Table 2 Recommended monitoring investigations for adults while receiving dietary therapy for epilepsy [9]
From: Practical considerations of dietary therapies for epilepsy in adults
Investigation | Parameter | Frequency |
|---|---|---|
Nutrition assessment | Mandatory Height Weight Dietary intake Side effects | Baseline Each clinic visit |
Pathology | Mandatory Urea and electrolytes Liver function tests Full blood examination Blood urea nitrogen Fasting lipid profile Fasting glucose | Baseline Every 3–6 months |
Mandatory Carnitine (if on valproate) Vitamins & mineral levels: vitamin D, vitamin B12, folate, iron studies, zinc, Selenium | Baseline Every 6–12 months | |
As clinically indicated Ammonia Plasma amino acids Serum beta-hydroxy-butyrate HbA1c Drug levels Blood ketone levels Blood glucose levels | As required | |
Urinalysis Urine organic acids Urine creatine calcium ratio Urine ketone levels | As required | |
Other investigations | Electroencephalogram Electrocardiogram Lumbar puncture Radiological imaging Renal tract ultrasound Bone density testing | As required |