Treatments survey



Treatments survey

Note: As of August 2001, we are NOT accepting new surveys. Therefore the submit button has been removed. The survey questions remain online so visitors can read and compare them with the survey results pages. Surveys are only for patients with biochemical confirmation of CPT II deficiency. Diagnosis is confirmed by enzymatic analysis of muscle tissue or cultured skin fibroblasts, or by mutation screening. Incomplete surveys will not be tabulated. Select the treatments you have used in the past or are currently using and complete the questions for those treatments only.

LOW-FAT, HIGH CARBOHYDRATE DIET
1. Length of time on the diet:
     Are you on the diet now? yes no

2. Benefits or adverse reactions of the diet: (Be specific.)


3. Have you consulted a dietician or nutritionist for help with the diet? yes no

FREQUENT FEEDINGS
1. Length of time on frequent feedings:
     Are you on frequent feedings now? yes no

2. Benefits or adverse reactions of the frequent feedings: (Be specific.)


MEDIUM-CHAIN TRIGLYCERIDES (MCT OIL)
1. Length of time on MCT oil:
     Are you on MCT oil now? yes no

2. Benefits or adverse reactions of MCT oil: (Be specific.)


CARNITOR (L-CARNITINE)
1. Length of time on Carnitor:
     Are you on Carnitor now? yes no

2. Benefits or adverse reactions of Carnitor: (Be specific.)


CORNSTARCH DISSOLVED IN WATER (OR JUICE)
1. Length of time on cornstarch:
     Are you on cornstarch now? yes no

2. Benefits or adverse reactions of cornstarch: (Be specific.)



INTRAVENOUS GLUCOSE (IV)
1. Benefits or adverse reactions of intravenous glucose: (Be specific.)


OTHER
1. Type of treatment:
     Length of time taken:

2. Benefits or adverse reactions of the treatment: (Be specific.)