Low Glycemic Index Treatment (LGIT)
The LGIT is a newly-developed variation of a low-carbohydrate diet used to treat children with epilepsy. The LGIT diet was developed in 2002 as a less-restrictive alternative to the ketogenic diet, whose strict guidelines can make compliance difficult. A pediatric neurologist and pediatric dietitian work closely with families to evaluate the diet’s success. They regularly monitor height and weight to ensure children are meet nutritional requirements while on the diet.
How It Works
The LGIT measures food by its Glycemic index, or how much it raises a child’s blood glucose level. At its core are foods with minimal impact on blood glucose levels, such as meats, cheeses and vegetables. Children on the LGIT may also consume certain carbohydrates, specifically those with a low Glycemic index. Carbohydrates should be eaten together with fats and proteins—for example, a piece of toast with butter—to further lower Glycemic index.
Benefits
- Flexibility. Children on the LGIT can eat a greater variety of foods. Food consumption is based on portion sizes, with no measurement needed.
- Convenience. The LGIT can be easily incorporated into a family’s mealtime routine, as opposed to high-fat dietary treatments.
- Lifelong value. The LGIT can be followed into adulthood, while other dietary treatments may need to be stopped or altered due to high fat content.
Who Should Consider LGIT
Children and families who have experienced only limited success with antiepileptic drugs (AEDs) may consider the LGIT as an alternative treatment option. It can also be a good fit for families and adolescents, as it offers effective seizure control with reduced food restrictions and portion measurement. Children who have succeeded with the ketogenic diet for two to three years may also transition to the LGIT because of its improved nutritional value.
Going on the LGIT
Before recommending a child begin the LGIT, we first conduct neurologic, neurodevelopmental and neuropsychology evaluations. These help us determine the type of seizure a child is experiencing, and any developmental, behavioral or learning delays that may have resulted. We may also recommend an EEG, MRI or sleep study to monitor electrical activity in a child’s brain. A consultation is then held with a pediatric neurologist and pediatric dietitian to ensure families fully understand the LGIT. Follow-up visits typically occur every three months to ensure children are maintaining both nutritional balance and proper seizure control.
Contact Us
For more information about dietary treatments of epilepsy, call Nursing Triage at 651-229-3890 and ask to speak to a neurology nurse practitioner. For more information about our Epilepsy Program, contact Candace Vegter, Epilepsy program manager, at 651-229-1717 or CVegter@gillettechildrens.com.
