epilepsyLLow glycemic index treatment (LGIT) for epilepsyLow glycemic index treatment (LGIT) for epilepsyEnglishNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemNon-drug treatmentCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZElizabeth J. Donner, MD, FRCPC9.0000000000000063.0000000000000997.000000000000Flat ContentHealth A-Z<p>Learn about the benefits and limitations of the low glycemic index treatment (LGIT) for childhood epilepsy and how to use it at home.</p><p>The low glycemic index treatment (LGIT) is a form of dietary therapy for epilepsy.</p><h2>Key points</h2> <ul><li>The low glycemic index treatment (LGIT) involves avoiding starchy and sugary carbohydrates such as potatoes and white bread. A child can eat 40-60 g of low-glycemic carbohydrates a day and get about 60 per cent of their calories from fat.</li> <li>This diet is easier to follow and has fewer side effects than the ketogenic diet, but it may take a few months to see if it is effective.</li> <li>Side effects may include constipation, changes in blood chemistry and weight loss. Your child will be monitored closely for these side effects.</li> <li>The diet is restrictive and needs to be followed carefully under the guidance of a dietitian and your child's doctor.</li></ul>
Traitement au faible indice glycémique (TFIG)TTraitement au faible indice glycémique (TFIG)Low glycemic index treatmentFrenchNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemConditions and diseasesCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZElizabeth J. Donner, MD, FRCPC9.0000000000000063.00000000000000Flat ContentHealth A-Z<p>Apprenez-en davantage sur les avantages et les limites du traitement à faible indice glycémique pour l’épilepsie infantile et sur la façon de le commencer et de l’utiliser à la maison.</p><p>Le traitement à faible indice glycémique est une forme de thérapie alimentaire pour l’épilepsie.</p><ul><li>Le traitement à faible indice glycémique consiste à éviter les féculents et les glucides sucrés, comme les pommes de terre et le pain blanc. Un enfant peut prendre de 40 à 60 g de glucides à faible indice glycémique par jour et obtenir environ 60 pour cent de ses calories des matières grasses.</li> <li>Ce régime est plus facile à suivre et comporte moins d’effets secondaires que le régime cétogène traditionnel, mais il peut s’écouler quelques mois avant de pouvoir en constater l’efficacité.</li> <li>Ses effets secondaires sont la constipation, les changements dans la composition chimique du sang et la perte de poids. Votre enfant sera suivi de près pour en vérifier la présence.</li> <li>Le régime est restrictif et il doit être suivi soigneusement sous les conseils d’un diététiste et du médecin de votre enfant.</li></ul>

 

 

Low glycemic index treatment (LGIT) for epilepsy2102.00000000000Low glycemic index treatment (LGIT) for epilepsyLow glycemic index treatment (LGIT) for epilepsyLEnglishNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemNon-drug treatmentCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZElizabeth J. Donner, MD, FRCPC9.0000000000000063.0000000000000997.000000000000Flat ContentHealth A-Z<p>Learn about the benefits and limitations of the low glycemic index treatment (LGIT) for childhood epilepsy and how to use it at home.</p><p>The low glycemic index treatment (LGIT) is a form of dietary therapy for epilepsy.</p><h2>Key points</h2> <ul><li>The low glycemic index treatment (LGIT) involves avoiding starchy and sugary carbohydrates such as potatoes and white bread. A child can eat 40-60 g of low-glycemic carbohydrates a day and get about 60 per cent of their calories from fat.</li> <li>This diet is easier to follow and has fewer side effects than the ketogenic diet, but it may take a few months to see if it is effective.</li> <li>Side effects may include constipation, changes in blood chemistry and weight loss. Your child will be monitored closely for these side effects.</li> <li>The diet is restrictive and needs to be followed carefully under the guidance of a dietitian and your child's doctor.</li></ul><p>The LGIT allows more carbohydrate than the ketogenic diet, MCT diet or modified Atkins diet. Children can eat 40 g to 60 g of carbohydrate per day. However, all the carbohydrate the child eats must have a low glycemic index (GI), which is a measure of how much a particular food raises blood glucose (sugar).</p> <p>Many different factors affect the GI of a food. Starchy and sugary foods such as potatoes and white bread have a high GI, while foods with a high fibre content tend to have a lower GI. </p> <p>The LGIT still contains more fat than a “normal” diet. About 60 per cent of calories in the diet come from fat, and about 20-30 per cent of calories from protein.</p> <p>The LGIT was first described as a treatment for epilepsy in 2005, after doctors observed that some children had many more seizures after eating high-GI foods. Stabilizing blood glucose seems to help control seizures in some children.</p> <h2>Benefits of the LGIT</h2> <p>Although it does not work for every child, the LGIT has been shown to reduce seizures in many children, sometimes by more than 90 per cent. It is easier to follow than the traditional ketogenic diet and offers a wider range of food. Children can order food that is appropriate for the diet in restaurants and cafeterias. Although research is still limited, children on the LGIT seem to have fewer side effects than with the traditional ketogenic diet.</p> <p>It may take a few months to see if the diet is effective. If it is successful in controlling seizures, it may be continued for several years under the guidance and monitoring of your child's doctor. </p> <h2>Limitations and side effects of the LGIT</h2> <ul><li>Studies so far have found few side effects from the LGIT. Side effects may include constipation, changes in blood chemistry and weight loss. </li> <li>Your child will need to take specific vitamin and mineral supplements. Your child's doctor and dietitian can advise you on these. </li> <li>Ask your child's doctor to explain all possible side effects, what you should watch for and what action you should take for each one. </li></ul> <h2>Points to consider before trying the LGIT diet</h2> <ul><li>More foods are allowed than with the classic ketogenic diet, but the diet is still very restrictive, especially for a child. The diet controls the type of food and the quantity of food. </li> <li>The diet will not work unless it is followed carefully, and some children are unable or unwilling to follow it.</li> <li>It can be time-consuming and tedious to prepare. This usually gets easier as families adapt to the new routine.</li> <li>It might not work for some children, no matter how closely they follow the diet.</li> <li>Children must be followed closely by a doctor during treatment with the diet. </li></ul> <h2>Starting the LGIT</h2> <p>Before starting the LGIT, your child will need a full evaluation. This will include a physical examination, with measurement of his height and weight and a number of blood and urine tests. The team will also ask for a diet history for your child, including what they eat at home, what they do and do not like to eat, how much they eat, whether you see any problems feeding them the diet and whether your family has any cultural or religious food restrictions.</p> <p>The LGIT is usually started on an outpatient basis. Your child does not need to be admitted to hospital, but it is important to stay in close contact with your child’s doctor.</p> <p>Your family will meet with a dietitian to learn how to count carbohydrates, read food labels, identify sources of carbohydrate, estimate the GI of various foods, plan menus and calculate portion sizes. She will explain which vitamin and mineral supplements your child will need and where to buy them. She will also help you with strategies for dealing with problems you may encounter while your child is on the diet, including constipation, acidosis and weight loss. A nurse will train you on how to keep track of your child’s body weight and seizure activity. </p> <p>Before starting the diet at home, it is a good idea to become comfortable with the concepts of the diet and buy enough food to follow the diet for a few days.</p> <h2>Using the LGIT at home</h2> <p>Sticking closely to the diet is very important to ensure your child has given it a proper try and to see if it can control your child's seizures. It may take several months to see the effects of the diet. If you find the diet too restrictive, speak to your dietitian and doctor to discuss how to make it easier to use. Changes to the diet could mean changes to food content, quantity or scheduling.</p> <p>Unlike the classic and MCT diets, other family members can also follow the LGIT if they wish. This may help children feel less isolated and may help them follow the diet more easily.</p> <p>Children on the LGIT require frequent monitoring, usually every month for the first few months and then usually every three to six months. Check-ups will include measurements of weight and height as well as urine and blood tests. </p> <p>Between appointments, you will need to keep track of your child's seizure activity and body weight. </p> <p>Some medications, including over-the-counter cough and cold medicines and IV fluids, have sugar (carbohydrates) in them. The dietitian will explain how to avoid medications with carbohydrates. Whenever you take your child to the doctor, or get a new prescription, you need to inform them that your child is on the LGIT.</p> <h2>Discontinuing the LGIT</h2> <p>If the diet has kept seizures well under control for several years, it may be tapered off with guidance from your child's doctor and dietitian. Alternatively, if it is not working, the diet may be tapered off or your child’s doctor may suggest switching to a different diet.</p>https://assets.aboutkidshealth.ca/AKHAssets/low_glycemic_index_treatment_for_epilepsy.jpgLow glycemic index treatment (LGIT) for epilepsy

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