Nutrition Therapy in Type 2 Diabetic Burn Patient
DOI:
https://doi.org/10.14228/jprjournal.v8i1.314Keywords:
Burns, Type 2 diabetes mellitus, Nutrition therapy, Case reportAbstract
Summary: Severe burn patients experience pronounced metabolic changes that caused hyperglycemia. Other existing metabolic conditions such as diabetes mellitus may worsen this condition. Early, adequate, and personalized nutrition therapy may result in better glycemic control and prognosis.A 44-year-old male with severe burn injury involving 27,5% total body surface area (TBSA) and type 2 diabetes mellitus (T2DM) was given early and diabetes-specific nutrition therapy to meet the recommended energy and protein needs. Lower carbohydrate contents and higher mono-unsaturated fatty acids (MUFA) were components of diabetes-specific nutrition therapy. Desirable blood glucose levels, a positive trend of albumin levels, and reduced inflammatory markers were achieved while being given this nutrition therapy. Sepsis was not diagnosed in this patient. The patient was discharged from the hospital after an improvement in clinical condition. Hyperglycemia commonly occurs in critically ill patients, especially with pre-existing T2DM. The provision of prompt and personalized nutrition therapy will improve clinical outcomes.
References
Wardhana A, Djan R, Halim Z, editors. Mortality and causes of death among burn patients at the burn unit of Cipto Mangunkusumo Hospital. 17th European Burns Association Congress; 2017; Barcelona: European Burns Association.
Wardhana A, Basuki A, Prameswara ADH, Rizkita DN, Andarie AA, Canintika AF. The epidemiology of burns in Indonesia’s national referral burn center from 2013 to 2015. Burns Open. 2017;1(2):67–73.
Frydrych LM, Fattahi F, He K, Ward PA, Delano MJ. Diabetes and sepsis: Risk, recurrence, and ruination. Front Endocrinol (Lausanne). 2017;8:271–92.
Mecott GA, Al-Mousawi AM, Gauglitz GG, Herndon DN, Jeschke MG. The role of hyperglycemia in burned patients: evidence-based studies. Shock. 2010;33(1):5–13.
Manejo A, Montejo-Gonzalez JC, Vaquerizo-Alonso C, Lobo-Tamer G, Zabarte-Martinez M, Herrero-Meseguer JI, et al. diabetes-specific enteral nutrition formula in hyperglycemic, mechanically ventilated, critically ill patients: a prospective, open-label, blind-randomized, multicenter study. Crit Care. 2015;19:390–402.
Clark A, Imran J, Madni T, Wolf SE. Nutrition and metabolism in burn patients. Burns Trauma. 2017;5:11–22.
Kendall H, Abreu E, Cheng AL. Serum albumin trend is a predictor of mortality in ICU patients with sepsis. Biol Res Nurs. 2019;21(3):237–44.
Rice TW, Files DC, Morris PE, Bernard AC, Ziegler TR, Drover JW, et al. Dietary management of blood glucose in medical critically ill overweight and obese patients: An open-label randomized trial. JPEN J Parenter Enteral Nutr. 2019;43(4):471–80.
Ma A-Q, Pan L, Gao Z-W, Zhu Q, Wang M, Qin H-L. Effects of enteral nutritional suspension for diabetes mellitus and homogenized meals on length stay etc of critically ill patients. Chin J Clin Nutr. 2012;20:285–90.
Natarajan M. Recent concepts in nutritional therapy in critically ill burn patients. Int J Nutr Pharmacol Neurol Dis. 2019;9:4–36.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Dian Araminta Ramadhania, Aditya Wardhana, Wina Sinaga, Yohannessa Wulandari, Mulianah Daya, Lily Indriani Octovia
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors retain the copyright of the article and grant Jurnal Plastik Rekonstruksi the right of first publication with the work simultaneously licensed under a Creative Commons Attribution License. Articles opting for open access will be immediately available and permanently free for everyone to read, download and share from the time of publication. All open access articles are published under the terms of the Creative Commons Attribution-Non-commercial-NoDerivatives (CC BY-NC-ND) which allows readers to disseminate and reuse the article, as well as share and reuse of the scientific material. It does not permit commercial exploitation or the creation of derivative works without specific permission.
