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Ketosis When Breastfeeding

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 >>

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 >>

New Mother Nearly Dies From A Low Carb Diet: 32-year-old Developed Life-threatening Condition After Ditching Bread, Rice And Pasta While Breastfeeding

New Mother Nearly Dies From A Low Carb Diet: 32-year-old Developed Life-threatening Condition After Ditching Bread, Rice And Pasta While Breastfeeding

A new mother developed a life-threatening condition due to eating a low carbohydrate diet while breastfeeding, doctors claim. The 32-year-old Swedish woman was rushed to hospital with nausea and vomiting, heart palpitations, trembling and spasms in her limbs. When questioned, she said she had been following a a strict low carbohydrate high fat diet (LCHF) in order to lose her baby weight, doctors describing her case in the Journal of Medical Case Reports said. The regime saw the woman, who is unidentified, eating less than 20g of carbohydrate day, the equivalent of a medium-sized potato, or a thick slice of toast, while breastfeeding her 10-month-old son. In the UK, adults are advised to get half of their daily energy intake from carbohydrates, according to a report by the Scientific Advisory Committee on Nutrition, who advise the Government. This is the equivalent of 200 - 240g of carbohydrates in a person eating 2,000 calories a day. The woman said she had lost 4kg on the diet but had begun to feel very ill. In hospital, medics carried out tests and discovered she was suffering from ketoacidosis, a rare but potentially life-threatening condition normally seen in people with type 1 diabetes. ‘The primary diagnosis was thought to be ketoacidosis due to starvation induced by the LCHF diet,’ doctors writing in the journal. When a person has raised blood glucose levels, or are eating a low carbohydrate diet, their body may go into a state of ketosis. Ketosis is a state the body goes into if it needs to break down body fat for energy. The state is marked by raised levels of ketones in the blood which can be used by the body as fuel. Ketones which are not used for fuel are excreted out of the body via the kidneys and the urine. In ketosis, the level of ketones in the blo 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 >>

Low Carb Diet While Breastfeeding: Is It Safe For New Moms?

Low Carb Diet While Breastfeeding: Is It Safe For New Moms?

Carbs still have a bad reputation in the dieting world, so it’s not surprising that many new mothers think that cutting out carbs will help them lose the baby weight quickly. While there are many effective and healthy low-carb diets out there, they aren’t all safe for a breastfeeding mom. The biggest concern is that carbohydrate restriction could interfere with your milk supply, so let’s take a closer look at the risks and benefits to a low-carb diet while breastfeeding. The Potential Risks of a Low Carb Diet While Breastfeeding The La Lech League has done a good job identifying the risks of cutting carbs while breastfeeding. Here are some of their concerns: Restricting carbohydrates can cause a mother to lose weight rapidly, and rapid weight loss is generally not advised while breastfeeding. It could interfere with milk supply when taken to the extreme. Low-carb diets can put you into a state of ketosis, which means that ketones are potentially included in your breastmilk. Little research has been done on the impact of ketones on a growing baby, so this is a big reason most professionals recommend that breastfeeding mothers include healthy carbs like fruits, vegetables, and whole grains in their meal plans. Dieters often increase the use of artificial sweeteners when cutting carbs. While there is no scientific proof that these sweeteners are dangerous while breastfeeding, many mothers choose to stay away from them. There are some natural sweeteners that are approved for a low-carb diet, so you may want to stick with those! The La Leche League also points out that low-carb diets are generally higher in protein and fat than is recommended for breastfeeding mothers, but they also point out that this isn’t a major concern. You do need protein while breastfeeding, a 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 >>

How Many Carbs To Eat When You're Breastfeeding And Following A Paleo Diet

How Many Carbs To Eat When You're Breastfeeding And Following A Paleo Diet

To carb or not to carb? That is the question....it seems like I'm asked about carb levels all the time and when I received an email from a client about a suddenly low milk supply after starting a Paleo diet, I knew her story would probably resonate with lots of other gals. So, here you have it. My former (most wonderful client) is about 4 months postpartum. She started going to Crossfit mom's as a way of connecting with other women and it was the only program in town that made it easy for her to workout with her baby. Since the start of the new year, her Crossfit group decided to start a one month "Paleo Challenge". Of course, I support this kind of awesome nutritional reset ANYTIME, no challenge required, but I was thrilled to hear she was going to give paleo a good ol' college try. 10 days into the challenge, she had lost 6 lbs. She wasn't sleeping and neither was her baby, who previously slept through the night. She also noticed that her milk supply had significantly decreased. What was going wrong? Should she give in to the bread cravings that were taking over her life? I asked her to punch her nutrition into an online app (I usually recommend My Fitness Pal) which as it turns out, she already did (she's so smart). When she told me her macro's, I instantly knew what the problem was. Carbs were only making up about 20-25% of her diet. Not by choice, just by accident. This would explain the insane weight drop, often caused by rapid water loss when switching from a SAD diet where carb levels are anywhere between 50-60%. The most common mistake folks make when going Paleo is going too low carb by accident. While a Paleo diet is typically lower in carbs than the modern SAD, it isn't designed to be a "low carb diet". Going low carb can happen by accident when we replace t 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 >>

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 >>

A Ketogenic Diet, The Short Version

A Ketogenic Diet, The Short Version

A ketogenic diet (link is external) is one that encourages your body to rely less on sugar-based fuels and rather to turn to fat and ketones (produced in the liver by metabolizing fat) for fuel. The benefits of a consistently ketogenic diet are primarily recognized in the sphere of neurological problems, where there has been evidence of benefit in treating obesity, type 2 diabetes, high cholesterol, epilepsy, Alzheimer’s and Parkinson’s Disease A ketogenic diet is one that encourages your body to rely less on sugar-based fuels and rather to turn to fat and ketones (produced in the liver by metabolizing fat) for fuel. Some folks notice improved mood, sleep, mental focus, blood sugar regulation and reduction of general inflammation. Once you are adapted to a ketogenic diet, going in and out of ketosis intermittently is thought to yield some of the longevity, anti-inflammatory and cancer-fighting benefits previously attributed to calorie restricted diets. Staying in ketosis makes it easier for many people to maintain weight loss. For a good discussion of that process, as well as the research behind that observation, you can read this blog post from the "low carb dietitian" here (link is external). A ketogenic diet is one that encourages the body to burn fat for fuel and in that process fat burned in the liver produces ketones and a state of ketosis. We naturally burned fat and produced ketones for fuel when we were breast-feeding infants, if we were so lucky to have wise mothers! Since then, most bodies have lost the knack for burning ketones, which is too bad because our sugar-craving brains would be content with a lot less sugar if our bodies remembered how to supply our brains with ketones. (Ketosis is not to be confused with diabetic keto-acidosis which is life-thr 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 >>

Breastfeeding On A Low-carb Diet – Is It Dangerous?

Breastfeeding On A Low-carb Diet – Is It Dangerous?

Is it dangerous to breastfeed while on a low-carb, high-fat diet? Recently, the journal of the Swedish Medical Association published a case report (summary in English) of a woman who, six weeks after giving birth, had to be hospitalized for severe ketoacidosis. Luckily, she recovered quickly and her numbers were back to normal the next day. Ketoacidosis is a dangerous condition, most often seen in type 1 diabetics with acute insulin deficiency. In rare cases, ketoacidosis may occur in non-diabetics after prolonged periods of starvation or inadequate food intake, in which case it typically occurs in combination with stress or other medical conditions. The woman in this case had been eating low-carb, high fat for a long time before the incident. After giving birth however, she had suffered flu-like symptoms of fever, nausea and a complete loss of appetite. Despite this, she was still able to breastfeed her baby, which of course ramped up her nutritional requirements. The case study report brings up the woman’s low-carbohydrate diet as one possible contributing factor to the situation. However, as soon as the media found out, they immediately exaggerated this possible contributing factor to the guaranteed sole cause of the condition (which, as we shall see, is unikely): Metro: Woman Falls Seriously Ill of LCHF Diet During Lactation (Google translated from Swedish) In the woman’s own words The woman described in the case report in the journal contacted me of her own accord through common acquaintances. She tells a different story from the one perpetuated by the media: What isn’t made clear is that I, the breastfeeding woman, had been eating LCHF for approximately six years before this incident, but, because of stress during my second pregnancy and after childbirth I s 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 >>

Lactation

Lactation

(redirected from lactation ketosis) Also found in: Dictionary, Thesaurus, Encyclopedia. Lactation Definition Lactation is the medical term for yielding of milk by the mammary glands which leads to breastfeeding. Human milk contains the ideal amount of nutrients for the infant, and provides important protection from diseases through the mother's natural defenses. Description Early in a woman's pregnancy her milk-producing glands begin to prepare for her baby's arrival, and by the sixth month of pregnancy the breasts are ready to produce milk. Immediately after the baby is born, the placenta is delivered. This causes a hormone in the woman's body (prolactin) to activate the milk-producing glands. By the third to fifth day, the woman's breasts fill with milk. Then, as the baby continues to suck each day, nursing triggers the continuing production of milk. The baby's sucking stimulates nerve endings in the nipple, which signal the mother's pituitary gland to release oxytocin, a hormone that causes the mammary glands to release milk to the nursing baby. This is called the "let-down reflex." While the baby's sucking is the primary stimulus for this reflex, a baby's cry, thoughts of the baby, or the sound of running water also may trigger the response. Frequent nursing will lead to increased milk production. Breast milk cannot be duplicated by commercial baby food formulas, although both contain protein, fat, and carbohydrates. In particular, breast milk changes to meet the specific needs of a baby. The composition of breast milk changes as the baby grows to meet the baby's changing needs. Most important, breast milk contains substances called antibodies from the mother that can protect the child against illness and allergies. Antibodies are part of the body's natural defense 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 >>

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