- Dietary Treatment of Epilepsy: Practical Implementation of Ketogenic Therapy - Google книги
- Dietary Treatment of Epilepsy: Practical Implementation of Ketogenic Therapy
- Ketogenic Diet for Children with Epilepsy: A Practical Meal Plan in a Hospital
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The Keto Cookbook is a cookbook for those using the diet to treat epilepsy and other neurologic conditions. The book includes a page color insert illustrating each recipe. This book provides parents and children with options that have been tested and are kid- and Registered Dietitian- approved. Keto Reading. This is a must-have resource for paediatric dietitians and other members of the therapy team.
In our hospital, a KD team is composed of a physician, a registered nurse, and a registered dietitian. During the diet, the physician evaluates and manages complications of KD. Right after the physician, the head of the team, decides to start the KD program, the dietitian provides nutritional management to maintain the KD, and the nurse examines child for tolerance toward the KD diet and educate caregivers how to care child with the KD at home. Frequent communications between caregivers and the KD team are necessary to continue the KD program.
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Our KD program starts without initial fasting. Total fat contents in a patient's meal is gradually increased within 3 days. Before starting the KD, the dietitian evaluates the nutritional status of the child at the initial day and evaluates his or her ability to take food, activity level and growth pattern such as current height, weight and weight change. For the meal planning, the dietitian has to decide nutritional requirement of energy and nutrient distribution.
Protein can be adjusted by child's current weight. For general case example, a meal plan for a five-year-old child, with cm, 18 kg, PIBW This goal is achieved by meals composed of g of fat, 18 g of protein and 12 g of carbohydrate per, which makes the ratio of fat g to nonfat 30 g is Then these amounts from each nutrient is divided by the numbers of meal supply. The carbohydrate-rich foods such as rice, bread, grain and simple sugars are eliminated.
Dietary Treatment of Epilepsy: Practical Implementation of Ketogenic Therapy - Google книги
One food is selected from each food group which is categorized to either meat, fish, vegetables, milk or fat sources. The amounts of each food are calculated in grams and the content of nutrients are analyzed to achieve a desired ratio based on the individual nutrient requirement. It is not easy for caregivers to calculate the amounts of each food in grams by themselves.
For their convenience, the KD team provides them a computer program to calculate accurate amounts of foods and nutrients contents to minimize human errors. After calculation, the proportions of carbohydrate, protein, fat in calories, the desired ratio, and nutrient requirement of a patients are confirmed Table 1. The meals are provided in accurate amounts by weighing food with digital precision scale.
KD: Ketogenic diet, Total calories: kcal from 4g of carbohydrate, 6g of protein and 40g of fat.
Dietary Treatment of Epilepsy: Practical Implementation of Ketogenic Therapy
In order to achieve the ideal ratio, more fat from vegetable oils is needed not only from foods but also from others. In our hospital, we usually supply olive oil as a main fat source. In order to improve the composition of fatty acids, we combine olive oil with sesame oil, perilla seed oil, canola oil and others. We also provide nuts in order to improve flavor of meal and reduce the amount of vegetable oils. In our hospital there are three basic types of formulation; all-in-one, separated and semi-separated types.
Ketogenic Diet for Children with Epilepsy: A Practical Meal Plan in a Hospital
All-in-one type is a blended or pureed form for the children at initial stage of the KD, and also for children who have difficulties in chewing and swallowing. All-in-one type has an advantage of maintaining the desired ratio of the meal and does not affect feeding time which can be extended by meal tolerance of a child. However users often complain about the small volume of the meal.
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Separated type is for children who have enough abilities to chew and swallow. It is generally recommended to finish the meal completely within 30 minutes. But when the child has difficulties in eating oils, it can be mixed with nuts and milk. This is classified as a semi-separated type. Liquid type formula is used for bottle-feeding infants and tube-feeding children who are fed by using a nasogastric tube or a gastrostomy tube. The dietitian monitors children's tolerance and preference of the KD in order to modify consistency, palatability and formulation of the diet.
Maintaining the desired ratio of fat and non-fat is the most important thing in the KD. Eating all foods in each meal should be completed within 30 minutes. Meals are planned based on individual nutrient requirement which is divided by number of meal supply. If the child wants snacks, meal and snacks are planned based on the required calories and ratio.
Multivitamins and minerals including calcium and vitamin D supplements are needed every day during the KD.
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The dietitian provides education to parents of the child during the period of the KD. With millions of satisfied customers who enjoy low prices on a huge range of books, we offer a reliable and trusted service and consistently receive excellent feedback. We offer a huge range of over 8 million books; bestsellers, children's books, cheap paperbacks, baby books, special edition hardbacks, and textbooks. All our books are dispatched from the UK. Wordery offers Free Delivery on all UK orders, and competitively priced international delivery.
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