My journey on the ketogenic diet
Sharon Ross is about to start the ketogenic diet in an attempt to control her seizures. This is the first in a series of blogs about what it involves.
My name is Sharon Ross and I have an unconventional type of epilepsy and I am going to start an unconventional type of l treatment for it.
I have frontal lobe epilepsy – sometimes it seems like I have dementia and my neuropsychologist said I have similar symptoms to someone with traumatic brain injury or who has suffered a stroke.
My memory, processing, decision making and problem solving are poor. I used to look at a weather forecast and wonder why anyone was interested in them – lots of numbers and pictures in a graph seemed dull.
But now I realise that people take an interest because they need to decide what clothes they should wear or how the weather will impact on their day. However, I can’t translate the information on the chart into what it means for me because my mind is a constant fog. Thus frontal lobe epilepsy is not a pleasant condition to live with and I want, indeed need, to find a cure.
The brain fog is caused by irregular epileptiform activity and although my medication is treating the atypical seizures that I was having, the epileptiform activity is still occurring.
I have tried lots of medications to control it but they haven’t helped so in the next few weeks I am fortunate enough to be starting the ketogenic diet and Epilepsy Society has asked me to write a blog so that you can join me along my journey.
The ketogenic diet is a high-fat, adequate-protein, low-carbohydrate diet that is a recognised treatment for epilepsy. Much of the data regarding its efficacy comes from studies in children, but there is now a growing body of evidence for its use with adults.
The exact mechanism of the ketogenic diet remains uncertain. The diet provides fat as an alternative fuel source for the body, producing metabolites called ketones. Ketones and other associated biochemical changes can, in some people, reduce seizures and control epileptiform activity.
Fitting in with the family
Before I went to my first appointment at the hospital I already knew quite a bit about the diet and how I thought it would impact upon me. I am married with three young children, one of whom loves foods high in carbohydrates, especially jacket potatoes.
The ketogenic diet needs careful advice and monitoring and my family cannot go on it with me so I know that managing my family’s eating requirements and my own at the same time is going to be tricky.
I live about an hour away from the hospital which is useful, but I also know that often the dietician will catch up with me over-the-phone, so the distance is relatively inconsequential. Because I am ill I don’t work, but I see this as a plus because it means that I can devote time to planning and cooking meals – you need to make time for this diet to work.
My mum is my secret weapon
As I said my illness means that planning, and indeed most things are difficult for me. Therefore I have a secret weapon – my mum. Everyone needs a good mum when they are going through a hard time and I am very fortunate enough to have one.
My mum has therefore ‘volunteered’ to help me with the planning and preparation of meals – not for the rest of my life – but just until, hopefully, my brain starts to function as it should and then I will be able to do it by myself.
Problems with also following a kosher diet
I am also an observant Jew. Before the first appointment I thought the fact that I already take food that fits my dietary requirements with me on day trips would be helpful. But I learnt that being kosher is not a benefit on the diet. Being kosher means that I do not eat food derived from a pig or shellfish and I do not mix milk and meat together in the same meal.
This is a problem for a Jew on the ketogenic diet because a traditional ketogenic meal is essentially treif (unkosher) - the suggested week’s meal plan I was given has for example dishes such as chicken breast topped with cheese AND bacon, sliced ham with side salad as well as prawn mayonnaise. Treif is high fat and therefore good for the diet.
Help via Facebook
But I have my second secret weapon - Facebook. I have found a few kosher, vegetarian and vegan ketogenic Facebook groups and I am hoping they give me inspiration for non-treif ketogenic dishes.
My first appointment at the clinic took place with a dietitian and a neurologist. They told me a bit about the diet, some of which I already knew and were honest about improvements I was likely to see - 40-50 per cent of patients will have an improvement to seizures after three months and on average seizures will improve my 50 per cent.
They also said that they would be monitoring my overall health throughout because nobody wanted one illness to be treated only to be replaced with another (for example I had a blood test to measure my cholesterol level – if it is high I will not be allowed to go on the diet because it could cause heart problems).
Keeping a diary
I also have to complete a highly detailed three-day meal diary which includes brand names and exact quantities of the food that I have eaten so the dietitian can assess my current diet. I think the main point of the meeting was for them to outline how challenging the diet would be and then for me to go home and think about whether I really wanted to do it. The diet is not going to be easy and you would only do it if you were desperate and I am desperate.
The next stage of my journey is an info-half day with other people also starting the diet at the hospital. I will spend the first week acclimatising to the diet and then I will start in earnest. I will let you know what happens.
The views expressed here are those of the author and not necessarily those of Epilepsy Society.
You can keep up to date with Sharon’s blog here.
Find out more about the ketogenic diet.