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Journal of Health Sciences and Surveillance System، جلد ۷، شماره ۲، صفحات ۹۴-۹۹
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عنوان انگلیسی 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
چکیده انگلیسی مقاله 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.
کلیدواژه‌های انگلیسی مقاله Medical nutrition therapy in hospitalized diabetic patients
نویسندگان مقاله Zahra Mousavi-Shirazi-Fard |
Student Research Committee, Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

zohreh mazloom |
Department of Clinical Nutrition , School of Nutrition and Food Sciences, Nutrition Research Center , Shiraz University of Medical Sciences, Shiraz, Iran.

Mohammad Jalali |
3Student Research Committee, Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Naeimehossadat Asmarian |
Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Mohammad Hossein Dabbaghmanesh |
Endocrinology and Metabolism Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Mahmood Panahiyan |
Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

نشانی اینترنتی http://jhsss.sums.ac.ir/article_46336_5385ebcb13339d590fbf6fb020be35b8.pdf
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/327/article-327-2299486.pdf
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