KetoCollege UK Programme - Matthew's Friends KetoCollege

RCPCH has approved this activity for CPD in accordance with the current RCPCH CPD Guidelines

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Note: BDA endorsement applies only to the educational content of the learning activity.

Day 1 – Medical Masterclass

9.30-10am	REGISTRATION AND COFFEE
10-10.15am	Welcome from MF and MF Medical Board	Helen Cross
*Session 1 – Epilepsy*
Chair – Helen Cross
10.15-10.45am	Introduction to ketogenic therapy - history and mechanisms of action History of the diet Mechanisms of action Brief introduction to traditional ketogenic diets and modified variants Clinical trials update including efficacy data Brief mention of conditions other than epilepsy which may benefit from ketogenic therapy (NB. neuro-metabolic disease and cancer will be covered in separate sessions)	Helen Cross
10.45-11.30am	Therapeutic options for intractable paediatric epilepsy – When to use dietary treatment and which diet to choose Treatment options for intractable epilepsy : when to consider diet? Choice of diet (expanding content of first talk) Indications and contra-indications for ketogenic therapy New uses in epilepsy (FIRES, absence, JME, status epilepticus) The concurrent use of ketogenic therapy and other medical treatments (VNS, AEDs) Weaning of AEDs when on ketogenic therapy Epilepsy surgery and ketogenic therapy Special considerations when treating infants	Eric Kossoff
11.30-11.45am	COFFEE BREAK
11.45-12.30pm	Ketogenic therapies for adults Literature overview Efficacy and other benefits Dietary protocols and practical considerations, including pregnancy and Status Epilepticus. Health and well being Case study examples Transition	Mackenzie Cervenka
12.30 – 1pm	QUESTION TIME	Panel
1pm-2pm	KETOGENIC LUNCH
*Session 2 – Neuro-Metabolic Disease& Neuro-oncology*
Chair – Archana Desurkar Neuro-metabolic disease:
2pm-3pm	Glut 1 Deficiency, from paediatrics to adulthood	Joerg Klepper
3pm-3.30pm	Pyruvate Dehydrogenase Deficiency Background to GLUT 1 DS and PDHD Ketogenic therapy in neurometabolic disease - when to use, which diet, literature update Case study examples How treatment and condition changes from childhood to adulthood	Archana Desurkar
3.30- 3.45pm	TEA BREAK
*Ketogenic therapy in oncology:*
3.45-4.30pm	Ketogenic therapy in Neuro-oncology	Matt Williams
4.30-5pm	Dietary Factors to consider for Neuro-oncology Literature update Practical application Case study examples	Sue Wood
5pm- 5.30pm	QUESTION TIME	Panel
	*FREE EVENING FOR RESIDENTIAL DELEGATES*

Day 2– Dietetic Masterclass

*Chair: Helen Grossi RD*
9.00 -9.30am	REGISTRATION AND COFFEE
9.30 -9.45am	Welcome from MF and MF Medical Board	Elizabeth Neal
9.45-10.15am	Non-Epilepsy uses and the future of Ketogenic Therapy Ketogenic diet being used in other conditions such as Cancer and Autism Ketogenic diet in a pill? What does the future hold for ketogenic therapies?	Helen Cross
10.15 - 10.35am	Preparing for ketogenic therapy What are you dealing with when a family comes through the door How to prepare them for ketogenic therapy What to take into consideration Building confidence for the family AND the patient	Emma Williams
10.35 – 11am	Choice of diet Pre-diet evaluations Overview of each diet, comparing the protocols and which to choose	Sue Wood
11am – 11.15am	COFFEE BREAK
11.15 – 1pm	CLASSICAL DIET WORKSHOP AND COOKERY DEMONSTRATION (Led by Elizabeth Neal and Dietetic Mentors with Eric Kossoff) How to Calculate the classical diet Fine-tuning Side effects Case studies Cookery demonstration with MF cook – Mo
1-2pm	KETOGENIC LUNCH
2pm-3.45pm	MCT KETOGENIC DIET WORKSHOP AND COOKERY DEMONSTRATION (Led By Elizabeth Neal and Dietetic Mentors with Anita Devlin) How the MCT diet is calculated and when to use it. Fine Tuning Side Effects Case Studies Cooking demonstration
3.45 - 4pm	TEA BREAK
4pm – 4.15pm	EKM demonstration Demonstration of EKM Different platforms available to use it How to change existing recipes How to get it for your centre and your families	Bruce Carroll
4.15 – 4.45pm	How to initiate ketogenic therapy Fasting? Admit or start as an outpatient? Multiple ways to start the diet, high and quickly or low and slow? Issues with the start of the diet/early days - early side effects to watch for and how to manage	Jennifer Fabe
4.45 - 5.15pm	Monitoring and side effects Home monitoring - blood/urine ketones, weight, recording seizures Clinic monitoring - biochemistry, growth, optional other tests (renal ultrasound, EEG, DEXA, ECG) Common side effects and their management NB early ones will be covered during initiation talk) Rare side effects and their management	Anita Devlin
5.15 – 5.45pm	Ketogenic 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 into solid food	Helena Champion
5.45 – 6pm	QUESTION TIME
	7.30pm - EVENING RECEPTION/ DINNER AT HOTEL

Day 3 – Dietetic Masterclass (cont.)

	*Chair: Dr. Elizabeth Neal RD*
8.30-10.45am	MODIFIED KETOGENIC THERAPY WORKSHOP AND COOKING DEMONSTRATION (Led by Sue Wood and Dietetic Mentors with Mackenzie Cervenka) How to calculate modified diets The difference in the modified diets Modified diets for adults Fine tuning Case studies Cookery demonstration
10.45-11am	COFFEE BREAK
11-11.30am	Supplementation and Keto-Friendly Medications Importance of low carbohydrate and reading labels in medications - AEDs and other prescription medications and choosing appropriate over-the-counter products Routes of administration - oral or enteral tube, IV Vitamin, mineral and trace element requirements on ketogenic therapy Choosing an appropriate supplement and current available products for both children and adults Carnitine Essential fatty acids	Helen Grossi
11.30-12pm	Ketogenic therapy and AEDs AEDs and ketogenic therapy - risk of interactions AED weaning during diet therapy and when Why you need to work alongside a managing neurologist	Eric Kossoff
12pm-12.30pm	Switching or weaning ketogenic therapies Switching to a different type of diet or discontinuing diet therapy Once weaned off the diet, is it worth revisiting again in the future if needed?	Vanessa Appleyard
12.30-1pm	QUESTIONS	Panel
1pm -2pm	KETOGENIC LUNCH
2pm – 2.30pm	Tube feeding, blended diets and parenteral nutrition Enteral feeding with case study examples Basics of managing TPN in a ketogenic diet patient Managing Blended ketogenic diets	Helena Champion
2.30 – 3.00pm	Management of emergency situations (illness, status, ICU) Management of illness in the patient on ketogenic therapy Status epilepticus and initiation of ketogenic therapy Intensive care situations General anaesthesia and surgery Case study examples	Anita Devlin
3pm – 3.30pm	Psychological and behavioural assessments Assessing quality of life and psychological/behavioural changes	Susan Bruce
3.30-3.45pm	TEA BREAK
3.45 – 4.15pm	Discussion – What makes a good Ketogenic Centre? Which patients are the best ones to start off with How to build confidence Team work Working with the families What meetings are the right ones to attend Case studies	Eric Kossoff
4.15 – 4.45pm	QUESTIONS	Panel
4.45 - 5.00pm	Closing remarks and how MF can support your centre	Emma Williams

Learning Aim:

By the end of this course delegates will have an understanding of ketogenic dietary therapies, how and when ketogenic therapies should be used, how they can be safely implemented and monitored in their patients.

Delegates will also have an understanding of how different ketogenic therapies are used in different patient groups.

Delegates will be given all course materials to utilise in their own ketogenic clinics.

Delegates will have access to the confidential KetoCollege Forum where ongoing mentoring and advice will be available to them whilst in their own clinical setting. Details of this will be sent to them once the course has been completed.

Sponsors:

MANY THANKS TO OUR MAIN SPONSORS FOR THEIR SUPPORT IN PROVIDING THIS COURSE

Vitaflo

Keto Care

keto

“Note: BDA endorsement applies only to the educational content of the learning activity.
Certificates of Attendance will be given out at the end of the meeting upon completion and receipt of the evaluation form.
Programme subject to change“