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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Recommendations for aspects of a follow-up ketogenic dietary therapy clinic visit

Recommendations for aspects of a follow-up ketogenic dietary therapy clinic visit
Nutritional assessment (registered dietitian)
Height, weight, ideal weight for stature, growth velocity, BMI when appropriate
Head circumference in infants
Review appropriateness of KDT prescription (calories, protein, and fluid)
Review vitamin and mineral supplementation
Assess compliance to KDT
Adjust KDT if necessary to improve compliance and seizure control
Medical evaluation (neurologist)
Efficacy of the diet (is the KDT meeting parental expectations?)
Side effects of KDT
Antiseizure medication reduction (if applicable)
Should KDT be continued?
Laboratory assessment
Complete blood count with platelets
Electrolytes to include serum bicarbonate, total protein, calcium
Serum liver and kidney profile (including albumin, blood urea nitrogen, creatinine)
Vitamin D level
Fasting lipid profile
Free and total carnitine
Urinalysis
Selenium level
Antiseizure medication levels (if applicable)
EEG (at KDT discontinuation consideration)
Optional
Serum beta-hydroxybutyrate (BOH) level
Urine calcium and creatinine
Zinc, copper levels
Renal ultrasound
ECG
Bone mineral density (DEXA scan) after 2 years on the KD
Visits should be at least every 3 months for the first year of KDT, with a visit 1 month after starting KDT also advised.
KDT: ketogenic dietary therapy; BMI: body mass index; EEG: electroencephalogram; ECG: electrocardiogram; KD: ketogenic diet.
From: Kossoff EH, Zupec-Kania BA, Auvin S, et al. Optimal clinical management of children receiving dietary therapies for epilepsy: Updated recommendations of the International Ketogenic Diet Study Group. Epilepsia Open 2018; 3(2):175-192. https://onlinelibrary.wiley.com/doi/full/10.1002/epi4.12225. Copyright © 2018 The International League Against Epilepsy. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).
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