Diabetics, especially, type 1 diabetics are at risk of complications if they attempt to follow a ketogenic diet. For this reason diabetics and anyone with a blood sugar management issue should discuss the potential implications with their GP and healthcare team before embarking on such a regime. Similarly anyone with kidney disease or a family history of such should consult their GP.
The ketogenic diet is calculated by a dietitian for each child. Age, weight, activity levels, culture, and food preferences all affect the meal plan. First, the energy requirements are set at 80–90% of the recommended daily amounts (RDA) for the child's age (the high-fat diet requires less energy to process than a typical high-carbohydrate diet). Highly active children or those with muscle spasticity require more food energy than this; immobile children require less. The ketogenic ratio of the diet compares the weight of fat to the combined weight of carbohydrate and protein. This is typically 4:1, but children who are younger than 18 months, older than 12 years, or who are obese may be started on a 3:1 ratio. Fat is energy-rich, with 9 kcal/g (38 kJ/g) compared to 4 kcal/g (17 kJ/g) for carbohydrate or protein, so portions on the ketogenic diet are smaller than normal. The quantity of fat in the diet can be calculated from the overall energy requirements and the chosen ketogenic ratio. Next, the protein levels are set to allow for growth and body maintenance, and are around 1 g protein for each kg of body weight. Lastly, the amount of carbohydrate is set according to what allowance is left while maintaining the chosen ratio. Any carbohydrate in medications or supplements must be subtracted from this allowance. The total daily amount of fat, protein, and carbohydrate is then evenly divided across the meals.
Ang unang bagay ay tinitiyak na nakakakuha ka ng sapat na calories at macronutrients upang suportahan ang naturang mataas na intensidad na pagsasanay. Ang mga suplementong nakalista sa itaas ay maaari ring makatulong na mapalakas ang pagganap at suportahan ang iyong mga pangangailangan sa nutrisyon. Sa ilang maliliit na pagdaragdag sa iyong plano sa nutrisyon, maaari mong pindutin ang mga PR WOD pagkatapos WOD.
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Kabilang sa proseso ang pagpapababa ng pagkain ng carbohydrate at pagpalit nito ng taba. Ang pagpapababa ng carbs ay naglalagay sa katawan sa isang metabolic state na tinatawag na ketosis. Kapag ito ay nangyari, nagiging episyente ang katawan sa pagsunog ng taba para sa enerhiya. Ginagawa din nitong ketones ang taba sa atay na tumutulong sa pagsuplay ng enerhiya sa utak.