diabetestalk.net

Ketosis When Breastfeeding

Is Keto Dangerous While Pregnant, Breastfeeding, Or For Children?

Is Keto Dangerous While Pregnant, Breastfeeding, Or For Children?

A question I’ve come across seemingly increasingly in the past few months, is a variation of, is it safe for kids to eat keto, including women during pregnancy and breastfeeding? This is where a simple disambiguation between a well and poorly formulated diet should end the discussion but let’s dig a little bit deeper into the concerns themselves, studies on children, the validity thereof, what a good diet is and context. One of the applications of a well formulated ketogenic diet has been in treatment of PCOS with much success, though more research is needed. You can search for yourself to find more info on this and the specifics with lots of other blogs and anecdotes covering it out there, but between weight loss and improved hormone regulation from better food choices it’s a way to manage symptoms and issues associated with the disorder. Many women who see improvements have noted they end up with a surprise pregnancy after starting low carb. Though usually planned or at least semi-planned, you can find near endless anecdotes of despite several years of trying, a sudden ketobaby happened after a few weeks or months of low carb. Just search through //www.reddit.com/r/xxketo and /r/ketobabies for personal accounts thereof. If you’ve done prior research into keto, you should already know that improvements in endocrine function are one of the benefits with plenty of evidence to support it. So if you’ve found yourself with a surprise baby thanks to keto the next question is, can you, should you, or is it dangerous to continue while pregnant? Ketosis and Pregnancy: Thanks to Japan and low carb as a treatment for diabetes we do have some research done regarding the application of a low carb diet in pregnant mothers on ketone levels and their role. Aside from this, c Continue reading >>

Here’s What Research Says About Keto While Breastfeeding

Here’s What Research Says About Keto While Breastfeeding

Did you know that soon after babies are born they enter a natural state of ketosis? Yep, you read that right — research shows that newborn infants are in ketosis and remain in this normal, healthy state while breastfeeding[*][*]. Furthermore, research confirms that breast milk from healthy mothers is actually made up of 50-60% fat, and the cholesterol in breast milk supplies babies with almost six times the amount that most adults consume in their diets [*]. So, if babies are naturally born in ketosis and benefit from using fat and ketones for fuel, then why would it be an issue for a breastfeeding mother to follow a ketogenic diet/lifestyle? What Does the Research Say About Keto While Breastfeeding? Unfortunately, the current scientific literature surrounding the ketogenic diet and breastfeeding is extremely limited. However, one study performed in 2009 compared a low-carbohydrate, high fat (LCHF) diet to a high-carbohydrate, low fat (HCLF) diet in breastfeeding women[*]. Results from this study showed the following: Regardless of the diet, daily breast milk production and daily infant breast milk intake remained the same. Neither diet had an effect on milk lactose or protein concentration; however, milk fat concentration and the energy content of milk were higher during the LCHF diet than the HCLF diet. Infants’ energy intake (kcal/day) was higher during the LCHF diet than during the HCLF diet. The estimated average maternal energy expenditure and the sum of maternal energy expenditure plus milk energy content were higher during the LCHF diet than during the HCLF diet. Based on these results, researchers concluded that breastfeeding mothers could lose more weight while consuming a LCHF diet than a HCLF diet without affecting milk production and still supplying the Continue reading >>

Low Carbohydrate Diets And Breastfeeding

Low Carbohydrate Diets And Breastfeeding

Article written by Dr Susan Tawia, Manager, Breastfeeding Information and Research team, for the January 2017 health professional member eNewsletter. Low carbohydrate (carb), high fat diets continue to be popular and women of reproductive age are following them. They will often change their diet to a more ‘conventional’ one during pregnancy, but are often keen to return to a weight-loss diet, that they have had success with, after the pregnancy. So, what do we know about the effect of low carb, high fat diets on breastmilk composition and on the metabolism of the breastfeeding woman? The lack of research on this type of diet, and the possible effect on breastmilk composition, breastfeeding women and their infants, was highlighted by both breastfeeding experts and dietitians in 2004 (Heinig & Doberne, 2004; Wood & Hilldebrandt, 2004) at the height of the popularity of the low carb, weight loss diet advocated by Dr RC Atkins — the Atkins diet. Research on low carb, high fat diets has been undertaken, but surprisingly, only one study has been done. Mohammad, Sunehag, & Haymond (2009) looked at maternal breastmilk production, infant intake and maternal glucose metabolism and broadly looked at the macronutrients in breastmilk. Two moderate hypocaloric diets (1785 ± 22 kcal/day) were assessed in a cross-over design: seven, healthy lactating mothers and their infants were studied on 2 occasions in random order for 8 days separated by 1 to 2 weeks. On one occasion, the subjects received the low carb, high fat (LCHF, 30% of energy as carbohydrate and 55% as fat) and on the other occasion received the high carb, low fat diet (HCLF, 60% of energy as carbohydrate and 25% as fat). It is important to note that the amount of carbohydrates consumed during the LCHF was around 150 Continue reading >>

Atkins For Breastfeeding Mothers

Atkins For Breastfeeding Mothers

For new mothers, losing weight is probably the furthest thing from their minds and in my opinion, this is exactly as it should be. I think that in our culture mothers are sometimes expected to bounce back to ‘normal’ as though nothing has changed! In reality, everything has changed and you have a lot more important things to think about in those first few weeks or months. As well as getting to know your baby, establishing breastfeeding, adjusting your sleeping patterns and often your expectations you need to try to give yourself time to rest and recover. However, at some point when you feel ready to begin losing the baby weight and you have consulted with your doctor, the Atkins Nutritional Approach is an excellent choice. This is true no matter how you feed your baby but when breastfeeding there are some extra considerations so I’ll focus on these for this article. Won’t breastfeeding make me lose the baby weight? While breastfeeding certainly helps with losing the baby weight more quickly, it’s not a magic fix. Just as you cannot ‘out-train a bad diet’ you can’t ‘out-breastfeed a bad diet’ either! There are many many regular gym goers and marathon runners that are overweight proving that exercise alone will not make you lose weight. In the same way, it stands to reason that if your diet is not good, the extra calories needed for breastfeeding will not make you lose the baby weight either. Should I wait until the baby is weaned? Sometimes you may see the advice to wait until the baby is weaned before starting a diet. However the World Health Organisation say: “Exclusive breastfeeding is recommended up to 6 months of age, with continued breastfeeding along with appropriate complementary foods up to two years of age or beyond.” Obviously, the deci Continue reading >>

Lactation Ketoacidosis: An Unusual Entity And A Review Of The Literature

Lactation Ketoacidosis: An Unusual Entity And A Review Of The Literature

Go to: CASE PRESENTATION A 31-year-old woman who was 10 months postpartum and was breast-feeding presented to the Emergency Department with nausea, fatigue, vertigo, malaise, and 1 episode of emesis. She had been well until 20 hours earlier when her symptoms began somewhat suddenly and progressed in severity such that she sought treatment in the Emergency Department. She denied having fever, chills, or diarrhea and reported having consumed nothing out of the ordinary; no one else in her household was ill. She had not ingested or used any illicit substances, alcohol, or over-the-counter or prescription medications in the days preceding her presentation. Her medical history included mild asthma, for which she took no medications on a regular basis. She had an ectopic pregnancy 6 years earlier and hyperemesis gravidum 7 years ago when pregnant with her first child. She was breastfeeding her second child, a 10-month-old daughter. She had 2 hospital admissions in the preceding 3 months, with symptoms similar to those at current presentation. In each case, she was given intravenous fluids, her symptoms quickly resolved, and she was discharged from the hospital the following day. No cause was established for her illness in either of her prior hospital admissions. On physical examination, she appeared ill but was not in acute distress. She was alert and fully oriented. Her temperature was 35.8°C, respiratory rate was 16/min, heart rate was 92/min, blood pressure was 157/125 mmHg, and oxygen saturation was 100% breathing room air. Results of her physical examination revealed no abnormalities of her head or neck. She had clear breath sounds, normal heart tones and no murmurs, and a soft nontender abdomen. She had no abnormalities of the extremities or nervous system. Results of Continue reading >>

Is It Ok To Try A Ketogenic Diet While Breastfeeding? An Expert Explains

Is It Ok To Try A Ketogenic Diet While Breastfeeding? An Expert Explains

Ashley Batz/Romper I've tried all the diets. All of them. I've done Weight Watchers and juice fasts and Paleo and low-fat diets. After I had my daughter, I knew I wanted to lose the weight I'd put on, but I was also worried that it would affect my milk production. I'd heard good things about a type of Paleo diet that a lot of my mom friends did to great results, but was it safe? Is it OK to try a Ketogenic diet while breastfeeding? Ketogenic diets are very high fat and very low carbohydrate diets, like Atkins and Paleo, which force your body into what is called "ketosis." Ketosis, according to the European Journal of Clinical Nutrition, is when your body runs out of normal energy (carbohydrate) stores in your body and begins burning the fat reserves as energy instead. There have been several studies showing many benefits of a keto diet. For instance, women with polycystic ovarian syndrome (PCOS) often find that their symptoms are lessened when they follow a strictly keto diet. For women who've had a baby and have PCOS, the first period after birth is often horrific. I know mine was. Therefore, anything to ameliorate its effects is more than welcome. Your body is shocked enough from having a human ripped from your loins, and then a few months later, your ovaries decide to declare war on your abdomen. Even so, can you stay on a keto diet while breastfeeding? Giphy There is some research out there that points to possible consequences for the baby if the mother chooses to maintain a ketogenic diet while breastfeeding. According to The American Journal of Physiology, the maintenance of a ketogenic diet while pregnant and breastfeeding may correlate to a decreased level of triglycerides in the liver of the offspring. However, this was a scientific study performed on rats, and Continue reading >>

Low Carb And Breastfeeding?

Low Carb And Breastfeeding?

I keep toying with the idea of restricting carbs because I still have about half of the baby fat 2 years later (35 of the 70 pounds gained while preggo). I am however still breastfeeding, and the low carb gurus seem to say "don't even think about it" if you're nursing. I have done the occasional day where I just eat meat because that's all I want, and my breasts don't seem to fill up in the same way the next day. So maybe I've answered my own question. I'm just tired of being so jiggly in the middle, and want to know if anyone here has tried it successfully. And if so, did you ease into it, or just dive right on in? Continue reading >>

[starvation Ketosis In A Breastfeeding Woman].

[starvation Ketosis In A Breastfeeding Woman].

Abstract INTRODUCTION: Bovine ketosis is a rare cause of metabolic acidosis. It is a starvation ketosis that appears in lactating woman. CASE REPORT: A 29-year-old woman had a previous gastric surgery one month ago while breastfeeding her 6-month child. She presented to emergency with dyspnea, fatigue, weight loss and anorexia. The explorations revealed a serious metabolic acidosis with a high anion gap, for which all other causes have been eliminated. CONCLUSION: A restrictive diet in lactating patients is a major risk of ketosis or bovine ketosis. Medico-surgical treatment of obesity during lactation seems unreasonable. Breastfeeding should be systematically sought before a medical and surgical management of obesity. With the spread of bariatric surgery, starvation ketosis is a cause of metabolic acidosis not to ignore. Copyright © 2015 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved. Continue reading >>

Babies Thrive Under A Ketogenic Metabolism

Babies Thrive Under A Ketogenic Metabolism

Some people, even some scientists who study ketogenic metabolism, have the idea that ketogenesis is somehow abnormal, or exceptional; an adaptation for emergencies only. We disagree. One reason we think a ketogenic metabolism is normal and desirable, is that human newborns are in ketosis. Despite the moderate sugar content of human breast milk, breastfeeding is particularly ketogenic. This period of development is crucial, and there is extensive brain growth during it. Although the composition of breast milk can be affected by diet [1], it is reasonable to assume that breast milk has always been ketogenic, and this is not an effect of modernisation. When the brain is in its period of highest growth, and when the source of food is likely to be close to what it evolved to be for that period, ketones are used to fuel that growth. If nothing else, this suggests that learning is well supported by a ketogenic metabolism. It is also consistent with the ability of ketogenic diets to treat a variety of seemingly unrelated brain disorders and brain trauma. Newborn infants are in ketosis. This is their normal state. Breastfeeding is particularly ketogenic (compared to formula feeding). Breastfeeding longer (up to a point) is associated with better health outcomes. This suggests the hypothesis that weaning onto a ketogenic diet would be healthier than weaning onto a high-carb diet. (Mark-up ours) Human babies are in ketosis Soon after birth, human babies are in ketosis, and remain so while breastfeeding [2]. They use ketones and fats for energy and for brain growth. When this has been studied, in the first couple of hours after birth, babies aren't immediately in ketosis. There is a short delay [3]. During that brief period before ketogenesis starts, lactate (confusingly not to do Continue reading >>

Breastfeeding While In Ketosis: Round 2

Breastfeeding While In Ketosis: Round 2

Since my baby has been growing great, no issues breastfeeding, etc, and I found myself trending lower and lower in my daily carb counts; I decided I was going into full-on Keto again. I tend to average between 20 and 40 carbs per day. After a couple of days with this limit, I noticed Natalie wanted to nurse practically all day long. It seemed like a small drop in supply, as expected. However, the very next day my letdowns seemed normal, and I got the usual breaks between feedings. If some one else is consuming a high carb diet and wants to make the change with younger babies (~4+ months old), I would recommend starting at 100g carbs per day, and cutting 5g each day and monitoring your supply as you go along. More important than carb count while breastfeeding is your water and caloric intake. Be sure to be constantly drinking water; if you feel thirsty then you are already a little bit dehydrated. If you are having trouble with your calorie counts, I highly recommend MyFitnessPal. Great, intuitive site (and love the app!) with an extensive food database. Above all else, I recommend going gradually into ketosis and calorie restriction while breastfeeding, especially if your baby is young, and if you are not at home with the baby for unlimited nursing during the potential conversion. Check out my previous posts on breastfeeding while in ketosis - Low Carb or Keto While Breastfeeding Keto and Breastfeeding Introduction Keto While Breastfeeding: Days 1-5 Keto and the Breastfeeding Diet TIPS Continue reading >>

Ketosis – Advantaged Or Misunderstood State? (part I)

Ketosis – Advantaged Or Misunderstood State? (part I)

As The Eating Academy approaches its first birthday in about a month, I figured it was as good a time as any to put together some thoughts on a subject I get asked about with great frequency. (For those wondering when I’ll get to Part X of The Straight Dope on Cholesterol, the answer is, “hopefully before the end of the year.”) A few months ago I was planning a post along the lines of “the 10 things you need to know about ketosis,” but I’m now thinking that might be putting the proverbial cart before the horse. So, let’s start with a more fundamental set of questions. In part I of this post I will see to it (assuming you read it) that you’ll know more about ketosis than just about anyone, including your doctor or the majority of “experts” out there writing about this topic. Before we begin, a disclaimer in order: If you want to actually understand this topic, you must invest the time and mental energy to do so. You really have to get into the details. Obviously, I love the details and probably read 5 or 6 scientific papers every week on this topic (and others). I don’t expect the casual reader to want to do this, and I view it as my role to synthesize this information and present it to you. But this is not a bumper-sticker issue. I know it’s trendy to make blanket statements – ketosis is “unnatural,” for example, or ketosis is “superior” – but such statements mean nothing if you don’t understand the biochemistry and evolution of our species. So, let’s agree to let the unsubstantiated statements and bumper stickers reside in the world of political debates and opinion-based discussions. For this reason, I’ve deliberately broken this post down and only included this content (i.e., background) for Part I. What is ketosis? Ketosis is Continue reading >>

Keto During Pregnancy

Keto During Pregnancy

I get a ton of emails a few months after these consults telling me that they are ecstatic and are now pregnant but are wondering on what to eat now. As if this diet of REAL food would be harmful to a fetus. There are many reasons why to not add in certain foods like gluten and dairy. Many times when cravings get the best of pregnant clients and they consume these foods, the auto-immune response can result in a miscarriage. But even if the clients are committed about staying away from gluten and dairy, they often worry that too low of carbs is bad for the fetus. You will never find evidence of this, but you will read it all over the web. The information that clients read have a few flaws: 1. A huge mistake is when people and doctors compare benign dietary ketosis to diabetic ketoacidosis. You can produce ketones in a starvation state. So instead of using a well-formulated low carb diet, they starved pregnant rats to get them into ketosis. The flaw in that evidence should be obvious. 2. The last form of this “evidence” is when they sliced up the brains of rat fetuses and saturated them in ketones. What happened was that the brain cells lived but it stopped producing new brain cells. This is thought to be evidence that ketosis causes retardation. Now let’s dive into the facts. The lean human body is 74% fat and 26% protein by calories. Fats are a structural part of every human cell and the preferred fuel source of the mitochondria, the energy-burning units of each cell. A fetus naturally uses ketones before and immediately after birth. Many studies done on pregnant pigs that are placed on ketogenic diets have fetuses with “increased fetal brain weight, cell size and protein content. In the early stages of pregnancy there is an upsurge in body fat accumulation, whic Continue reading >>

Babies In Ketosis

Babies In Ketosis

This post topic was inspired by the following article: Ketosis - key to human babies’ big brains? It is hosted on Tim Noakes' website and written by one of his associates in nutritional information misdirection, Tamzyn Murphy Campbell, RD. I'm going to address this misdirection and the disturbing parts of this article vis a vis Campbell in a future BabyGate Files, but for now I want to discuss the role of ketones in metabolism. In doing so, I'd also like to explain my somewhat cryptic recent post on heating my kitchen. (I've C&P'd that entire post to the end further down in this one, so if you don't wish to go to another page, you can just scroll down to The Kitchen Heating Analogy). I'm going to structure this post a little differently than most and get to my point, then provide the back up information. Let's see how this goes. The major source (6 of 12 numbered citations, 1 of 6 unique sources) for her article is: Survival of the fattest: fat babies were the key to evolution of the large human brain (2003) Stephen C. Cunnane, Michael A. Crawford (I'll call this C&C) In this paper, they make the following points: Human babies have higher body fat than other mammals and this may be as a source of ketones in early infancy. Infants have slightly elevated ketones (mild ketonemia) regardless of feeding status which differs from adults who only have elevated ketones when food is restricted (no details here). Glucose is the primary fuel for the human brain Ketones are an alternate source of fuel when glucose is less available Ketones "appear to be" an essential fuel for the midterm fetus, and may provide as much as 30% of the developing brain's needs Ketones are both an energy source and carbon source for fat and cholesterol synthesis in the brain. Campbell relates these so Continue reading >>

Is Being In Ketosis Safe And What Are The Potential Side Effects

Is Being In Ketosis Safe And What Are The Potential Side Effects

Sign up for updates to receive one week FREE of my low carb and gluten free meal plans: CHECK OUT SOME OF MY OTHER FAVORITE LOW CARB KETO RESOURCES: Is being in ketosis safe? Some people think that ketosis is extremely dangerous. However, they might be confusing ketosis with ketoacidosis, which is completely different. While ketoacidosis is a serious condition caused by uncontrolled diabetes, ketosis is a natural metabolic state. In fact, ketosis and ketogenic diets have been studied extensively and shown to have major benefits for weight loss (1, 2). Ketogenic diets have also been shown to have therapeutic effects in epilepsy, type 2 diabetes and several other chronic conditions (3, 4, 5, 6). Ketosis is generally considered to be safe for most people. However, it may lead to a few side effects, especially in the beginning. An Overview of Ketosis First, it’s necessary to understand what ketosis is. Ketosis is a natural part of metabolism. It happens either when carbohydrate intake is very low (such as on a ketogenic diet), or when you haven’t eaten for a long time. Both of these lead to reduced insulin levels, which causes a lot of fat to be released from your fat cells. When this happens, the liver gets flooded with fat, which turns a large part of it into ketones. During ketosis, many parts of your body are burning ketones for energy instead of carbs. This includes a large part of the brain. However, this doesn’t happen instantly. It takes your body and brain some time to “adapt” to burning fat and ketones instead of carbs. During this adaptation phase, you may experience some temporary side effects. These are generally referred to as the “low-carb flu” or “keto flu.” Bottom Line: In ketosis, parts of the body and brain use ketones for fuel instead o Continue reading >>

Low Carb Diets And Breastfeeding

Low Carb Diets And Breastfeeding

High protein, low carbohydrate diets like the Atkins diet and the South Beach diet are very popular. These diets can be helpful for diabetics and people with gluten intolerance. In these diets, protein and high fat foods are not restricted; vegetables are limited. The main difference between Atkins and South Beach seems to be that the South Beach diet is less structured and emphasizes eating healthier, mostly unsaturated fats. The primary objections I’ve seen to these and similar diets — and this applies to everyone, not just nursing mothers — is simply the fact that they are not balanced and thus have the potential to make you feel unwell. These diets tend to be low in phytochemicals, antioxidants and folic acid. They also tend to be low in fiber and minerals (including calcium, magnesium, phosphorus & potassium), and the Atkins diet may be high in saturated fats. Because of this, long-term adherence to these diets may increase your risk for various health problems. Since some of the weight loss from these diets is simply due to water loss, dehydration is a risk if the dieter is not careful to drink plenty of water. Some moms have found that very low carb diets decrease milk supply. Going off the diet generally brings milk volume right back up again. This decrease in milk supply may be due to several factors: Dehydration. The sudden decrease in calories when mom goes on the diet. If a woman is used to a certain level of calories, an abrupt drop due to dieting (or illness) may reduce her milk supply. This sudden decrease in calories can tell mom’s body that she is in “starvation mode” and to conserve on all fronts (thus less of her body’s resources go into making milk). Insufficient caloric intake. With a low carb diet, many people are not nearly as hungry Continue reading >>

More in ketosis