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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.
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17 cze 2022 · The EASL Clinical Practice Guidelines (CPGs) on the management of hepatic encephalopathy (HE) present evidence-based answers to a set of relevant questions (where possible, formulated in PICO [patient/population, intervention, comparison and outcomes] format) on the definition, diagnosis, differential diagnosis and treatment of HE.
The challenges in the management of diabetes in cirrhosis include the likelihood of cognitive impairment, risk of hypoglycemia, altered drug metabolism, frequent renal dysfunction, risk of lactic acidosis, and associated malnutrition and sarcopenia.
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.
The advice you should follow depends on which stage of the disease you’re in. Decompensated liver disease is when you’re experiencing liver-related symptoms such as ascites, hepatic encephalopathy, or jaundice. Compensated disease is when you’re not experiencing liver-related symptoms and are feeling generally well.
Seventy one (65%) questionnaires were returned; 64 departments with relevant experience provided details of the dietary management of 1046 patients. Overall, 759 (73%) patients had had their protein intake restricted to some degree (table).
