Each NHS ketogenic diet service works slightly differently. In most cases, your first appointment will be with a specialist ketogenic dietitian.

This appointment is an opportunity to:
•    Learn more about what the ketogenic diet is
•    Understand the different types of ketogenic diet
•    Discuss how the diet would change your child’s usual food and drink intake

Before your appointment

You will often be asked to complete a food diary before the appointment. This helps the dietitian to:
•    Get a clear picture of your child’s usual eating patterns
•    Understand which foods and drinks your child prefers
•    Identify any allergies, intolerances, or sensory or texture preferences that are important to consider

This information helps the dietitian suggest an approach that fits your family routine as closely as possible, making the transition easier if you decide to go ahead.

During the appointment

At the appointment, the dietitian will:
•    talk through your hopes and goals for the ketogenic diet
•    discuss how effective the diet can be
•    explain how the diet would work in practice, including how your child’s usual foods and meals may change
•    explain how the diet is monitored
•    outline possible side effects and how these can be prevented or managed

You will have plenty of opportunity to ask questions. You will also be given written information to take home, so you have time to consider whether the ketogenic diet feels like the right next step for you and your child.

Next steps

At a follow‑up appointment, it is likely that you will also meet a neurologist, who will review your child’s medical history, seizure types and current medications as part of deciding whether the ketogenic diet is suitable for your child.