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When oral diet is insufficient oral nutritional supplements or enteral nutrition are suggested. Micronutrient malnutrition should also be evaluated and treated. Obese patients with cirrhosis should follow a moderate caloric restriction while maintaining an adequate or even increased protein intake.
Malnutrition and sarcopenia are common in patients with liver disease. Increased dietary requirements for malnutrition and sarcopenia may affect glycemic control in diabetic patients with cirrhosis. Dietary restrictions to manage obesity may also result in the worsening of sarcopenia.
Concurrent diabetes and CLD predict worse clinical outcomes, including hepatic decompensation, hepatocellular carcinoma (HCC), and complications following liver transplantation. Traditional glycemic markers, including fasting glucose, oral glucose tolerance test, and hemoglobin A1c, are not accurate in patients with severe CLD.
3 mar 2024 · The information gathered from these assessments serves to pinpoint potential obstacles to proper dietary consumption, personalize meal schedules, and implement strategies to ensure adherence to the prescribed diet plan.
This survey shows that despite clear recommendations to the contrary,5most patients in the United Kingdom with cirrhosis and hepatic encephalopathy have their protein intake restricted, often for prolonged periods.
5 mar 2020 · Our RDs have devised a sample ideal dietary plan for a patient with HE keeping in view the dietary preferences for one-day period based on calculations using calories at 35kcal/kg = 2625 calories/day of ideal weight and 1.2–1.4g/kg = 90–112g protein per day of ideal weight.
1 mar 2007 · In patients with hepatic encephalopathy who require high-carbohydrate diets, resulting in postprandial hyperglycemia, rapid-acting insulin analogs such as insulin lispro, aspart, or glulisine may be particularly useful.
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