Strategie di terapia nutrizionale enterale nel paziente iperglicemico

Translated title of the contribution: Strategies in enteral nutritional therapy in the hyperglycaemic patient

P. Orlandoni, C. Venturini, N. Giorgini, V. Saba

Research output: Contribution to journalArticlepeer-review

Abstract

Indications for nutritional support are no different in patients with diabetes mellitus (DM) than in any other patient group; enteral feeding is the preferred route for providing nutritional support when the gastrointestinal tract is functional. It is associated with fewer serious complications, provides nutrition that is more complete and is more effective in maintaining or restoring host nutrition. Use of the enteral route takes advantage of the normal physiological and metabolic pathways involved in processing substrate and micronutrients and allows the maintenance of physical and immune-mediate barriers, reduces the risk of sepsis, reduces the risk of cholestasis and stimulates enzyme and hormone secretion. Although glycemic and lipemic control is a major concern in all patients on enteral feeding, metabolic control is more variable in patients with diabetes for whom the amounts and action of insulin are abnormal. These patients can be successfully managed with careful attention to the macronutrient feeding composition, medication regimens, monitoring blood glucose levels, and clinical response to nutrition. The availability of disease-specific enteral tube feeding formulas can be useful for the nutritional management of these patients who require glycemic control maintenance to reduce the risk of metabolic and vascular complications and to achieve optimal nutritional support. However, it is essential for a strict control of the metabolic parameters, as well as a suitable pharmacological therapy to ensure successful outcomes. In addition, patients require ongoing evaluation of gastric motility and the assessment of overall health and nutritional status. In malnourished and hypercatabolic patients, strict and continuous monitoring of the nutritional status and of the glycemic values allows the achievement of the metabolic needs and, at the same time, the prevention of hyperglycemia.

Translated title of the contributionStrategies in enteral nutritional therapy in the hyperglycaemic patient
Original languageItalian
Pages (from-to)65-72
Number of pages8
JournalRivista Italiana di Nutrizione Parenterale ed Enterale
Volume22
Issue number2
Publication statusPublished - Apr 2004

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Anatomy
  • Nutrition and Dietetics
  • Food Science

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