Do We Know What Our Patients With Diabetes Are Eating in the Hospital?
نویسندگان
چکیده
Diabetes is one of the most prevalent diagnoses seen in hospitalized patients in the United States, accounting for ~ 38% of all patients admitted to hospitals.1 Research on the benefits of glucose control in the hospital setting has focused primarily on critically ill cardiovascular patients.1–5 Hyperglycemia has been linked to immunosuppression, increased coagulapathies, increased infection rates, endothelial dysfunction, and prolonged lengths of hospitalizations.2,6 A diabetic population is at greater risk for developing complications if glucose levels are not controlled. Improved glycemic control is dependent on establishment of glycemic targets, adjustment of diabetes medication regimens (including insulin), monitoring of glucose trends, and assessment of eating behaviors. Accordingly, to understand glycemic control in the hospitalized population, it is important to examine meal consumption, as well as pharmacological therapies.7 Unfortunately, eating patterns and actual nutritional intake are not well understood for this population.2 Thus, the aim of this study was to explore meal consumption patterns of hospitalized patients with diabetes. The research questions included: 1. What is the average daily meal consumption of hospitalized patients with diabetes receiving subcutaneous insulin therapy? 2. Is there a difference between actual meal consumption and estimated nutritional requirements in hospitalized patients with diabetes? 3. What factors affect meal consumption in hospitalized patients with diabetes?
منابع مشابه
Total Knee Arthroplasty in Patients with Hemophilia: What Do We Know?
Total knee arthroplasty is considered as the treatment of choice for those with end stage hemophilic arthropathy.Compared to other patients undergoing TKA, these patients have specific features such as bleeding tendency, youngerage, pre-operative restricted range of motion (ROM), altered anatomy, and increased complications. This narrativereview of literature is going to inves...
متن کاملMolecular approaches to diagnosis of invasive aspergillosis what we know and what we do not know.
Invasive aspergillosis (IA) are a major complication in immunocompromized patients where can be serious and rapidly fatal. Early diagnosis and early appropriate antifungal treatment is important in reducing mortality and morbidity. But despite many efforts to develop detection methods, the diagnosis of IA still remains challenging and current conventional methods are limited for adequate diagno...
متن کاملDiagnostic and therapeutic challenges for dermatologists: What shall we do when we don’t know what to do?
What shall we do when we have done everything we could for the diagnosis and treatment of a patient, but were not successful? What shall we do when there is no definite treatment for a patient? What shall we do when we have no diagnosis or treatment for a patient? Some useful suggestions are presented here to get rid of these situations.
متن کاملThalassemia Intermedia; Folic Acid and Vitamin B12 Supplementation. What We Know and What is Needed?
This study presented a mini review on folic acid deficiency and recommendations for its supplementation in thalassemia intermedia (TI). TI is a clinical condition which lies between thalassemia major and thalassemia minor. Although TI patients may not need regular blood transfusion, precise diagnosis and management are critical for the prevention of clinical complications and quality of life im...
متن کامل