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Mousavi-Shirazi-Fard, Zahra, mazloom, zohreh, Jalali, Mohammad, Asmarian, Naeimehossadat, Dabbaghmanesh, Mohammad Hossein, Panahiyan, Mahmood. (1398). Comparison of the effects of individualized medical nutrition therapy and consistent carbohydrate meal-planning on glycemic control, energy, and carbohydrate and protein intake in hospitalized diabetic patients: A randomized clinical trial study. سامانه مدیریت نشریات علمی, 7(2), 94-99. doi: 10.30476/jhsss.2020.85081.1055
Zahra Mousavi-Shirazi-Fard; zohreh mazloom; Mohammad Jalali; Naeimehossadat Asmarian; Mohammad Hossein Dabbaghmanesh; Mahmood Panahiyan. "Comparison of the effects of individualized medical nutrition therapy and consistent carbohydrate meal-planning on glycemic control, energy, and carbohydrate and protein intake in hospitalized diabetic patients: A randomized clinical trial study". سامانه مدیریت نشریات علمی, 7, 2, 1398, 94-99. doi: 10.30476/jhsss.2020.85081.1055
Mousavi-Shirazi-Fard, Zahra, mazloom, zohreh, Jalali, Mohammad, Asmarian, Naeimehossadat, Dabbaghmanesh, Mohammad Hossein, Panahiyan, Mahmood. (1398). 'Comparison of the effects of individualized medical nutrition therapy and consistent carbohydrate meal-planning on glycemic control, energy, and carbohydrate and protein intake in hospitalized diabetic patients: A randomized clinical trial study', سامانه مدیریت نشریات علمی, 7(2), pp. 94-99. doi: 10.30476/jhsss.2020.85081.1055
Mousavi-Shirazi-Fard, Zahra, mazloom, zohreh, Jalali, Mohammad, Asmarian, Naeimehossadat, Dabbaghmanesh, Mohammad Hossein, Panahiyan, Mahmood. Comparison of the effects of individualized medical nutrition therapy and consistent carbohydrate meal-planning on glycemic control, energy, and carbohydrate and protein intake in hospitalized diabetic patients: A randomized clinical trial study. سامانه مدیریت نشریات علمی, 1398; 7(2): 94-99. doi: 10.30476/jhsss.2020.85081.1055

Comparison of the effects of individualized medical nutrition therapy and consistent carbohydrate meal-planning on glycemic control, energy, and carbohydrate and protein intake in hospitalized diabetic patients: A randomized clinical trial study

Journal of Health Sciences & Surveillance System
مقاله 7، دوره 7، شماره 2، تیر 2019، صفحه 94-99    اصل مقاله (402.9 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/jhsss.2020.85081.1055
نویسندگان
Zahra Mousavi-Shirazi-Fard1؛ zohreh mazloom* 2؛ Mohammad Jalali3؛ Naeimehossadat Asmarian4؛ Mohammad Hossein Dabbaghmanesh5؛ Mahmood Panahiyan6
1Student Research Committee, Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
2Department of Clinical Nutrition , School of Nutrition and Food Sciences, Nutrition Research Center , Shiraz University of Medical Sciences, Shiraz, Iran.
33Student Research Committee, Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
4Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5Endocrinology and Metabolism Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
6Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Objective: Individualized Medical Nutrition Therapy (IMNT) is recommended as a part of glycemic control in hospitalized diabetic patients. However, it is provided only for a small number of patients. This study aimed to compare the effects of IMNT and Consistent Carbohydrate Meal-Planning (CCMP) on glycemic control, energy, and carbohydrate and protein intake in hospitalized diabetic patients.
Methods: This randomized clinical trial was conducted on 164 hospitalized diabetic patients. The patients were randomly selected from internal wards of Namazi hospital, Shiraz, Iran from September 2016 to October 2017. They were allocated to IMNT or CCMP groups using simple randomization for four days. Blood glucose was measured before each meal and at bedtime. A 24-h food recall was also completed to measure the energy and carbohydrate and protein intake during the study. The data were analyzed using independent sample t-test and repeated measures ANOVA via the SPSS software, version 19.
Results: The results showed a significant decrease in the IMNT group compared to the CCMP group regarding the mean blood glucose level measured prior to breakfast, lunch, dinner, and bedtime during the first, second, third, and fourth days of the study (p=0.025, p=0.030, p=0.002, and p=0.011, respectively). Besides, mean peak and nadir of glucose level (p=0.042 and p=0.036, respectively) and the means of energy, carbohydrate, and protein intake were significantly increased in the IMNT group compared to the CCMP group.
Conclusion: IMNT could help to control the blood glucose. In addition, it could improve energy and nutrients intake, which might play a role in patient recovery.
کلیدواژه‌ها
Medical nutrition therapy in hospitalized diabetic patients
مراجع

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