The Implementation and Maintenance of the Ketogenic Diet in Children

Valproic acid and phenobarbital blood levels during the first month of treatment with the ketogenic diet

“…To our knowledge, no data are yet available regarding the first month of diet, which is a critical phase as regards the potential adverse side effects linked to the interactions between the ketogenic diet and the anticonvulsant drugs. Indeed, a blood levelÕs increase of up to 100% has been reported for PB in clinical practice (8)(9)(10). Some authors recommend that the daily dose of PB be reduced by 30% before the start of the diet to lower the risk of excessive sedation (11).…”

Changing Physician Attitudes Toward the Ketogenic Diet: A “Parent-Centered” Approach to Physician Education about a Medication Alternative

“…Initiating and fine-tuning the diet require a large investment of a dietitian's time (10). Few dietitians have either the training or the time necessary to manage the diet adequately.…”

The ketogenic diet in childhood epilepsy: where are we now?

“…A significant amount of dietetic time is required to set up and develop the service. Maintenance of such a program is also highly labour-intensive 21. The implementation and maintenance of a KD cannot be successful without close collaboration between the KD team and the family.…”