Last modified: 2014-04-03
Abstract
Objectives: to Standarize classic and modified Atkins ketogenic diet (KD)use between several Argentinians health centers.
Material and Methods: the KD National consensus was created between march 2012 and August 2013 by the KD national group from the Argentinian Child Neurology Society. This Group consists of Child neurologists, a nutritionist physician, pediatrician and professional nutritionist of 12 Argentine provinces from 13 health centers from where KD was used as treatment in drug resistant epilepsy. All published information and experience from each center was reviewed.
Results: Criteria was established as followed:
1. Patient selection: indications and contraindications.
2. Neurological exam and nutritional state previous to treatment
3. Laboratory test and complemmentary studies.
4. Food intake data and dietary requirements calcultation.
5. Diet initiation methodology.
6. Family training.
7. Follow up.
8. Efficacy and side efects registration.
9. End of treatment.
Conclusions: considering that KD has reemerged as a treatment in drug resistant epilepsy in our country and through out the world, guidelines are required in order to increase its efficacy and to minimize its side effects. the constitution of an interdisciplinary national group and this consensus publication brings out the possibility to other centers to implement it.