MCT Ketogenic Diet Plan
The MCT (medium chain triglyceride) ketogenic diet plan was developed in the 1970s as an alternative to the classical diet.
How Does The MCT Ketogenic Diet Plan Work?
MCT is absorbed and transported more efficiently in the body than other types of fat and will yield more ketones per unit of dietary energy. Therefore less total fat is needed on the MCT diet allowing more protein and carbohydrate food sources to be included.
The traditional MCT diet provided a higher amount of energy from MCT however led to reports of gastro-intestinal problems in some children, and a modified version with less MCT was suggested. In practice a starting MCT level is now chosen that will allow good ketosis but avoid risk of side effects; this can be increased as needed and tolerated.
Included In All Meals
MCT should be included in all meals and snacks; this is provided from an oil or emulsion, both available on medical prescription. The remaining energy in the MCT diet is provided from carbohydrate, protein and fat from foods. Larger portions of carbohydrate and protein will allow increased choice. A randomized controlled trial of both classical and MCT ketogenic diets was reported in 2009 and did not find either type of diet to be significantly better in terms of efficacy or tolerability, concluding both diets have their place in the treatment of childhood epilepsy.
Strict Dietary Calculations
Both the classical and MCT ketogenic diet involve strict dietary calculation and weighing of all foods. The dietician will calculate an individual diet prescription, based on energy and protein requirements. This is likely to be started at a lower ratio or MCT content and built up over a few days as tolerated. From this prescription, recipes can be developed; this is usually done using a computer program.
Exchange lists may be used as an alternative means to implement the prescription; this method is commonly used in the MCT diet. Vitamin and mineral supplementation will be needed with classical and MCT ketogenic diets due to their restrictions; this will be prescribed by the dietitian after assessment of individual requirements and dietary provision. On-going diets will need careful fine-tuning to achieve optimal results.
MCT Ketogenic Diet
A typical MCT ketogenic diet plan will recommend that between 30% and 60% of the fat intake in the diet comes from MCT fats.
Excellent sources of MCT include MCT oil, coconut oil and coconut products, such as coconut milk and cream.
Please check out the following video for an example of the type of food which can be consumed as part of an MCT ketogenic diet plan:
If you would like any more information regarding the Matthew’s Friends charity or regarding the MCT ketogenic diet plan, please either give us a call on Tel. No. 01342 836571 or contact us through our Facebook page and we will be happy to help if we can.