Keto Diet for Lactating Women: Is the ketogenic diet safe during breastfeeding?
Is a diet keto diet or low-carb diets dangerous for the mother or her baby during breastfeeding? Let us know that.
Recently, the Swedish Medical Association magazine published a report on the condition of a woman who, six weeks after birth, had to be hospitalized due to a sharp rise in ketoacidosis. Fortunately, this woman quickly recovered and the percentage of ketoacidosis returned to normal the next day.
High ketoacidosis is a serious condition, and it often occurs in type 1 diabetes patients who have a severe insulin hormone deficiency. In rare cases.
High levels of ketoacidosis may occur in people who do not suffer from diabetes after long periods of hunger or not eating enough food. This condition usually occurs in cases of stress or some other health problem.
In this case, the woman had been consuming small amounts of carbohydrates and large amounts of fat for a long time before experiencing the problem. After the birth, she experienced symptoms of fever, nausea, and anorexia completely.
Despite this, she was breastfeeding her baby, which made her need more food.
This woman's case study report shows that a low-carb diet is one of the possible factors that caused this problem.
However, as soon as the media became aware of the matter, they immediately overemphasized the reason for being a low-carb diet, although there was no evidence to fully confirm this.
Swedish newspaper Expressen: warning of an LCHF diet while breastfeeding
The term LCHF stands for (Low-carb high-fat diet)
What did the Swedish woman say?
The woman whose condition has been described in media reports contacted the Swedish Medical Association magazine herself, to talk about her condition, and she told a different story from the story mentioned in the media:
What has not been clarified is that I - what is meant by breastfeeding woman - has been following the LCHF diet for nearly six years before this incident, but due to fatigue during my second pregnancy and after childbirth, I suffered from anorexia.
This added to the tension, the more I wanted to eat foods, my body refused. I ate what I could eat: popcorn, yogurt, and fruit ... The problem was that I barely ate food, and I didn't get enough energy from fats or carbohydrates.
I had a fever that lasted a whole week, and that was two weeks before I was hospitalized, and during that week I did not eat almost anything, I drank water mostly.
While I was not eating, my drained daughter was breastfed normally. Saying that I fell ill due to the low-carb diet I was following is completely wrong, unfortunately, I didn't eat anything during my breastfeeding period.
Now, I'm still following a low-carb diet, but the difference between what happened to me and my condition now is that I now eat well. I am in good health and have not had any problem for a year.
My daughter breastfed naturally for 10 months after I was discharged from the hospital and I felt no problem. (Actually, I felt very uncomfortable because of what the doctors said and accused me of, and nothing else).
the comment on what woman said
After reading the woman’s story, her condition appears to fall under the category of hunger-induced ketoacidosis. It is known that hunger can under certain conditions lead to ketoacidosis, and these conditions in the case of women are breastfeeding.
Whether a low-carb diet has contributed to this problem or not.
It could be part of a group that includes many of the underlying factors that have caused high ketoacidosis (although the woman in question has not had a low amount of carbohydrates in her body during the last weeks before hospitalization).
Many women and mothers have shared their stories of following a low-carb diet with great success and without any problems at all during breastfeeding.
In theory, it is possible - in rare cases - that a strict diet with few carbohydrates may cause problems during breastfeeding.
During lactation, the body loses carbohydrates with breast milk. And if a woman follows a low-carb or zero-carb diet, this means that her body will have to lose more carbohydrates whose quantities are already low. In extreme cases, this may be difficult for the body.
Note that new diabetes medications that help get rid of the amount of glucose present in the body (SGLT2 inhibitors) can also, in rare cases, lead to high ketoacidosis.
One of the ways that are similar to the effect of breastfeeding is the loss of glucose as a result of taking these medications.
According to the Swedish Medical Association journal, 5 cases have been reported worldwide including high levels of ketoacidosis during lactation.
Two conditions may be associated with low carbohydrates and three cases related to hunger.
Another recent case has been the high ketoacidosis during lactation along with a low-carb diet.
Important recommendations
Although these cases seem very rare, they contain very few published cases, all of which seem to have been treated quickly and easily, but they deserve serious attention.
In my opinion, it is a good idea to be alert when choosing to breastfeed in conjunction with a low-carb diet. A better alternative might be a low-carb diet.
Considering that breastfeeding consumes carbohydrates, it may be a good idea not to stick to less than 50 grams of carbohydrates per day. Theoretically, this amount of carbohydrates is the standard for a strict, low-carb diet for non-lactating women.
How do you recognize the early symptoms of high ketoacidosis during breastfeeding if you follow a low-carb diet? When high ketoacidosis, you will suffer from thirst, headache, and nausea in general, and you will feel weak and sick.
If this happens, you should quickly increase the number of carbohydrates and fluids you consume and seek medical attention immediately if these symptoms persist and there is no improvement.
The most important thing is that - no matter what diet you follow - a breastfeeding woman must get enough food. And if you find it difficult (for example, due to some diseases).
You should contact specialist doctors for advice.
thanks
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