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Oatmeal interventions in severe insulin resistance on the intensive care unit: A case report.

Abstract：

OBJECTIVES:To report on the potential effectiveness of hypocaloric, plant-based short-term dietary oatmeal interventions in the treatment of insulin resistance in critically ill patients on the intensive care unit. CLINICAL FEATURES AND OUTCOME:A 67-year-old female with type 2 diabetes was admitted to our hospital with suspected pneumonia. The patient developed acute hypoxemic respiratory failure and was diagnosed with pneumogenic sepsis requiring invasive ventilation and an immediate transfer to our medical intensive care unit. Within 48 h the patient developed severe to extreme insulin resistance and required more than 200 units of insulin per day. Based on the "Noorden diet" described in 1903, a modified hypocaloric (700 kcal) and plant-based dietary oatmeal intervention was performed to "break" insulin resistance and to improve glycaemic control. For two days, the patient received a low-fat diet that restricted carbohydrates to whole-grain oats (180 g) and included small amounts of vegetables (60 g). Enteral feeding was done via nasogastric tube. During and after the intervention, glycaemic control improved significantly. A significant reduction in total daily insulin requirements was achieved during and after the intervention. CONCLUSIONS:Hypocaloric, plant-based short-term dietary oatmeal interventions significantly reduced mean blood glucose levels and mean required daily insulin doses in a critically ill and septic patient on the intensive care unit.

journal_name

Complement Ther Med

journal_title

Complementary therapies in medicine

authors

Storz MA,Helle P

doi

10.1016/j.ctim.2019.07.019

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

69-72

eissn

0965-2299

issn

1873-6963

pii

S0965-2299(19)30638-7

journal_volume

46

pub_type

杂志文章

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