Introduction to Ketogenic Dietary Therapy and when to consider these therapeutic options

History of these dietary therapies
Efficacy Data
Mechanisms of Action
When to consider the diet
Using KDT with Epilepsy Syndromes and success rates
Indications and contra-indications for KDT
New uses in Epilepsy
The concurrent use of KDT and other medical treatments (VNS, ASD’s)
Long term outcomes of using KDT’s

Ketogenic Dietary Therapies for Adults

Literature Overview
Efficacy and other benefits
Dietary protocols and practical considerations including pregnancy and status epilepticus.
Long term outcomes of adults on the diet
Adult Consensus guidelines
Transition

Setting up an adult service

KDT and AED’s

ASD’s and KDT – risk of interactions
CBD and KDT
ASD weaning during diet therapy and when to start weaning.

Why you need to work alongside a managing neurologist

Prof Stéphane Auvin
Prof Eric Kossoff

Management of emergency situations
Management of illness in the patient on KDT
Status epilepticus and initiation of KDT
Intensive care situations
General anaesthesia and surgery
Case study examples

Rare side effects

Ketogenic Dietary Therapy for Infants

Using Classical diets with infants
Special considerations in this age group including initiation and monitoring.

Feeding methods including use of breast milk and weaning onto solid food

The Future of Ketogenic Services and Centres

Why did the diet seem to fall out of favour in the past?
What makes a good KDT centre?
Should KDT centres be audited? If so, what needs to be included?
New applications for KDT?  Cancer, Autism etc
Why mentoring is so important for the future

INKS education committee

Dr. Anita Devlin
Prof. Stéphane Auvin
Prof. Eric Kossoff

Break and Networking
(Selection of sponsor films being shown)

Metabolic Disorders – Glut 1 Deficiency and Pyruvate Dehydrogenase Deficiency.

Background to GLUT 1 DS and PDHD
KDT in neurometabolic disease – when to use, which diet, literature update
Case study examples

How treatment and conditions changes from childhood to adulthood

Use of KDT in other conditions such as:
Autism
Cancer
Diabetes
Migraine

Prof Jörg Klepper
Dr Archana Desurkar

Chair: Dr Elizabeth Neal RD

Preparing a family for KDT
What are you dealing with when the family comes through the door?
What is Chronic Sorrow?
CORE – outcomes
How to prepare them for KDT
Case Study
What to take into consideration?
Building confidence in the patient and the family.

MF Patient Preparation Booklet

Considerations of type of ketogenic therapy to use with each patient
Pre-diet evaluations

Overview of each diet, comparing protocols and which to choose.

Jen Carroll RD
Sue Wood RD

Break and Networking
(Selection of sponsor films being shown)

1045-1215

Classical Diet Workshop and Cookery Demonstration
How to calculate the diet
Fine-Tuning the diet
Side effects
Case studies

Q&A

1215-1315

Break and Networking
Classical Cooking films (product and non-product recipes)

(Sponsored Symposium session TBC)

Modified Dietary Workshop and Cookery Demonstration
How to calculate modified diets
The difference in the modified diets
Modified diets for adults
Fine tuning
Case studies

Q&A

Break and Networking
Modified Cooking Films (product and non-product recipes)

Low Glycemic Index Treatment (LGIT) for Adults

How the LGIT is calculated
Evidence of using LGIT in children and adults
Fine tuning
Side effects

Case Studies

Practical solutions to overcome with feeding issues

Rowan Sutherill RD
Dr. Camilla Salvestrini

DAY 3 – Dietetic Masterclass – Thursday 26th May

Chair: Jen Carroll RD

MCT Workshop and cookery demonstration
How the MCT diet is calculated and when to use it
New developments in MCT supplements
Fine tuning the diet
Side effects
Case studies

Q&A

Break and Networking
MCT Cooking Films

Dietetic assistant and nurse workshop – practical information on supporting families
Ketone Monitoring – Bloods, Urine and Breath
Everyday monitoring
Overcoming problems
Training families and discussions with new families
Use meal planners/food choice lists for professionals and families.
Going on Holiday – General practicalities
Multi-Carer settings
Eating out
Recipe manipulation
Family Support

Q&A

Siobhan Keogh ESN
Dr Elles van der Louw

1230-1330

Break and Networking

(Sponsored Symposium session TBC)

Tube Feeding and Blended Diets
Enteral feeding with case study examples

Managing Blended KDT

Monitoring and Side Effects
Home monitoring
Clinic monitoring – biochemistry, growth, optional other test such as: renal ultrasound, EEG, DEXA, ECG
Common side effects and their management.

Serious side effects and how to recognise them.

Supplementation and Medications
Importance of low carbohydrate and label reading in medications.
ASD’s and over the counter medications
Routes of administration – oral or enteral tube, IV
Vitamin, mineral and trace element requirements on KDT
Choosing an appropriate supplement and current available products for both children and adults
Carnitine
Essential fatty acids

Solving Selenium Deficiencies

Vicki Whiteley RD
Zoe Simpson RD
Tracy Cameron RD

Break and Networking

Switching, discontinuing and revisiting diet therapy

Switching between types of diet
Discontinuing diets – how to wean off safely
Is the diet worth revisiting in the future?

Emma Williams

Rachel Meskell RD
Dr. Anita Devlin
Emma Williams