QUESTION: Ketones too high at night

August 14, 2004

Hello!

I need some insight on my daughter's problem. For some nights now

she wakes and cries. I don't think it is a seizure... Since I

lowered her ratio from 4:1 to 3.5:1 her ketones no longer are high

all day and night, but build and get high by bedtime. She is feeling

better. However, lately, at night the multistix I test her ketones

with turns dark IMMEDIATELY indicating to me that the ketones are

mighty high. The nights she settles and sleeps well either before or

after crying are when I give a tablespoon of apple juice in some

water to her.

Is there such a thing as lowering the ratio at the last meal of the

day, or should I be lowering it all day? I have just lowered her

calories, because she had gained over four pounds in less than six

weeks on the diet... obviously getting too many calories. She seems

to be doing okay with the lowering of the calories.

Anyway, before we end up with a bigger problem I thought I would ask

for some advice. Thanks ahead of time.

... 's mumma

August 16, 2004

Hi ,

Maybe reducing the cals has canceled out the ketone lowering effect of

reducing the ratio? And she may now need a lower ratio again on the present cal

level. She will prob be burning body fat if the recent weight gain is starting

to reverse, and most kids need a lower ratio till weight loss is 'over and done

with' - like otherwise a bit of a double whammy - ketones from burning body fat

on top of ketones from caloric fat in meals.

If the trend continues, you might have to lower it down a bit more, the

response to the apple juice seems to be pointing you in that direction?

A real juggling act isn't it - for every action with this diet there is more

often than not a REaction....

The fact that the ketones build by bedtime is kind of common on the diet, we

get that all the time too, but I am not a fan personally of different ratios for

diff meals - though I think some do have some success with this. What happens

later on in the day is often a reflection of what has been happening earlier on

though, well that is what our dietician says anyway, and with - high high

ketones at night often sees lower ketones in the morn, like keeping steady on a

more even keel is more deisrable, easier said than done though I know - been

trying to achieve that here for, um nearly 3 years

----- Original Message -----

From: frumpymumma