住院糖尿病患者的医学营养治疗。
Medical nutrition therapy in hospitalized patients with diabetes.
机构信息
Department of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
出版信息
Curr Diab Rep. 2012 Feb;12(1):93-100. doi: 10.1007/s11892-011-0236-5.
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.
摘要
医学营养疗法（MNT）在糖尿病住院患者高血糖管理中发挥着重要作用。住院 MNT 的目标是优化血糖控制，提供足够的热量以满足代谢需求，并制定出院后的随访护理计划。所有糖尿病和非糖尿病患者在入院时都应进行营养评估，随后实施生理合理的热量支持。一致的碳水化合物糖尿病膳食计划系统已被证明可有效促进住院糖尿病患者的血糖控制。该系统基于提供的碳水化合物总量，而不是每餐的特定卡路里含量，这有助于将餐时胰岛素剂量与消耗的碳水化合物量相匹配。在本文中，我们讨论了适用于住院糖尿病患者的适当 MNT 的实施一般指南。
相似文献
1
Medical nutrition therapy in hospitalized patients with diabetes.住院糖尿病患者的医学营养治疗。
Curr Diab Rep. 2012 Feb;12(1):93-100. doi: 10.1007/s11892-011-0236-5.
2
Nutrition therapy for the hospitalized patient with diabetes.糖尿病住院患者的营养治疗
Endocr Pract. 2006 Jul-Aug;12 Suppl 3:61-7. doi: 10.4158/EP.12.S3.61.
3
Nutrition management of diabetes in acute care.糖尿病的急性护理中的营养管理。
Can J Diabetes. 2014 Apr;38(2):90-3. doi: 10.1016/j.jcjd.2014.01.007.
4
Menu selection, glycaemic control and satisfaction with standard and patient-controlled consistent carbohydrate meal plans in hospitalised patients with diabetes.糖尿病住院患者对标准和患者自控的一致碳水化合物饮食计划的菜单选择、血糖控制及满意度
Qual Saf Health Care. 2010 Aug;19(4):355-9. doi: 10.1136/qshc.2008.027441.
5
Sugars and starch in the nutritional management of diabetes mellitus.糖尿病营养管理中的糖类与淀粉
Am J Clin Nutr. 2003 Oct;78(4):858S-864S. doi: 10.1093/ajcn/78.4.858S.
6
Inpatient enteral and parenteral [corrected] nutrition for patients with diabetes.糖尿病患者的住院肠内和肠外营养。
（[校正]为原文笔误，nutrition 拼写错误，应改为 nutrition。）
Curr Diab Rep. 2011 Apr;11(2):99-105. doi: 10.1007/s11892-010-0168-5.
7
Chinese Guidelines for Medical Nutrition Therapy for Patients with Diabetes (2022 Edition).中国糖尿病医学营养治疗指南（2022 年版）。
Asia Pac J Clin Nutr. 2024 Jun;33(2):118-152. doi: 10.6133/apjcn.202406_33(2).0001.
8
New Insight into Diabetes Management: From Glycemic Index to Dietary Insulin Index.糖尿病管理新见解：从血糖生成指数到膳食胰岛素指数。
Curr Diabetes Rev. 2020;16(4):293-300. doi: 10.2174/1573399815666190614122626.
9
An exploratory study to evaluate whether medical nutrition therapy can improve dietary intake in hospital patients who eat poorly.一项探索性研究，旨在评估医学营养疗法是否可以改善饮食不良的住院患者的饮食摄入。
J Hum Nutr Diet. 2013 Dec;26(6):538-43. doi: 10.1111/jhn.12173. Epub 2013 Oct 23.
10
Inpatient management of diabetes and hyperglycemia: implications for nutrition practice and the food and nutrition professional.糖尿病与高血糖的住院管理：对营养实践及食品与营养专业人员的启示
J Am Diet Assoc. 2007 Jan;107(1):105-11. doi: 10.1016/j.jada.2006.10.006.
引用本文的文献
1
Characteristics of patients receiving nutrition care and its associations with prognosis in a tertiary hospital.在一家三级医院中，接受营养护理的患者的特征及其与预后的关系。
Rev Assoc Med Bras (1992). 2022 Jun 24;68(6):808-813. doi: 10.1590/1806-9282.20220072. eCollection 2022.
2
Impact of Insulin Degludec in Hospitalized Patients With and Without Type 2 Diabetes Requiring Parenteral/Enteral Nutrition: An Observational Study.胰岛素 Degludec 对住院的 2 型糖尿病和非 2 型糖尿病患者肠外/肠内营养需求的影响：一项观察性研究。
Adv Ther. 2018 Jun;35(6):809-816. doi: 10.1007/s12325-018-0709-x. Epub 2018 May 17.
3
Management of Type 1 Diabetes in the Hospital Setting.医院环境中1型糖尿病的管理
Curr Diab Rep. 2017 Sep 14;17(10):98. doi: 10.1007/s11892-017-0919-7.
4
The Emory University Perioperative Algorithm for the Management of Hyperglycemia and Diabetes in Non-cardiac Surgery Patients.埃默里大学非心脏手术患者高血糖和糖尿病管理的围手术期算法
Curr Diab Rep. 2016 Mar;16(3):34. doi: 10.1007/s11892-016-0720-z.
5
Parenteral nutrition-associated hyperglycemia in non-critically ill inpatients increases the risk of in-hospital mortality (multicenter study).非危重症住院患者的肠外营养相关高血糖会增加住院期间的死亡率（多中心研究）。
Diabetes Care. 2013 May;36(5):1061-6. doi: 10.2337/dc12-1379. Epub 2012 Dec 6.
6
Management of hyperglycemia during enteral and parenteral nutrition therapy.肠内和肠外营养治疗期间高血糖的管理。
Curr Diab Rep. 2013 Feb;13(1):155-62. doi: 10.1007/s11892-012-0335-y.
7
The adjectives of inpatient glycemic management.住院患者血糖管理的形容词。
Curr Diab Rep. 2012 Feb;12(1):1-3. doi: 10.1007/s11892-011-0250-7.
本文引用的文献
1
Substitution of standard soybean oil with olive oil-based lipid emulsion in parenteral nutrition: comparison of vascular, metabolic, and inflammatory effects.以橄榄油为基础的脂肪乳剂替代肠外营养中的标准大豆油：血管、代谢和炎症效应的比较。
J Clin Endocrinol Metab. 2011 Oct;96(10):3207-16. doi: 10.1210/jc.2011-0480. Epub 2011 Aug 10.
2
Early versus late parenteral nutrition in critically ill adults.危重症成人的早期与晚期肠外营养。
N Engl J Med. 2011 Aug 11;365(6):506-17. doi: 10.1056/NEJMoa1102662. Epub 2011 Jun 29.
3
Nutrition support in critical illness--bridging the evidence gap.危重症患者的营养支持——弥合证据差距
N Engl J Med. 2011 Aug 11;365(6):562-4. doi: 10.1056/NEJMe1106612. Epub 2011 Jun 29.
4
Postoperative diet advancement: surgical dogma vs evidence-based medicine.术后饮食推进：手术教条与循证医学。
Nutr Clin Pract. 2011 Apr;26(2):115-25. doi: 10.1177/0884533611400231.
5
Standards of medical care in diabetes--2011.《糖尿病医疗护理标准——2011 年》
Diabetes Care. 2011 Jan;34 Suppl 1(Suppl 1):S11-61. doi: 10.2337/dc11-S011.
6
Inpatient enteral and parenteral [corrected] nutrition for patients with diabetes.糖尿病患者的住院肠内和肠外营养。
（[校正]为原文笔误，nutrition 拼写错误，应改为 nutrition。）
Curr Diab Rep. 2011 Apr;11(2):99-105. doi: 10.1007/s11892-010-0168-5.
7
Effects of oral and intravenous fat load on blood pressure, endothelial function, sympathetic activity, and oxidative stress in obese healthy subjects.口服和静脉内脂肪负荷对肥胖健康受试者血压、内皮功能、交感神经活性和氧化应激的影响。
Am J Physiol Endocrinol Metab. 2010 Dec;299(6):E953-8. doi: 10.1152/ajpendo.00469.2010. Epub 2010 Oct 5.
8
Menu selection, glycaemic control and satisfaction with standard and patient-controlled consistent carbohydrate meal plans in hospitalised patients with diabetes.糖尿病住院患者对标准和患者自控的一致碳水化合物饮食计划的菜单选择、血糖控制及满意度
Qual Saf Health Care. 2010 Aug;19(4):355-9. doi: 10.1136/qshc.2008.027441.
9
A diabetes-specific enteral formula improves glycemic variability in patients with type 2 diabetes.一种针对糖尿病的肠内配方可改善 2 型糖尿病患者的血糖变异性。
Diabetes Technol Ther. 2010 Jun;12(6):419-25. doi: 10.1089/dia.2009.0185.
10
Hyperglycemia during total parenteral nutrition: an important marker of poor outcome and mortality in hospitalized patients.肠外营养期间的高血糖症：住院患者不良预后和死亡的重要标志物。
Diabetes Care. 2010 Apr;33(4):739-41. doi: 10.2337/dc09-1748. Epub 2009 Dec 29.
Zotero 插件