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

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KETOGENIC DIETARY THERAPIES

Course Contents and Mentors

4th, 5th, 6th June 2019

CROWNE PLAZA FELBRIDGE, LONDON ROAD, EAST GRINSTEAD, WEST SUSSEX,

RH19 2BH, ENGLAND, UK

Audience: Neurologists, Neuro-oncologists, Paediatricians, General Practitioners, Dietitians & Dietetic Assistants.

RCPCH CPD applied for

Certificates of Attendance will be sent out after the meeting upon completion and receipt of the evaluation form.

Attendance at KetoCollege does NOT provide a qualification to administer ketogenic therapy.

Ketogenic therapies always require strict medical supervision and should only be prescribed by a registered dietitian working with a medical team.

Programme endorsed by ERN EpiCARE

Day 1 – Medical Master Class – Tuesday 4th June 2019

Chair:PROFESSOR HELEN CROSS OBE  
9.30am – 10am Registration and Coffee
10am – 10.05amWelcome and HousekeepingHelen Cross
10.05am – 10.45amIntroduction to ketogenic therapy
  • History of diet
  • Efficacy Data
  • Mechanisms of Action
  • Non-Epilepsy Uses
  • Future of Ketogenic therapy
  • QUESTION/DISCUSSION TIME
Lyvia Dabydeen
10.45am– 11.45amTherapeutic Options for intractable paediatric epilepsy
When to use diet and which diet to choose?
  • Treatment options for intractable epilepsy: when to consider diet?
  • Choice of diet
  • 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)
  • QUESTION/DISCUSSION TIME
Helen Cross
11.45am– 12.45pmKetogenic Dietary 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
  • QUESTION/DISCUSSION TIME
Colin Doherty
12.45pm – 1.45pmKETOGENIC LUNCH 
CHAIR:DR. ANITA DEVLIN  
1.45pm – 2.30pmKDT and AED’s
  • AEDs and ketogenic therapy - risk of interactions
  • AED weaning during diet therapy and when
  • Why you need to work alongside a managing neurologist
  • QUESTION/DISCUSSION TIME
Andreas Brunklaus
2.30pm – 3pmManagement 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
  • QUESTION/DISCUSSION TIME
Archana Desurkar
3pm – 3.30pmHow do psychological factors impact on adherence? Stewart Rust
3.30pm – 4pmTEA BREAK 
4pm – 5.30pmCONCURRENT SESSIONS: Choose one at time of booking.  
SESSION 1:Metabolic Disorders – Glut 1 Deficiency and Pyruvate Dehydrogenase Deficiency.
Led by: Joerg Klepper
  • 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
  • QUESTIONS/DISCUSSION TIME
 
SESSION 2:Neuro-oncology
Led by: Dr Michael Jenkinson,Nel Syedand Sue Wood RD
  • Clinical Research and current evidence available
  • Current treatment available and where KDT could possible stand
  • Dietary factors to consider for Neuro-oncology
  • QUESTIONS/DISCUSSION TIME
 
SESSION 3:Diabetes
Led by: Drs Rutherford and Bhardwaj, Helena Champion RD, Helen Grossi RD
  • Treating Type 1 and Type 2 diabetes – current thinking and why it needs to change
  • How to treat diabetic patients safely with KDT
  • Case studies of patients with Epilepsy AND diabetes
 
FREE EVENING FOR DELEGATES

Day 2 – Dietetic, Nurse and Dietetic Assistants – Wednesday 5th June 2019

Chair:HELENA CHAMPION RD  
9am – 9.05am Welcome and housekeeping
9.05am – 9.30amPreparing a family for KDT
  • 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
  • Question/Discussion Time
Emma Williams
9.30am – 10amConsiderations of type of Ketogenic therapy to use with each patient
  • Pre-diet evaluations
  • Overview of each diet, comparing the protocols and which to choose
  • Question/Discussion Time
Susan Wood
10amCOFFEE  
10.30- 12.30CONCURRENT SESSIONSChoose one when booking
Session 1Classical Diet Workshop and Cookery Demonstration
(Led by Dr.Elizabeth Neal RD and Dietetic Mentors)
  • How to Calculate the classical diet
  • Fine-tuning
  • Side effects
  • Case studies
  • Cookery demonstration with MF cook – Mo
 
Session 2Nurses and Dietetic Assistants workshop
(Led by Martin Smith, Val Aldridge and Catherine Zabilowicz with Bruce Carroll (EKM) )
  • Ketone Testing – Bloods, Urine and Breath
  • Monitoring
  • Use of EKM mealplanner for professionals and families
  • Recipe manipulation
  • Family support
 
12.30pm – 1.30pmLUNCH 
CHAIR:SUE WOOD RD  
1.30pm – 3.30pmMCT Workshop and cookery demonstration
(Led By Dr.Elizabeth Neal R D and Dietetic Mentors)
  • How the MCT diet is calculated and when to use it.
  • Fine Tuning
  • Side Effects
  • Case Studies
  • Cooking demonstration – Chef Neil and Chef Derek
 
3.30pm – 4pmTEA  
4pm – 4.30pmPractical Issues to overcome with feeding issues Camilla Salvestrini
4.30pm – 5pmKetogenic 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 into solid food
  • Question/Discussion Time
Helena Champion
5pm CLOSE OF THE DAY  

7.30pm -EVENING RECEPTION/DINNER AT THE HOTEL FOR THOSE WHO HAVE PURCHASED TICKETS
(FREE EVENING FOR THOSE WITHOUT TICKETS)

Day 3 – Dietetic, Nurse and Dietetic Assistants – Thursday 6th June 2019

Chair:Dr. ELIZABETH NEAL RD  
9am – 11am Modified Dietary Workshop and Cookery Demonstration
(Led by Sue Wood and Dietetic Mentors)
  • How to calculate modified diets
  • The difference in the modified diets
  • Modified diets for adults
  • Fine tuning
  • Case studies
  • Cookery demonstration
11 – 11.30amCoffee break
11.30 – 12.15pmMonitoring 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
  • Questions/Discussion Time
Anita Devlin
12.15 – 1pm Supplementation and 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
Laura Healy
1pm – 2pm Lunch
CHAIR: LAURA HEALY RD
2pm – 2.45pmSwitching and/or weaning KDT
  • 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?
Janette Buttle
2.45 – 3.30pmTube 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
Elles Van De Louw
3.30 – 4pmDiscussion – 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
Helen Cross
4pm How can MF support your centre? Emma Williams
4.30pm Close of the day
Have a safe trip home.
Please return your feedback forms to the registration desk and pick up your USB stick.

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

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“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“