The Frequency of Malnutrition in Patients with Type 2 Diabetes

Abstract

Objective: Obesity is one of the most common comorbidities of diabetes mellitus (DM) whose frequency is rapidly increasing nowadays. Although obesity caused by excessive and unbalanced nutrition often accompanies diabetes; malnutrition is another complication of diabetes. This study was conducted to investigate the frequency of malnutrition in individuals with diabetes. Method: This study is a cross-sectional study. The patients with type 2 diabetes followed up in the diabetes outpatient clinic of a university hospital between February and March 2018 were included in the study. Anthropometric measurements of the patients and “Nutritional Risk Screening-2002” (NRS-2002) scores were recorded. Results: A total of 222 (F: 132 59.4%) patients were included in the study. When two groups with higher NRS (≥3) and lower NRS (<3) scores less than 3 were compared, any significant difference was not detected between two groups in terms of age, waist circumference and HbA1c values. Only BMI was found to be lower in the group with malnutrition risk (p: 0.030). When the patients were evaluated in terms of diabetes treatments and risk of malnutrition, any significant intergroup difference was not found (p: 0.847). Conclusion: It was found that there is a risk of malnutrition in one of every seven diabetics with a high body mass index who were being followed up in the diabetes outpatient clinic.

Nutritional Status Assessed with Objective Data Assessment Correlates with a High-Risk Foot in Patients with Type 2 Diabetes

“…Diabetes is often associated with malnutrition, especially in older patients, and the association has been previously reported [ 15 , 16 , 17 , 18 ]. Malnutrition in patients with diabetes and high-risk foot is known to be associated with inflammation-related atherosclerosis, leading to amputation of the lower extremities in addition to known risk factors [ 19 ].…”

A prospective, observational study of the use of a high-calorie, high-protein tube feeding formula with slow-release carbohydrates and monounsaturated fatty acids in a malnourished population with diabetes

“…The presence of hypertension and hyperlipidemia in diabetic patients increase the microvascular and macrovascular risks exponentially [20]. In addition, the frequency of hypertension and hyperlipidemia has been shown to be higher in diabetic patients with high malnutrition risk [7]. Some patients recruited in this study had hypertension (63.3%), dyslipidemia (51.0%), and cardiovascular disease (49.0%) at baseline, which are major contributors to morbidity and mortality of diabetic patients [21,22].…”

A nomogram based on nutritional status and A2DS2 score for predicting stroke-associated pneumonia in acute ischemic stroke patients with type 2 diabetes mellitus: A retrospective study

“…A plausible explanation is that hyperglycemia impair immunological function in T2DM patients ( 10 ). Furthermore, a significant malnutrition prevalence was found in hospitalized older patients with T2DM ( 11 ), due to gastroparesis, diet changes, and chronic kidney disease ( 12 ). Malnutrition is an issue commonly related to secondary immune deficiency and infection risk ( 13 ).…”