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Ketone Level to High

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My daughter has been on the ketogenic diet for exactly a year. Two

weeks ago, she had an episode of asthma and her appetite decreased.

She was on a short course of prednisone and asthma improved and got

better pretty quickly. She still was not eating much and had reduced

her calories by half (700 cals vs. 1200 cals) and as a result has

lost 2 lbs. We tested her blood ketones a week ago and she is at 12

(normal levels are around 5-7).

I have been giving her juice to try and breakup her ketones so she

can get her appetite back. She has had about 2-4 ounces of juice for

the past 4 days and she still will not eat. She has not eaten

anything solid for a week but has been drinking all her keto formula

(ross carb free soy, polycose, and microlipids), which we reduced

from 4:1 to 3.5:1 ratio.

For the first time since she was about five months, my daughter is

seizure free these past two weeks. Obviously, the high level of

ketosis is giving her full seizure control (she used to have 15-20

drops a day).

I am very worried about her growth and nutrition and am wondering if

any of you have any suggestion on how to bring her ketone level lower.

I am considering having IV glucose given to her this monday if her

ketones ar still very high.

By the was, her co2 & glucose level are fine, so she her acidosis

level is normal.

Please let me know if you have and suggestions or have had this

experience.

Nunu

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