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KD: Ketogenic diet, Total calories: 400 kcal from 4g of carbohydrate, 6g of protein and 40g of fat. Since 2010, we carried out the KD, MAD, and LGIT for total of 802 patients; 489 patients (61%) for the KD, 147 patients (18.3%) with the MAD, and 166 patients (20.7%) for the LGIT. We have carried out the KD, modified Atkins diet (MAD), and low glycemic index treatment (LGIT) since 2003, 2009, and 2010, respectively. Recently, various type of dietary intervention such as the modified Atkins diet (MAD) and the low glycemic index treatment (LGIT) have been performed. All-in-one type has an advantage of maintaining the desired ratio of the meal and does not affect feeding time which can be extended by meal tolerance of a child. High fat diet can affect on serum levels of lipid profile and can results in dyslipidemia such as hypertriglyceridemia and hypercholesterolemia. But when the child has difficulties in eating oils, it can be mixed with nuts and milk. Before starting the KD, the dietitian evaluates the nutritional status of the child at the initial day and evaluates his or her ability to take food, activity level and growth pattern such as current height, weight and weight change.
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