Selection of Patients and Timing of Nutritional Support

The process of nutritional support should be an integrated continuum from normal diet to EN based on a plan. This plan should be developed at the moment of each patient's entry and implemented with modifications until discharge. It is undesirable to have to make an urgent decision on a weekend after realizing that the patient has been starving for the previous 2 weeks. I favor an approach in which the nutritionist examines the needs of each patient at entry and follows the algorithm given in Figure 1.

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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