Ketosis During Pregnancy – Is It Safe?
Ketosis is a state of metabolism in adults where the energy is supplied to the body by ketones present in the blood rather than glycolysis, where the energy comes from glucose. People often land up in a dilemma while judging whether ketosis is safe during pregnancy or not. The diet of a woman has to undergo certain changes in case she nears pregnancy. However, you should be aware of the effects of ketosis before you opt for such a diet. The body of a woman undergoes a lot of changes during pregnancy. Food choices are important when she tries to conceive. Here, you will have a detailed information about ketosis before and during pregnancy. Ketosis before Pregnancy Although people think that ketosis during pregnancy is harmful, in reality, it can help you get pregnant. If you want to draw your energy from ketone particles, you should plan a ketogenic diet. For an ordinary person, it is safe and even women trying to get pregnant can stick to such a meal. These meals are low-carb diets, and people can switch to these diets when they get pregnant. Well, it is important to know that ketosis is safe before you get pregnant. However, the norms are a bit different during pregnancy and you should stick to the rules. Read on to know whether it is safe during pregnancy or not. If you had heard that ketosis is harmful during pregnancy, you might be confusing it with diabetic ketoacidosis (DKA). This is completely different from ketosis that we are speaking of here. DKA has no relevance with nutritional ketosis and it is a far more harmful syndrome. It occurs in diabetic people where the level of insulin is not managed properly. It disrupts the balance of acid and base in the body. The level of blood sugar in the case of DKA is around three times the normal conditions. This situation Continue reading >>
Video: What You Need To Know About Keto And Pregnancy
Is eating ketogenic safe for a pregnant woman? Whether I would continue to eat high-fat, low-carb, ketogenic if I got pregnant tomorrow. There’s a lot of misinformation on the interwebs about whether a high-fat eating style is safe for pregnancy. Today, I’m sharing whether I would continue to eat high-fat, low-carb, ketogenic if I got pregnant tomorrow. I bust through some keto pregnancy myths, breakdown the ketogenic eating style that may respond best for pregnant ladies and share how to reduce water retention and all around puffiness throughout your pregnancy. A must-watch if you’re eating high-fat, or interested in eating high-fat, and plan to be pregnant at some point in your life. For video transcription, scroll down. Highlights… Why it’s widely accepted that ketosis is dangerous for pregnant women How many ketones a fetus needs to flourish 5 ways to slightly adjust a ketogenic eating style to work for your pregnancy Resources… Are you pregnant or planning to be? How will you approach your eating style while pregnant? Let’s chat about it in the comments… Hey, ladies. I’m assuming that the individuals watching this show today are going to be primarily women because today we’re talking about pregnancy and whether or not eating high fat is okay when you’re pregnant or eating more ketogenic. Congratulations if you are trying to get pregnant or you’re already pregnant. That is awesome. I am super happy for you. Maybe you are eating ketogenic or more fat fueled like what I outlined in my program or you’re eating more high fat and you’re wondering like, “Is this safe for the growing baby inside me?” First off, I can’t tell you what to do specifically but what I can do is share what I would do if I were in your position. Preparing for this Continue reading >>
7 Lingering Myths Everyone Should Know About Low-carb Ketogenic Diets
The public’s interest in learning more about the low-carb, moderate protein, high-fat, ketogenic diet is gaining momentum and is stronger than ever as evidenced by it being the #5 most Googled diet search term in 2013. Because this nutritional approach has scientific evidence showing it to be a powerful modality against most of the chronic diseases of our time, the curiosity about it comes from a variety of perspectives. From strong evidence for conditions such as diabetes mellitus (Type 2 diabetes) to cardiovascular disease, good evidence for issues like Alzheimer’s Disease to narcolepsy, and emerging evidence for a wide variety of other issues of great research interest including cancer, fibromyalgia, traumatic brain injury and so much more, there are compelling reasons to at the very least give this way of eating a try for yourself just to see how you do in your pursuit of optimizing your health. With the overwhelming flood of support for the new book on this subject written by me and my coauthor Duke internist Dr. Eric Westman called Keto Clarity: Your Definitive Guide to the Benefits of a Low-Carb, High-Fat Diet (we are already in our fourth printing after just four weeks!), it seems many have already decided to do their own n=1 test of nutritional ketosis doing it in a methodical way making appropriate tweaks and changes along the way. But I’ve become increasingly concerned by the perpetuation of certain myths that continue to pervade the discussion about very low-carb, high-fat diets that is unfortunately turning some people away from even attempting to get into ketosis because of fear about what they have heard about it on the Internet. A number of these objections to very low-carb, high-fat ketogenic diets have been out there for many years without any sc Continue reading >>
Is Keto Safe During Pregnancy? Nutritionists Don't Recommend It
When you find out you're pregnant, a million questions pop into your mind. If it's your first pregnancy, two million questions pop into your mind. One of the most common questions about pregnancy is whether or not you can keep your diet the same as it was before pregnancy. This is an especially important question to ask if you've been on a low-carb diet such as keto. You need to know: is keto safe during pregnancy? According to the official keto website, the keto diet is a low-carb diet where the body produces ketones in the liver to be used as energy rather than carbohydrates. Much like other low-carb, high-fat diets, the keto diet promises significant results when it comes to weight loss. But can a diet that recommends 20 grams or less of carbohydrates a day help provide proper nutrition for you and your baby? According to nutritionist and health coach Erin Lorrain, the answer is no. Lorrain isn't a fan of the keto diet for regular women, let alone pregnant women. "The keto diet essentially tricks your body into thinking you're starving, causing your body to go into ketosis," Lorrain says. She goes on to explain that when you eat carbohydrates, your body produces glucose and insulin — two substances you need to survive. "Glucose and insulin help control your energy levels," Lorrain says. "And in order to maintain a healthy, balanced, diet, you should have healthy, balanced levels of glucose and insulin." This means you shouldn't survive solely on carbohydrates, but you shouldn't cut them out, either. Just like glucose is one of the main sources of energy for your body, glucose is a main source of energy for your growing baby, according to a study done by Yale University. The study goes on to state that to heavily restrict any source of energy during your child's dev Continue reading >>
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 >>
Pregnancy Toxemia In Ewes And Does
Pregnancy toxemia affects ewes and does during late gestation and is characterized by partial anorexia and depression, often with neurologic signs, progressing to recumbency and death. It is seen more often in animals carrying multiple fetuses. Generally, clinically affected animals have other risk factors, at either the individual or flock/herd level. Epidemiology and Pathogenesis: The primary predisposing cause of pregnancy toxemia is inadequate nutrition during late gestation, usually because of insufficient energy density of the ration and decreased rumen capacity as a result of fetal growth. In the last 4 wk of gestation, metabolizable energy requirements rise dramatically. For example, the energy requirement of a 70-kg ewe carrying a single lamb is 2.8 Mcal/day in early gestation compared with 3.45 Mcal/day in late gestation, or an increase of 23%. This change is more dramatic in ewes bearing twins, with an energy requirement of 3.22 Mcal/day in early and 4.37 Mcal/day in late gestation (36% increase), and in ewes bearing triplets, with an energy requirement of 3.49 Mcal/day in early and 4.95 Mcal/day in late gestation (42% increase). Dairy goats have similar changes in needs. In late gestation, the liver increases gluconeogenesis to facilitate glucose availability to the fetuses. Each fetus requires 30–40 g of glucose/day in late gestation, which represents a significant percentage of the ewe’s glucose production and which is preferentially directed to supporting the fetuses rather than the ewe. Mobilization of fat stores is increased in late gestation as a way to assure adequate energy for the increased demands of the developing fetus(es) and impending lactation. However, in a negative energy balance, this increased mobilization may overwhelm the liver’s c Continue reading >>
Ketosis: Why Women Need To Drink Their Way Through Labour
If you labour for a long time, you could be in danger of dehydration and developing complications such as ketosis. Here’s how to keep yourself safe and healthy during birth. There's so much going on during labour that the last thing that either you, or your birth partner, may think of is getting you to drink enough. Not that sort of drink obviously. There's no ordering a cheeky mojito with your epidural but you do need to keep your intake of water up when you're giving birth if you want to stay healthy, hydrated and keep any chance of developing a nasty case of ketosis at bay. What is ketosis? Ketosis is a complication of dehydration, and a lack of carbohydrates (or glucose) for energy in the body. It is the result of the abnormal accumulation of ketone bodies in the blood stream, body tissues and urine. When does ketosis occur? Ketosis happens when the muscles have little, or no, glucose for energy to be able to function efficiently. Once the glucose supply in the blood stream is depleted, the body starts to break down its fat stores for energy instead. This produces ketones, often causing a fever, body weakness and the muscles to function inefficiently, including the uterus. In cases where the ketosis is prolonged, the condition can develop into ketoacidosis. Ketoacidosis makes the person feel unwell and can damage their body organs. This is something that can occur for people who have uncontrolled diabetes. Ketosis and labour Ketosis is a common outcome for women who experience a prolonged labour (or pre-labour), becoming dehydrated and often causing their contractions to weaken, slow or stop. This can start to happen if glycogen (or glucose) is not being replenished through eating and drinking during labour. During labour, a woman has high-energy needs and her sto Continue reading >>
Are Carbs Required For Pregnancy?
Whether you just started following my blog or have been at it for years, you know I have a special interest in prenatal nutrition. That means I inevitably get a lot of questions about what I personally ate during pregnancy. Well, I’m spilling the beans today. Remember last year when I spoke at Paleo f(x)? My talk, The Carbohydrate & Pregnancy Controversy drew a bigger audience than I expected. And little did I know, Leanne of Healthful Pursuit and her assistant were in the audience taking notes. Leanne first reached out to me to set up an interview about ketogenic diets and pregnancy this summer, but alas, with a small baby, no childcare, and life being crazy pants, we got delayed. Like… 6 months delayed. But, you know what? Babies eventually get a little less clingy, eat things other than the milk your body produces (even if they’re still milk monsters), and lo and behold, childcare gets arranged and BAM, things-other-than-babying get done… sometimes. Imagine that?! It’s with great pleasure that I share with you my interview for The Keto Diet Podcast where we cover a whole host of questions about carbs and pregnancy, like whether a low carb or ketogenic diet are safe in pregnancy, how metabolism shifts during pregnancy (and what that means about carbohydrate needs), Qs and As about ketosis, and some important considerations about going low carb while breastfeeding. Listen here or on iTunes (The Keto Diet Podcast, Episode 21) Here are a few highlights from our interview: Is low carb right for everyone? How does low carb affect women with infertility or amenorrhea? Should women eat low carb if they’re having trouble getting pregnant? How do blood sugar levels affect infertility and rates of miscarriage? Are carbs required for pregnancy? Is it safe to stay low Continue reading >>
New producers of small ruminants often learn about pregnancy ketosis first time the hard way—with a dead dam, fetuses or both. This article explains the causes of pregnancy ketosis (a.k.a. toxemia) and more importantly—how to prevent it. Sheep and goat fetuses add 70% of their final birth weight in the last six to eight weeks of gestation. A singleton increases a dam’s nutritional requirements by 1.5 to 2 times maintenance in the last trimester. Multiple fetuses greatly increase energy demands on their mother: twins require 1.75 to 2.5 times maintenance requirements and triplets demand up to 3 times maintenance. Twins and triplets are common in some breeds of sheep and goats; quadruplets and even more are not uncommon in Boer goats, Finnsheep and Romanov sheep. Concurrent with a pregnant dam’s increasing nutritional needs, her physical capacity for feed intake is reduced by the rapid abdominal expansion of her pregnant uterus. Without managerial changes, the dam will be unable to ingest the calories needed to support herself and her fetuses, sending her into negative energy balance. Detecting a drop in blood glucose levels, her body’s regulatory systems will liberate energy from reserves stored as body fat. The release of stored energy will address her low blood glucose issues (remember the Krebs cycle?), but not without side effects: by-products of fat mobilization called ketone bodies can accumulate to toxic levels and suppress appetite. Without intervention and sometimes despite it, affected does or ewes may spiral downward in a fatal negative energy balance, taking their unborn fetuses with them. Besides multiple fetuses, health and management factors can predispose a pregnant ewe or doe to ketosis during pregnancy. For example, if there isn’t enough fee Continue reading >>
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 , 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 . 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 . During that brief period before ketogenesis starts, lactate (confusingly not to do Continue reading >>
Pregnancy Toxemia (ketosis) In Ewes And Does – 1.630
by S. LeValley1 (8/2010) Quick Facts… Pregnancy toxemia in sheep and goats is also known as pregnancy disease, lambing sickness and twin-lamb/kid disease. The principal cause of pregnancy toxemia is low blood sugar (glucose). Onset of the disease is often triggered by one of several types of stress including nutritional or inclement weather. The disease is most prevalent in ewes and does carrying two or more lambs or kids. The disease also affects ewes and does that are extremely fat or excessively thin. The best preventive measure is increased feeding of high energy concentrates and grains during the last month of pregnancy. Occurrence and Causes Pregnancy toxemia in sheep and goats has also been called ketosis, lambing/kidding sickness, pregnancy disease and twin-lamb/kid disease. It occurs in all parts of the world and is an often fatal disease occurring only during the last month of pregnancy. Death occurs in two to 10 days in about 80 percent of the cases. It most often affects ewes/does pregnant with twins or triplets and is characterized by low blood sugar (glucose). Economic losses because of the disease have been considerable and it is the most commonly occurring metabolic disease of sheep and goats. It is generally accepted that the basic cause of pregnancy toxemia is a disturbance of carbohydrate or sugar metabolism. In earlier phases of the disease, blood glucose concentrations are less than 30 and may be as low as 10 mg/100 ml (normal 40-60). Blood ketone bodies, on the other hand, are usually greater than 15 and occasionally may be as high as 80 mg/100 ml (normal 1-4). The free fatty acid content of the blood plasma also is increased, meaning that body fat is being broken down and used for energy. Since glucose is essential for proper functioning of the Continue reading >>
Guest Blog Post: Is It Safe To Go Low Carb During Pregnancy?
Today my friend and colleague, Lily Nichols, a fellow registered dietitian and certified diabetes educator, shares her insight on carbohydrate-restricted diets during pregnancy. This is a controversial topic that I believe deserves more attention and investigation, which Lily does brilliantly in the following article. Is It Safe to Go Low Carb During Pregnancy? With the wide adoption of low-carbohydrate diets, many people question if they are safe during pregnancy. While quite a few women use a lower carbohydrate diet to conceive (since they are especially useful for women struggling with infertility), most medical professionals discourage women from continuing this diet during pregnancy. I find it ironic that if you tell your doctor that you plan to eat low carb during pregnancy, they’ll say it’s unsafe, but if you say you plan to eat a diet based on fresh vegetables, meat, fish, eggs, dairy, nuts, seeds, and a little fruit, they’ll encourage you to stay the course. The controversy over the safety of low carbohydrate diets in pregnancy stems primarily from misconceptions around ketosis. It’s incorrect, but widely accepted, that ketosis during pregnancy is harmful to a developing baby. When I first dove into the research, I was shocked to find that studies on healthy, non-diabetic pregnant women (eating a “regular” diet) show a marked elevation in ketones after a 12-18 hour fast, which is akin to eating dinner at 8pm and having breakfast at 8am (or skipping breakfast entirely). What’s more interesting is that pregnancy actually seems to favor a state of ketosis. Compared to non-pregnant women, blood ketone concentrations are about 3-fold higher in healthy pregnant women after an overnight fast. And in late pregnancy, metabolism shifts to a state o Continue reading >>
Is Keto Safe For Pregnant Women?
Ketosis during pregnancy is a controversial topic. Health authorities and bloggers often praise low-carb diets for their ability to reverse infertility. But when it comes to low-carb during pregnancy, many of these same “experts” warn against the “dangers” of burning fat for fuel while pregnant. Most conventional medicine doctors would likely condemn this dietary choice as well. But is there any evidence to back up all of the fear mongering? The Evidence There are a few studies which on the surface seem to suggest possible complications with ketosis during pregnancy. Upon further investigation, however, they fall short of rational scrutiny. There aren’t many studies on pregnant women in ketosis. This likely due to the ethics and liability concerns involved with experimenting on vulnerable populations. It is important to note though that mountains of anecdotal evidence suggest that an intelligently formulated ketogenic is not only safe but may actually be beneficial to both mom and baby. Despite this, however, most mainstream doctors and media outlets have conflated ketosis with a dangerous condition called ketoacidosis and thus trumpet the dangers of keto during pregnancy. Ketosis vs. Ketoacidosis Much of the worry surrounding ketosis and pregnancy stems from a conflation of dietary ketosis with a dangerous metabolic state called ketoacidosis. Ketoacidosis happens to diabetics and involves extremely high levels of glucose and ketones in the blood. Ketoacidosis is very different from ketosis and should not be a concern for non-diabetic pregnant women. So is ketosis safe during pregnancy? The Keto Pregnancy Connection Far from being harmful, ketosis is actually a natural part of every pregnancy. In fact, pregnant women are able to enter ketosis 3 times more quic Continue reading >>
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 >>
Ketosis During Pregnancy
So I did a urine dip stick test and my ketones were really high (the second highest) and I also had elevated protein and bilirubin. I'm only 7 weeks pregnant and I've been very nauseous but no vomiting. I really can't stomach eating very much at all and I've lost 10 lbs in the last 3 weeks! With my daughter, I also had morning sickness but lost about 12 lbs over 3 months. The only difference between this pregnancy and the last is that I'm paleo now, and I wasn't with my daughter. I'm wondering if anyone else has had this? Should I be eating the most sugary foods I can manage? I'm not sure what to do. I haven't gone to the doctor about it yet, but I'm planning on making an appointment if things don't get better in a couple of days. Continue reading >>