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Re: 4 meals vs. 5/

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,

I don't think that seizures can affect ketones. It is more likely that

the low ketones caused the seizure.

Bill

michelle paulson wrote:

> Hi -

> I check blood ketones. His ketones are consistently

> high at bedtime and he is now waking w/mod. ketones

> " MOST " days. Granted, I only spot check. Mornings

> following seizures ketones are down and glucose is up

> but figured they were lower as a natural response to

> the seizure.

>

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Hey there, -

Yes, for us - ketones are down and glucose is up every

time I have checked following a seizure (I don't

always check). Even when had myoclonic jerks -

glucose increased quite a bit and ketones went down.

So I know that to be true for Coop.

I raised 's ratio from 3:1 to 3.5:1 very close

to one month ago. The last time he had a seizure was

about 1.5 wks. ago (early am). About 4-5 days ago, I

noticed his morning ketones jumped from 1.4 upon

awakening (or about) to 2.7 where they have

consistently stayed this past wk. It seems his

metabolism has steadied as a result of raising the

ratio. I'm praying that the rise in early morning

ketones will be enough to " ward off " those nasties

early morning. IF he has a seizure in the next week -

then I'm going to either add a " snack " or raise his

ratio at bedtime. I'll check in before I make the

change but hopefully I won't have to.

When you get a chance - how's doing w/the wean?

Did he get over his cold virus OK??

--- & Hill rich.sue.hill@...>

wrote:

> Yes, lower than optimum ketones can cause the

> seizure, but also - the act of having a seizure can

> trigger a glucose stress response. Higher glucose

> (usually) = lower ketones. Testing either blood

> level just after a seizure is therefore not v

> accurate, well it never was here anyways...

> - the one move that definitely made a

> difference with 's waking ketones was changing

> his spacing to yes, 5 meals per day, instead of 4,

> and one of those meals just before bed is not the

> snack it used to be, it is now really what you would

> call a full meal - I assumed this could result in

> higher glucose readings and therefore lower ketones

> on waking, but the opposite happened with him.

> His spacing (though it may not apply to as

> they are obviously diff ages with different things

> going on in their day..with much larger calories

> here) is breakfast (400 cals) as soon as he wakes at

> 8 am, a snack (75 cals) at 10.30, lunch at 12.30 pm

> (400 cals) , I guess you would call it dinner at

> 4.30 pm, (375 cals) and 'supper' (300 cals) at 7.30

> pm, bed at 7.45 pm. That last meal before bed last

> yr (and the yr before) used to be a 100 cal snack,

> but for it was obviously not enough to carry

> him though till the early hrs of the morn, he was

> prob using glucose from muscle etc to carry him

> thru, which is why his ketones were so much lower on

> waking. That's the theory anyways :)

>

>

> ----- Original Message -----

> From: Bill Barber

>

> ,

>

> I don't think that seizures can affect ketones.

> It is more likely that

> the low ketones caused the seizure.

>

> Bill

>

> michelle paulson wrote:

> > Hi -

> > I check blood ketones. His ketones are

> consistently

> > high at bedtime and he is now waking w/mod.

> ketones

> > " MOST " days. Granted, I only spot check.

> Mornings

> > following seizures ketones are down and

> glucose is up

> > but figured they were lower as a natural

> response to

> > the seizure.

> >

>

>

>

>

>

>

>

> [Non-text portions of this message have been

> removed]

>

>

__________________________________________________

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Hopefully you are right, and having those waking ketones increase and

stabilise like that may finally be your answer. That is a similar change to

's morn ketones, he used to be down around the 1.5-1.7 mark last yr too,

now he is 2.5 - 3.0 on waking. In our case I think it was the meal spacing

change responsible, but whatever the reason there, I hope 's early am

seizures have disappeared with the low ketones just as 's did.

His cold is all but gone, and the resp issues settled a few days ago, so we

went ahead with the 3rd dep reduction today. Here we go again.... :)

Tomorrow is the 12 mth anniversary of the beginning of his hosp admission for

that revolting 2 mth stay, so seeing him heading off to school today in good

spirits, looking forward to fireworks here tonight (Guy Fawkes day today - this

time last yr wasn't even aware of the fireworks going off all around him,

it was awful, I knew he was gonna be headed for hosp the next day - ick) is a

pretty poignant feeling.

Anyways, mebbe this yr he will finally be able to enjoy it all as much as

and , now I have to try and work a sausage into his meal tonight so

he can join in the BBQ :)

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

From: michelle paulson

Hey there, -

Yes, for us - ketones are down and glucose is up every

time I have checked following a seizure (I don't

always check). Even when had myoclonic jerks -

glucose increased quite a bit and ketones went down.

So I know that to be true for Coop.

I raised 's ratio from 3:1 to 3.5:1 very close

to one month ago. The last time he had a seizure was

about 1.5 wks. ago (early am). About 4-5 days ago, I

noticed his morning ketones jumped from 1.4 upon

awakening (or about) to 2.7 where they have

consistently stayed this past wk. It seems his

metabolism has steadied as a result of raising the

ratio. I'm praying that the rise in early morning

ketones will be enough to " ward off " those nasties

early morning. IF he has a seizure in the next week -

then I'm going to either add a " snack " or raise his

ratio at bedtime. I'll check in before I make the

change but hopefully I won't have to.

When you get a chance - how's doing w/the wean?

Did he get over his cold virus OK??

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