Table 1

Diet given to the patient with NLSD

Frequent meals (every 4-6 hours) to avoid lipolysis
Normal protein (15% of total energy)
High carbohydrate (65-70% of total energy) mainly in the form of starchy foods and one or two glucose 10% polymer drinks during the night (Maxijul, Scientific Hospital Supplies)
Low fat (20% of total energy) 18% derived from medium chain fat (MCT Oil, Mead Johnson) and 2% from essential long chain fat. The MCT Oil was added at the end of the cooking into the meal (optimum cooking temperature < 160°C)
Supplement of vitamin and mineral mixture (Seravit Paediatric, Scientific Hospital Supplies)