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Published in: Current Diabetes Reports 1/2012

01-02-2012 | Hospital Management of Diabetes (M Korytkowski, Section Editor)

Medical Nutrition Therapy in Hospitalized Patients with Diabetes

Authors: Aidar R. Gosmanov, Guillermo E. Umpierrez

Published in: Current Diabetes Reports | Issue 1/2012

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Abstract

Medical nutrition therapy (MNT) plays an important role in management of hyperglycemia in hospitalized patients with diabetes mellitus. The goals of inpatient MNT are to optimize glycemic control, to provide adequate calories to meet metabolic demands, and to create a discharge plan for follow-up care. All patients with and without diabetes should undergo nutrition assessment on admission with subsequent implementation of physiologically sound caloric support. The use of a consistent carbohydrate diabetes meal-planning system has been shown to be effective in facilitating glycemic control in hospitalized patients with diabetes. This system is based on the total amount of carbohydrate offered rather than on specific calorie content at each meal, which facilitates matching the prandial insulin dose to the amount of carbohydrate consumed. In this article, we discuss general guidelines for the implementation of appropriate MNT in hospitalized patients with diabetes.
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Metadata
Title
Medical Nutrition Therapy in Hospitalized Patients with Diabetes
Authors
Aidar R. Gosmanov
Guillermo E. Umpierrez
Publication date
01-02-2012
Publisher
Current Science Inc.
Published in
Current Diabetes Reports / Issue 1/2012
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-011-0236-5

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