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Nutrients 2014, 6(11), 5142-5152; doi:10.3390/nu6115142

Evaluation of the Role of Enteral Nutrition in Managing Patients with Diabetes: A Systematic Review

Faculty of Education and Health, University of Greenwich, Avery Hill Road, Avery Hill Campus, London, SE9 2UG, UK
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Received: 29 September 2014 / Revised: 14 October 2014 / Accepted: 17 October 2014 / Published: 18 November 2014
(This article belongs to the Special Issue Recent Advances in Enteral Nutrition)
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Abstract

The aim of this systematic review is to evaluate the role of enteral nutrition in managing patients with diabetes on enteral feed. The prevalence of diabetes is on the increase in the UK and globally partly due to lack of physical activities, poor dietary regimes and genetic susceptibility. The development of diabetes often leads to complications such as stroke, which may require enteral nutritional support. The provision of enteral feeds comes with its complications including hyperglycaemia which if not managed can have profound consequences for the patients in terms of clinical outcomes. Therefore, it is essential to develop strategies for managing patients with diabetes on enteral feed with respect to the type and composition of the feed. This is a systematic review of published peer reviewed articles. EBSCOhost Research, PubMed and SwetsWise databases were searched. Reference lists of identified articles were reviewed. Randomised controlled trials comparing enteral nutrition diabetes specific formulas with standard formulas were included. The studies which compared diabetes specific formulas (DSF) with standard formulas showed that DSF was more effective in controlling glucose profiles including postprandial glucose, HbA1c and insulinemic response. The use of DSF appears to be effective in managing patients with diabetes on enteral feed compared with standard feed. View Full-Text
Keywords: enteral nutrition; diabetes; diabetes specific formula; standard formula; hyperglycaemia; glycaemic index enteral nutrition; diabetes; diabetes specific formula; standard formula; hyperglycaemia; glycaemic index
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Ojo, O.; Brooke, J. Evaluation of the Role of Enteral Nutrition in Managing Patients with Diabetes: A Systematic Review. Nutrients 2014, 6, 5142-5152.

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