Lower postprandial glucose responses at baseline and after 4 weeks use of a diabetes-specific formula in diabetes type 2 patients

Lansink, Mirian; Laere, K.M.J. van; Vendrig, L.; Rutten, Guy E.H.M.

doi:10.1016/j.diabres.2011.05.019

Cited by 25 publications

(30 citation statements)

References 37 publications

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“…Diabetic patients are at risk of both malnutrition [ 11 ] and hospital readmissions [ 20 ], often requiring nutritional support [ 10 ]. Enteral HDSF have been specially developed for the treatment of malnourished diabetic patients, as well as for maintaining glycemic control [ 10 , 11 , 21 , 22 ] which, if not managed, can have profound consequences on clinical outcomes [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…The systematic review of Elia et al [ 11 ] showed that DSFs improved glycemic control, compared to standard formulas. Lansink et al [ 21 ] published a study with T2DM patients receiving either specific or standard formula, finding that the HDSF did not affect fasting glucose levels and contributed to improving glycemic control. Finally, the systematic review published by Ojo et al [ 10 ] concluded that HDSF was more effective controlling glucose profiles, including postprandial glucose, HbA1c and insulinemic response.…”

Section: Discussionmentioning

confidence: 99%

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Health-Care Costs, Glycemic Control and Nutritional Status in Malnourished Older Diabetics Treated with a Hypercaloric Diabetes-Specific Enteral Nutritional Formula

et al. 2016

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Diabetes-specific formulas are an effective alternative for providing nutrients and maintaining glycemic control. This study assesses the effect of treatment with an oral enteral nutrition with a hypercaloric diabetes-specific formula (HDSF) for one year, on health-care resources use, health-care costs, glucose control and nutritional status, in 93 type-2 diabetes mellitus (T2DM) malnourished patients. Changes in health-care resources use and health-care costs were collected the year before and during the year of intervention. Glucose status and nutritional laboratory parameters were analyzed at baseline and one-year after the administration of HDSF. The administration of HDSF was significantly associated with a reduced use of health-care resources, fewer hospital admissions (54.7%; p < 0.001), days spent at hospital (64.1%; p < 0.001) and emergency visits (57.7%; p < 0.001). Health-care costs were reduced by 65.6% (p < 0.001) during the intervention. Glycemic control (short- and long-term) and the need of pharmacological treatment did not change, while some nutritional parameters were improved at one year (albumin: +10.6%, p < 0.001; hemoglobin: +6.4%, p = 0.026). In conclusion, using HDSF in malnourished older type-2 diabetic patients may allow increasing energy intake while maintaining glucose control and improving nutritional parameters. The use of health-care resources and costs were significantly reduced during the nutritional intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Health-Care Costs, Glycemic Control and Nutritional Status in Malnourished Older Diabetics Treated with a Hypercaloric Diabetes-Specific Enteral Nutritional Formula

et al. 2016

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“…Those participants in the highest quartile of meal replacement usage were approximately 4 times more likely to reach the 7% and 10% weight loss goal than participants in the lowest quartile (156). Meal replacements with differing macronutrient compositions designed for people with diabetes have shown no clear advantage, although studies remain lacking (157,158).…”

Section: Meal Replacementsmentioning

confidence: 99%

Nutrition Therapy

Dworatzek¹,

Arcudi²,

Gougeon³

et al. 2013

Canadian Journal of Diabetes

130

100

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People with diabetes should receive nutrition counselling by a registered dietitian. Nutrition therapy can reduce glycated hemoglobin (A1C) by 1.0% to 2.0% and, when used with other components of diabetes care, can further improve clinical and metabolic outcomes. Reduced caloric intake to achieve and maintain a healthier body weight should be a treatment goal for people with diabetes who are overweight or obese. The macronutrient distribution is flexible within recommended ranges and will depend on individual treatment goals and preferences. Replacing high glycemic index carbohydrates with low glycemic index carbohydrates in mixed meals has a clinically significant benefit for glycemic control in people with type 1 and type 2 diabetes. Intensive lifestyle interventions in people with type 2 diabetes can produce improvements in weight management, fitness, glycemic control and cardiovascular risk factors. A variety of dietary patterns and specific foods have been shown to be of benefit in people with type 2 diabetes. Consistency in carbohydrate intake and in spacing and regularity in meal consumption may help control blood glucose and weight. Energy As an estimated 80% to 90% of people with type 2 diabetes are overweight or obese, strategies that include energy restriction to achieve weight loss are a primary consideration (26). A modest weight loss of 5% to 10% of initial body weight can substantially improve insulin sensitivity, glycemic control, hypertension and Contents lists available at SciVerse ScienceDirect Canadian Journal of Diabetes j o u r n a l h o m e p a g e : w w w. c a n a d ia n j o u r n a l o f d i a b e t e s. c o m

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“…In a study involving insulin-treated patients with T2D who received enteral nutrition, the use of a low-carbohydrate, high monounsaturated fatty acid formula improved glycemic control compared with a standard enteral nutrition formula [38]. A more recent study showed that postprandial glucose responses were lower and were maintained during a 4-week trial of DSF in patients with T2D [39•]. Additionally, a systematic review showed that short-term and long-term use of DSF as oral supplementation and enteral nutrition support are associated with improved glycemic control compared with standard formulas [40].…”

Section: Transcultural Factors For Asiamentioning

confidence: 99%

Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application

Tsang

Huang

et al. 2012

Curr Diab Rep

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The prevalence of type 2 diabetes (T2D) in Asia is growing at an alarming rate, posing significant clinical and economic risk to health care stakeholders. Commonly, Asian patients with T2D manifest a distinctive combination of characteristics that include earlier disease onset, distinct pathophysiology, syndrome of complications, and shorter life expectancy. Optimizing treatment outcomes for such patients requires a coordinated inclusive care plan and knowledgeable practitioners. Comprehensive management starts with medical nutrition therapy (MNT) in a broader lifestyle modification program. Implementing diabetes-specific MNT in Asia requires high-quality and transparent clinical practice guidelines (CPGs) that are regionally adapted for cultural, ethnic, and socioeconomic factors. Respected CPGs for nutrition and diabetes therapy are available from prestigious medical societies. For cost efficiency and effectiveness, health care authorities can select these CPGs for Asian implementation following abridgement and cultural adaptation that includes: defining nutrition therapy in meaningful ways, selecting lower cutoff values for healthy body mass indices and waist circumferences (WCs), identifying the dietary composition of MNT based on regional availability and preference, and expanding nutrition therapy for concomitant hypertension, dyslipidemia, overweight/obesity, and chronic kidney disease. An international task force of respected health care professionals has contributed to this process. To date, task force members have selected appropriate evidence-based CPGs and simplified them into an algorithm for diabetes-specific nutrition therapy. Following cultural adaptation, Asian and Asian-Indian versions of this algorithmic tool have emerged. The Asian version is presented in this report.

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Lower postprandial glucose responses at baseline and after 4 weeks use of a diabetes-specific formula in diabetes type 2 patients

Cited by 25 publications

References 37 publications

Health-Care Costs, Glycemic Control and Nutritional Status in Malnourished Older Diabetics Treated with a Hypercaloric Diabetes-Specific Enteral Nutritional Formula

Health-Care Costs, Glycemic Control and Nutritional Status in Malnourished Older Diabetics Treated with a Hypercaloric Diabetes-Specific Enteral Nutritional Formula

Nutrition Therapy

Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application

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