Initiation of KD
seizures
ADVERSE REACTIONS
For the first month, carbohydrates were restricted to 10 g/day but were permitted to increase by 5 g/day at intervals of at least 1 month if the child was having difficulty with the restriction of carbohydrates to a maximum of 10% carbohydrates per day by weight. A qualified dietician also educated the parents or caregivers about diet preparation at home with close monitoring of blood glucose and urinary ketones. Multivitamins, calcium, and vitamin D were given as supplements and the antiepileptic drugs and doses used were not changed from those administered previously throughout the study period. Patients were requested to attend their regular monthly outpatient visits for 6 months, then every 3 months for 24 months and the form and frequency of seizures and adverse reactions were observed and recorded.