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Diabetes And Nutrition
Diet and nutrition do have an impact upon blood sugar management in patients with diabetes. See below for articles on nutritional supplements, the relationship between nutrition and wound healing, and suggestions for educating patients with diabetes on appropriate lifestyle modifications.
A Guide To Nutritional Supplements For Patients With Diabetes
Given the importance of good nutrition for patients with diabetes, this author offers a review of the literature on nutritional supplements and the beneficial effects they can have in reducing and preventing diabetes complications in the lower extremity.
Featured Content from Podiatry Today
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What You Should Know About Nutrition And Wound Healing
A patient?s nutritional status can play a vital role in wound healing. With this in mind, the authors discuss key factors that affect nutrition, diagnostic tests and indicators, and recommendations for nutritional intervention.
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Postoperative Management of Diabetes Mellitus
Postoperative Postoperative considerations for oral glucose- lowering drugs and insulin are summarized in Table I. Patients with type 1 DM cannot have insulin withheld. The population with type 2 diabetes often requires insulin for adequate glycemic control in the postoperative state. Intensive insulin therapy prevents the progression of diabetic microvascular complications in Japanese patients with non-insulin-dependent diabetes mellitus: A randomized prospective 6-year study.
Featured Content from Annals of Long-Term Care
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2006
2006;14(9):17-24. Hall RCW, Hall RCW, Chapman M. Neuroleptic malignant syndrome in the elderly: Diagnostic criteria, incidence, risk factors, pathophysiology, and treatment. 2006;14(3):25-29. Kiseljak-Vassiliades K, Aoun P, Gambert SR. Basic nutrition for successful aging: Part I. 2006;14(4):16-24. Kiseljak-Vassiliades K, Aoun P, Gambert SR. Basic nutrition for successful aging: Part II. Marcus E.S. Mason. 2006;14(5):21-28. Home Care Training professional home care staff to help reduce ...
Featured Content from Clinical Geriatrics
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The Physiological Effects of Aging
Did the researchers find proper diet and nutrition to play a key role in healthy aging? 1. Balancing Calories In with Calories Out What is “overweight? How do you know if your triglycerides are too high?
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Patient Perceptions and Provider Documentation of Diabetes Care in Rural Areas
Measures of effective diabetes management usually include laboratory results and the provider?s point of view, omitting the patient perspective. To address this oversight, a descriptive study was conducted to examine congruence between rural patient self-reported and provider-documented information on American Diabetes Association recommended guidelines. Provider medical record information and patient questionnaires were matched for 149 patients with a diagnosis of type 2 diabetes being treated at rural healthcare facilities. Chi-squared testing showed a significant difference (P <0.05) between patient and provider information in answers to questions on blood pressure and cholesterol testing, eye examination, influenza and pneumovax rates, and diabetic and nutrition education. Patients? perception of diabetes and blood pressure control did not always match documented values. To achieve diabetes control, providers must implement clinical practice guidelines and patients must take an active role in their disease management. Both must communicate effectively. This does not seem to be the case in rural areas. KEYWORDS: congruence, diabetes, rural, barriers, patient knowledge
Featured Content from Ostomy Wound Management
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Involuntary Weight Loss and its Effects on the Body?s Ability to Heal?Optimal Wound Healing: A Comprehensive Approach Through Metabolic, Anabolic, and Nutritional Interventions
Optimal Wound Healing: A Comprehensive Approach Through Metabolic, Anabolic, and Nutritional Interventions - Jennifer J. James, MD Jennifer J. James, MD Introduction Wound healing is a multifactorial process. Involuntary weight loss (IWL) increases the risk of pressure ulcer development by 74 percent, according to the National Pressure Ulcer Long-Term Care Study. Identifying and correcting systemic factors that deter wound healing, as well as implementing metabolic and anabolic ...
Featured Content from Wounds Research
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Effect of the Anabolic Steroid Oxandrolone on the Rate of Catabolism in Acute Necrotizing Fasciitis
Abstract: Acute necrotizing fasciitis is a highly catabolic, life-threatening, soft-tissue infection with necrosis of soft tissue. The degree of lean mass loss, or negative nitrogen balance, corresponds with morbidity, including immune deficiency, weakness, and poor wound healing. Rationale: The anabolic steroid, oxandrolone, decreases nitrogen loss and improves outcome in other catabolic states, especially large traumatic wounds, and may be beneficial in controlling the catabolism of necrotizing fasciitis when added to standard aggressive surgical management. Methods: A total of 21 patients with acute necrotizing fasciitis were enrolled in the study. All patients underwent aggressive surgical debridement within 24 hours of onset, systemic antibiotic management, and nutritional support. Ten patients were also given oxandrolone 20mg/per day beginning on day 4 when nutrition status was adequate. Measurements of mortality, degree of lost body weight, nitrogen loss (g/day), and rate of wound healing (reepithelialization of skin donor site 0.012 inches deep) were obtained and compared between the two groups (ANOVA). Results: Three of 21 patients died, all of sepsis and multiple organ failure, two in the control group. Mean age was 44 years, and 60 percent had diabetes. The initial infection focus was the genitalia and perineum in 60 percent, and the extremities were the next most common focus. There were no demographic differences between the groups, including site of the wound. The variables reflecting the degree of catabolism were significantly improved with oxandrolone. Mean weight loss was 11±3 percent of total in the control versus 5±2 percent with oxandrolone, a significant decrease. Mean net nitrogen loss on days 7 to 14 was also significantly decreased at 15±6g/day versus 5±2g/day with oxandrolone. Donor site healing rate was 14±3 days in the control group versus 10±2 days in the oxandrolone, a significant difference. Mild liver dysfunction was present in one third of patients in each group. Conclusion: The a
Featured Content from Wounds Research
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Mastering Difficult Heel Ulcers
Heel ulcers can be problematic for an increasing number of patients. Addressing potential etiologies, key diagnostic clues and treatment approaches, these authors tackle four challenging heel ulcer cases and reveal what they did to achieve results.
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A Closer Look At Advances In Functional Lab Testing
Offering a review of functional lab tests ranging from cortisol testing and amino acid analysis to the three-hour glucose tolerance test, this author discusses the benefits of these tests in predicting risks of surgical complications and delayed wound healing.
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