Guest guest Posted July 7, 2002 Report Share Posted July 7, 2002 Sounds like you had a pretty normal start. Mike was quite lethargic and everything was a battle in the beginning. He didnt want to eat, play, get out of bed, anything, but now I can hardly keep up with him. Jenn neildw_bristol wrote: > > Lisette did poorly on her first diet day. We've been reducing carbs > for 2 to 3 days so she was becoming progressively more fatigued and > disinterested. By 3pm today (after fasting all day) she was very > tired and then had a small grand mal seizure (only the second in her > life). She has always had only myoclonic and atonic. Sat and sun > she had noticeably fewer myoclonics, but today she had more again. > > Well at the time of her grand mal her glucose was 49, which no one > batted an eye at. Her ketones were 80 so she started on a 1/3 > calorie ketoshake, which she drank quickly and felt a little better > afterward. > > However, she's still acting wierd, disoriented, fussy and is > difficult to deal with. > > Lynette and I are both discouraged -- hoping this isn't a sign the > diet isn't going to help her. > > Neil > > > " The Ketogenic Diet....a realistic treatment option, NOT just a last > resort! " > > List is for parent to parent support only. > It is important to get medical advice from a > professional keto team! > Subscribe: ketogenic-subscribe > Unsubscribe: ketogenic-unsubscribe > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2002 Report Share Posted July 8, 2002 Neil, I think it's a shame that they use the fast to start kids out on this diet. It's not considered necessary by a number of clinics these days (including ours). It's just a rough way to start out..... I'm sorry she's had a tough go. It should get better from here. The fatigue is very common at first. If she is still on meds, you may see some issues with that as ketosis changes the way meds are metabolized... as I'm sure you've gathered from reading this list for a while. Don't despair ! There is much to be hopeful about! Our neuro insisted that we promise to give the diet a six month committment because you really can't know in even just the first few weeks. You're at the very beginning..... hang in there! Patti, mom to Katera...... Keto Kid for 21 months now. Our first day was discouraging Lisette did poorly on her first diet day. We've been reducing carbs for 2 to 3 days so she was becoming progressively more fatigued and disinterested. By 3pm today (after fasting all day) she was very tired and then had a small grand mal seizure (only the second in her life). She has always had only myoclonic and atonic. Sat and sun she had noticeably fewer myoclonics, but today she had more again. Well at the time of her grand mal her glucose was 49, which no one batted an eye at. Her ketones were 80 so she started on a 1/3 calorie ketoshake, which she drank quickly and felt a little better afterward. However, she's still acting wierd, disoriented, fussy and is difficult to deal with. Lynette and I are both discouraged -- hoping this isn't a sign the diet isn't going to help her. Neil Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2002 Report Share Posted July 8, 2002 Neil, Can't remember, does Lisette have meds on board? If so, this could be her problem, if not, you'll find a lot here have the same initial reaction, meds or not. Day 1 with was worse than pre diet, day 2 slightly better than pre diet, gradual improvement till day 5, when all day seizures went - still left with night seizures though. It can definitely gets worse before it gets better, I think Freeman's book says this too. Dare I say that a new (or unusual for her) seizure type shows something is changing, and to take this as a positive sign? I was a complete wreck that first week, nerves stretched to the limit, thought everything was going wrong, diet wasn't for him etc....Reached for 's diazepam many times, didn't give in to temptation though!!!!!!!!! Keep us posted, Hill in NZ > > Lisette did poorly on her first diet day. We've been reducing carbs > for 2 to 3 days so she was becoming progressively more fatigued and > disinterested. By 3pm today (after fasting all day) she was very > tired and then had a small grand mal seizure (only the second in her > life). She has always had only myoclonic and atonic. Sat and sun > she had noticeably fewer myoclonics, but today she had more again. > > Well at the time of her grand mal her glucose was 49, which no one > batted an eye at. Her ketones were 80 so she started on a 1/3 > calorie ketoshake, which she drank quickly and felt a little better > afterward. > > However, she's still acting wierd, disoriented, fussy and is > difficult to deal with. > > Lynette and I are both discouraged -- hoping this isn't a sign the > diet isn't going to help her. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2002 Report Share Posted July 8, 2002 JC reacted much the same way when we started the diet. He just had no energy, hang in there, it does get better, there are many different changes, some good some not so good. Try not to get too discouraged in the begining. There is someone out here that can give you some words of encouragment. This list has been a great help to me. BTW we are going into month 2 and seeing some good stuff and little changes. Janine and JC Our first day was discouraging Lisette did poorly on her first diet day. We've been reducing carbs for 2 to 3 days so she was becoming progressively more fatigued and disinterested. By 3pm today (after fasting all day) she was very tired and then had a small grand mal seizure (only the second in her life). She has always had only myoclonic and atonic. Sat and sun she had noticeably fewer myoclonics, but today she had more again. Well at the time of her grand mal her glucose was 49, which no one batted an eye at. Her ketones were 80 so she started on a 1/3 calorie ketoshake, which she drank quickly and felt a little better afterward. However, she's still acting wierd, disoriented, fussy and is difficult to deal with. Lynette and I are both discouraged -- hoping this isn't a sign the diet isn't going to help her. Neil Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2002 Report Share Posted July 8, 2002 Neil, don't be discouraged! cried for two weeks straight when we started the diet--it was horrible. Lethargic as well. Plus we didn't see much a reduction in seizures. Then after a couple weeks perked up and was more alert and energetic than we'd seen him in about a year. His demeanor has been happier ever since. 's seizures have greatly lessened, but it took almost 6 weeks until we saw noticable gains (we started 5/13/02). We're still not seizure free, but still fine-tuning. This list has been an enormous help. Hang it there--it gets better...really! (mom to , age 4, autism, non-verbal, keto kid since 5/02) ---------- From: heppner1@... To: ketogenic Subject: Re: Our first day was discouraging Date: Sun, Jul 7, 2002, 7:13 PM > Lynette and I are both discouraged -- hoping this isn't a sign the > diet isn't going to help her. > > Neil > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2002 Report Share Posted July 9, 2002 Hi Neil & Lynette, Don't be discouraged, Mallorie started much the same way. The whole time she was in the hospital all she would do is let us pull her around in a wagon while she just laid there. The day after we came home from the hospital she had a tonic clonic seizure too. All the doctors, nurses and dieticians who came by said it was normal for the kids to act very lethargic for several days. They were right. When we got home Mallorie began to do her normal activities and her energy returned. You have followed Mallorie for some time now and know that her and Lisette are a lot alike as far as seizures, response to medications, etc...... Sounds like they are also sharing a similiar response to the start of the diet. As far as Lisette's glucose seeming to get low, that too can happen when starting the diet. Mallorie's dropped into the lower 30s one night and she was so fussy. I was very alarmed. They didn't do anything for her except monitor her and by morning she was fine. I don't think they really even bat an eye unless it gets into the 20s when initiating the diet. Neil, we have only been on the diet now for 4 weeks. Mallorie was started on a 3.0:1 ratio with 1050 calories. She lost 4 lbs right off the bat. We have had 2 calorie increases up to 1350. Her dietician has been out for over 2 weeks and won't be back until next week. We have increased her ratio to 3.5:1 because of the drop in ketones when we increased her calories. Now she has gained weight and doesn't want to eat like she did at first so we have dropped the calories back down to 1200. We have a lot of fine tuning to do but so far it is worth it. I guess I'm telling you all this to let you know it may not be smooth at first. Mallorie has had ups and downs already but we have seen positive things that are worth it already. Hang in there, give Lisette time to adjust to everything and expect to have ups and downs. I am hoping you will have mostly ups with Lisette and that the diet works quickly. The first few weeks may not be what you are expecting and can even be difficult but things will get better! Take care, > > Lisette did poorly on her first diet day. We've been reducing carbs > for 2 to 3 days so she was becoming progressively more fatigued and > disinterested. By 3pm today (after fasting all day) she was very > tired and then had a small grand mal seizure (only the second in her > life). She has always had only myoclonic and atonic. Sat and sun > she had noticeably fewer myoclonics, but today she had more again. > > Well at the time of her grand mal her glucose was 49, which no one > batted an eye at. Her ketones were 80 so she started on a 1/3 > calorie ketoshake, which she drank quickly and felt a little better > afterward. > > However, she's still acting wierd, disoriented, fussy and is > difficult to deal with. > > Lynette and I are both discouraged -- hoping this isn't a sign the > diet isn't going to help her. > > Neil Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2002 Report Share Posted July 9, 2002 Try not to get discouraged. It took our daughter a good month to get her full energy back. Koch Mom to keto diet since 6/00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2002 Report Share Posted July 9, 2002 Neil, Sorry to hear you're having a rough go of it. From what I have read on the list, that has been the experience of some and they have gone on to find success with the diet. I have also seen alot of warnings about not letting the keto team you are working with talk you into giving up too soon. Sometimes the doctor is the first one to want to throw in the towel as alot of them are not that enthusiastic about the diet's effects on seizure control anyway. I hope that is not the case for your family but something we should all be aware of especially at the beginning. We are introducing the diet into our lives in the weeks to come on an outpatient basis so I will be interested to see how you all progress and anticipate hearing how well your child will be doing in the near future (Positive attitude can't hurt right?) Good Luck...hang in there and stay strong and hopeful. mom to pre-keto kid Karley, age 8. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2002 Report Share Posted July 9, 2002 Neil -- it does get better. We've just entered month three of the diet, and though not seizure free, see small improvements all the time. Hunger has disappeared -- and we're able to even drop calories now without much of a fuss. The fasting is a drag. Some places don't even do it. But she will get used to the food and hopefully the seizure picture will improve. Best, jane, mom to Leo,7. Re: Our first day was discouraging Sounds like you had a pretty normal start. Mike was quite lethargic and everything was a battle in the beginning. He didnt want to eat, play, get out of bed, anything, but now I can hardly keep up with him. Jenn neildw_bristol wrote: > > Lisette did poorly on her first diet day. We've been reducing carbs > for 2 to 3 days so she was becoming progressively more fatigued and > disinterested. By 3pm today (after fasting all day) she was very > tired and then had a small grand mal seizure (only the second in her > life). She has always had only myoclonic and atonic. Sat and sun > she had noticeably fewer myoclonics, but today she had more again. > > Well at the time of her grand mal her glucose was 49, which no one > batted an eye at. Her ketones were 80 so she started on a 1/3 > calorie ketoshake, which she drank quickly and felt a little better > afterward. > > However, she's still acting wierd, disoriented, fussy and is > difficult to deal with. > > Lynette and I are both discouraged -- hoping this isn't a sign the > diet isn't going to help her. > > Neil > > > " The Ketogenic Diet....a realistic treatment option, NOT just a last > resort! " > > List is for parent to parent support only. > It is important to get medical advice from a > professional keto team! > Subscribe: ketogenic-subscribe > Unsubscribe: ketogenic-unsubscribe > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2002 Report Share Posted July 9, 2002 Hi, Neil! Please don't get too discouraged - we went through the same kind of beginning. Jess was terribly lethargic for several weeks into the diet, and we only saw moderate seizure control. It took lots of fine-tuning (changing calories, adding bedtime snack, doubling bedtime snack, etc.) and a drug drop to get where we are now. But this didn't happen until we were on the diet for almost 3 months. hang in there and keep posting here. It will get better! Carolyn, mom to , 4 years old, ketokid since 2/13/02, seizure- free since 4/23/02, and Cade, 1 year old and perfectly healthy so far! > > Lisette did poorly on her first diet day. We've been reducing carbs > for 2 to 3 days so she was becoming progressively more fatigued and > disinterested. By 3pm today (after fasting all day) she was very > tired and then had a small grand mal seizure (only the second in her > life). She has always had only myoclonic and atonic. Sat and sun > she had noticeably fewer myoclonics, but today she had more again. > > Well at the time of her grand mal her glucose was 49, which no one > batted an eye at. Her ketones were 80 so she started on a 1/3 > calorie ketoshake, which she drank quickly and felt a little better > afterward. > > However, she's still acting wierd, disoriented, fussy and is > difficult to deal with. > > Lynette and I are both discouraged -- hoping this isn't a sign the > diet isn't going to help her. > > Neil Quote Link to comment Share on other sites More sharing options...
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