Practice Paper: Classic and Modified Ketogenic Diets for Treatment of Epilepsy

Volume 117, Issue 8, Pages 1279-1292 (August 2017)

Abstract

Ketogenic diet therapy is an established form of treatment for both pediatric and adult patients with intractable epilepsy. Ketogenic diet is a term that refers to any diet therapy in which dietary composition would be expected to result in a ketogenic state of human metabolism. While historically considered a last resort therapy, classic KDs and their modified counterparts, including the modified Atkins diet, and low glycemic index treatment are gaining ground for use across the spectrum of seizure disorders. Registered Dietitian Nutritionists are often the first line and the most influential team member when it comes to treating those on KD therapy. This paper offers the RDN insight into the history of KD therapy, an overview of the various diets, a brief review of the literature with regards to efficacy, provides basic guidelines for practical implementation, coordination of care across multiple healthcare and community settings, and describes the role of the RDN in achieving successful KD therapy.