KETOGENIC DIETARY THERAPIES

Course Contents and Mentors

12th, 13th, 14th May 2020

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

RH19 2BH, ENGLAND, UK

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

BDA &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 12th May 2020

Chair:Emma Williams MBE  
9.30am – 10am Registration and Coffee
10am – 10.05amWelcome and HousekeepingEmma Williams
10.05am – 11amIntroduction to ketogenic Dietary Therapy&
When to consider these therapeutic options.
  • History of these dietary therapies
  • Efficacy Data
  • Mechanisms of Action
  • When to consider diet
  • Indications and Contra-indications for Ketogenic Therapy
  • New uses in Epilepsy
  • The concurrent use of Ketogenic therapy and other medical treatments (VNS, Anti-Epileptic Drugs)
  • QUESTION/DISCUSSION TIME
Helen Cross
11am– 11.15am COFFEE BREAK  
11.15am– 12.15pmKetogenic Dietary Therapies for Adults
  • Literature overview
  • Efficacy and other benefits
  • Dietary protocols and practical considerations, including pregnancy and Status Epilepticus.
  • Case study examples
  • Transition
  • Setting Up an Adult Service
  • QUESTION/DISCUSSION TIME
TBC
12.15 – 12.45pmHow to set up a Paediatric Service
  • Draft a Business Case
  • Calculating the funding needed
  • Obstacles to overcome
  • Things to take into consideration
  • QUESTION/DISCUSSION TIME
Anita Devlin
12.45 – 1.45pm LOW CARB OPTIONS LUNCH 
CHAIR:PROFESSOR HELEN CROSS OBE  
1.45pm – 2.15pmKDT 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
Frances Gibbon
2.15 – 2.45pmManagement 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
  • Rare side effects
  • QUESTION/DISCUSSION TIME
Alasdair Parker
 NON-EPILEPSY USES 
2.45 – 3.15pmDiabetes Management
  • Hypothesis of use
  • Evidence Available
  • Clinical Studies and Trials underway
  • Does managing the diet need to differ?
  • QUESTION/DISCUSSION TIME
TBC
3.15– 3.30pmTEA BREAK 
3.30 – 4pm Cancer Management – Brain Tumours
  • Hypothesis of use
  • Evidence Available
  • Clinical Studies and Trials underway
  • Does managing the diet need to differ?
  • QUESTION/DISCUSSION TIME
 
4 – 5pm Metabolic Disorders – Glut 1 Deficiency and 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
  • QUESTIONS/DISCUSSION TIME
  Joerg Klepper
FREE EVENING FOR DELEGATES

DAY TWO – Wednesday 13th May 2020

Chair:HELENA CHAMPION RD  
9am – 9.05amWelcome and HousekeepingHelena Champion
10.05am – 11amPreparing a family for KDT
  • What are you dealing with when a family comes through the door?
  • How to prepare them for ketogenic therapy
  • Examples of how to get patients onto the diet
  • What to take into consideration?
  • Building confidence for the family AND the patient
  • Question/Discussion Time
Emma Williams
9.30 – 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
10 – 10.30amCOFFEE BREAK  
10.30- 12.30pmCONCURRENT SESSIONS – Pleasechoose one when booking: 
Session 1Classical Diet Workshop and Cookery Demonstration
  • How to Calculate the classical diet
  • Fine-tuning
  • Side effects
  • Case studies
  • Cookery demonstration (Product and non- product demonstrations)
  • QUESTION/DISCUSSION TIME
(Led by DrElizabeth Neal RD and Dietetic Mentors)
Session 2Nurses and Dietetic Assistants workshop
  • Ketone Testing – Bloods, Urine and Breath
  • Monitoring
  • Use mealplanners/food choice lists for professionals and families
  • Going on Holiday – General Practicalities
  • Multicarer settings
  • Eating out
  • Recipe manipulation
  • Family support
  • QUESTION/DISCUSSION TIME
(Led by Martin Smith& Val Aldridge + 1 other)
12.30 – 1.30 LOW CARB OPTIONS LUNCH 
CHAIR:SUE WOOD RD  
1.30pm - 3.30pm CONCURRENT SESSIONS – Please choose one when booking: 
SESSION 3MCT Workshop and cookery demonstration
  • How the MCT diet is calculated and when to use it.
  • Fine Tuning
  • Side Effects

  • Case Studies
  • Cooking demonstrations with MCT product
  • QUESTION/DISCUSSION TIME
(Led ByDrElizabeth Neal RD and Dietetic Mentors)
SESSION 4Nurse and Dietetic Assistant Workshop
  • Discussion with new families
  • Training new families
  • Case Study discussion
  • Overcoming problems – most common
  • QUESTIONS/DISCUSSION TIME
(Led by Martin Smith & Val Aldridge + 1 other)
3.30 – 4pmTEA BREAK  
4pm – 4.30pmPractical Solutions to overcome with feeding issuesTBC
4.30 – 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 THREE-Thursday 14th May 2020

Chair:Dr. ELIZABETH NEAL RD 
9am – 11am 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
  • Cookery demonstration
  • QUESTION/DISCUSSION TIME
(Led by Sue Wood and Dietetic Mentors)
11 – 11.30amCOFFEE BREAK  
11.30 – 12.15Monitoring 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)
  • Questions/Discussion Time
Natasha Schoeler
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
Tracy Cameron
1pm – 2pm LOW CARB OPTIONS LUNCH  
CHAIR:TRACY CAMERON  
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?
TBC
2.45 – 3.15pm Tube feeding and blended diets
  • Enteral feeding with case study examples
  • Managing Blended ketogenic diets
TBC
3.15 – 3.45pmKetogenic parenteral nutrition for paediatricsEimear Forbes
3.45 – 4.15pm How do psychological factors impact on adherence? TBC
4.15pmHow can MF support your centre? Emma Williams
4.30 Close of the day 
This programme is subject to change without prior notice.

“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