Knowledge

Ketogenic diet as medical treatment

Ketogenic diet is used not only for GLUT1 deficiency syndrome, but for several conditions – primarily drug-resistant epilepsy and selected metabolic disorders.

Ketolio started with a family living with GLUT1 deficiency syndrome, but our story is just one of many. Worldwide, far more people live with drug-resistant epilepsy and other conditions where ketogenic diet is an established treatment. This page gathers knowledge about several of these diagnoses – because good information should help all families facing the same demanding everyday life.

Ketogenic diet is not a trend, but a medical treatment that has been used for over 100 years – especially for epilepsy where medications don't work. Treatment is individually tailored and followed up by a multidisciplinary specialist team.

The information here is general and overview-oriented, and does not replace individual diagnostics, follow-up or treatment. Any start, change or discontinuation of ketogenic treatment must be done in collaboration with treating healthcare professionals.

Conditions where ketogenic diet may be relevant

The overview is not exhaustive. Whether the diet is relevant is always assessed by a specialist in each individual case.

Drug-resistant epilepsy

Ketogenic diet is an established treatment for pharmacoresistant epilepsy – where seizures cannot be controlled with medications. This is the largest group of patients treated with the diet worldwide.

Pyruvate dehydrogenase (PDH) deficiency

An inborn metabolic disorder where the brain cannot use carbohydrates for energy. Ketone bodies can bypass the defect, and ketogenic diet is the first-line treatment.

Dravet syndrome

A severe epilepsy disorder that begins in early childhood. Ketogenic diet is used as a supplement to medication to reduce seizure frequency.

Lennox-Gastaut syndrome

A severe epilepsy disorder with multiple seizure types and cognitive impairment. Ketogenic diet can be a useful addition in treatment resistance.

Myoclonic-astatic epilepsy (Doose)

A childhood epilepsy disorder where ketogenic diet can have good effect, especially early in the course.

Infantile spasms / West syndrome

Severe seizure syndrome in infants. Ketogenic diet is considered when there is lack of response to standard treatment.

Tuberous sclerosis

A genetic condition that often causes epilepsy. Ketogenic diet may be relevant for treatment-resistant seizures.

GLUT1 deficiency syndrome

Rare genetic condition where glucose transport to the brain is reduced. Ketogenic diet is the first-line treatment, as ketone bodies serve as an alternative energy source.

Deep dive: GLUT1 deficiency syndrome

What is GLUT1 deficiency syndrome?

GLUT1 deficiency syndrome (GLUT1 Deficiency Syndrome) is a rare genetic condition. The cause is a defect in the GLUT1 transporter – a protein that helps glucose get from the blood into the brain.

GLUT1 is a transporter that helps glucose get from the blood into the brain. In GLUT1 deficiency syndrome, this transport does not function normally. The brain can therefore get insufficient access to glucose, which is normally an important energy source.

Ketone bodies can serve as an alternative energy source for the brain. This is an important reason why ketogenic diet is used as treatment for GLUT1 deficiency syndrome, and this diagnosis was precisely the starting point for Ketolio.

Symptoms of GLUT1 deficiency syndrome can vary

Epileptic seizures
Developmental disorders
Movement disorders
Coordination difficulties
Attention problems
Fatigue
Other neurological symptoms

Symptoms and severity vary from person to person. The picture is individual, and follow-up must be adapted to each person.

Ketones as alternative energy

For several of the conditions above, it is the brain's energy supply that is the problem. Ketone bodies can step in as an energy source when glucose doesn't work well enough – and this is what makes ketogenic diet a central treatment.

Individually tailored

Type of diet, ratio and composition vary between diagnoses and from person to person. Treatment is always planned by a specialist team, and adjusted along the way based on effect and health.

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KETOLIO

Developed with purpose. Built from real life.

Ketolio is a learning, planning and calculation tool for people living with a medical ketogenic diet, and for parents, relatives and others who help them in everyday life. Ketolio brings together knowledge, recipes, learning and practical tools in one place, making it easier to understand, plan and master everyday life with medical keto. People who follow keto without a medical reason are also warmly welcome. Ketolio was developed based on the experiences of a family living with GLUT1 deficiency syndrome.

Important medical information: Ketolio is a digital support and planning tool and is not a medical product. The information on the website and in the app does not replace advice from a doctor, clinical dietitian or other qualified healthcare professional. For GLUT1 deficiency syndrome, ketogenic treatment must be individually tailored and monitored by healthcare professionals with relevant expertise. Do not make changes to diet or treatment plan without speaking to your treating healthcare professional first.

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Developed with purpose. Built from real life.