Download PDF
CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2018; 06(02): 72-74
DOI: 10.1055/s-0038-1675671
Review Article
NovoNordisk Education Foundation

Predietary Counseling in Ketogenic Diet: The 5R Model

Rahul Rosha
1   Department of Nutrition, Novique Healthcare, Pune, Maharashtra, India
,
Rajiv Singla
2   Department of Endocrinology, Kalpavriksh Healthcare, New Delhi, India
,
Bharti Kalra
3   Department of Gynaecology, Bharti Hospital, Karnal, Haryana, India
› Author Affiliations
Further Information

Publication History

Publication Date:
12 November 2018 (online)

Also available at
   Permissions and Reprints

Abstract

A major determinant of success while following a ketogenic diet is the counseling that precedes and accompanies the dietary advice. Effective predietary counseling lays a strong foundation upon which successful outcomes can be built. Predietary counseling, an art as well as a science, is best understood through a bio-psychosocial viewpoint. This brief communication shares an alliteratively named model, the 5R rubric. Rapport, realistic realization, reliability, readiness to change, and relationship must be explored and improved during the process of counseling. These five R's remind one to practice continuous, holistic counseling, without forgetting any of the factors that may impact outcomes. Pre-ketodietary counseling is a theranostic intervention, as it helps in both assessment (diagnosis) and improving outcomes (therapeutics).

Keywords

Atkin's diet - diabetes - ketogenic diet - medical nutrition therapy - obesity - weight loss
 

  • References

  • 1 Gupta L, Khandelwal D, Kalra S, Gupta P, Dutta D, Aggarwal S. Ketogenic diet in endocrine disorders: current perspectives. J Postgrad Med 2017; 63 (04) 242-251
    CrossrefPubMedGoogle Scholar
  • 2 Forouhi NG, Misra A, Mohan V, Taylor R, Yancy W. Dietary and nutritional approaches for prevention and management of type 2 diabetes. BMJ 2018; 361: k2234
    CrossrefPubMedGoogle Scholar
  • 3 Azar ST, Beydoun HM, Albadri MR. Benefits of ketogenic diet for management of type two diabetes: a review. Journal of Obesity and Eating Disorders 2016; 2 (02) Engel GL. The clinical application of the biopsychosocial model. Am J Psychiatry 1980; 137 (05) 535-544
    CrossrefPubMedGoogle Scholar
  • 4 Kalra S, Baruah MP, Unnikrishnan AG. Responsible patient-centered care. Indian J Endocrinol Metab 2017; 21 (03) 365-366
    CrossrefPubMedGoogle Scholar
  • 5 Tips and advice. Available at: https://www.noviquehealth.com/blog/category/tips/ Accessed July 30, 2018