It most often occurs in untreated or undertreated Type 1 diabetes, from a lack of insulin, but it can also result from extreme keto dieting. The many similarities between epileptic seizures and bipolar disorder make ketogenic diets of experimental interest in treating bipolar disorder. However, like depression, evidence is limited, and is primarily limited to small case studies. Some research reports that high-fat diets improve sleep quality; others, however, point to the opposite conclusion.
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