{"id":5524,"date":"2018-08-28T14:29:29","date_gmt":"2018-08-28T12:29:29","guid":{"rendered":"https:\/\/www.nutrisens.com\/vitalites\/diabetes-a-factor-of-malnutrition\/"},"modified":"2022-04-12T21:40:59","modified_gmt":"2022-04-12T19:40:59","slug":"diabetes-a-factor-of-malnutrition","status":"publish","type":"vitalites","link":"https:\/\/www.nutrisens.com\/en\/vitalites\/diabetes-a-factor-of-malnutrition\/","title":{"rendered":"Diabetes : a factor of malnutrition"},"content":{"rendered":"<p align=\"center\">\n\t\u00a0<\/p>\n<p>\n\t<span style=\"color:#43a3d7;\"><strong><em>Diabetics should be screened for malnutrition to avoid complications<\/em><\/strong><\/span><\/p>\n<p>\n\tBlood glucose regulation and nutrition are inextricably linked and several research papers have highlighted a relationship between <a href=\"https:\/\/www.nutrisens.com\/en\/malnutrition\/\"><strong>malnutrition<\/strong><\/a> and <a href=\"https:\/\/www.nutrisens.com\/en\/\"><strong>diabetes<\/strong><\/a>. Endocrinologist and nutritionist Agn\u00e8s Sall\u00e9 recently published the latest findings on<strong> the consequences of diabetes<\/strong> in French journal <em>Nutrition Clinique et M\u00e9tabolisme.<\/em><\/p>\n<p>\n\t\u00a0<\/p>\n<p>\n\t<span style=\"color:#93c123;\"><strong>Higher prevalence of protein-energy malnutrition in diabetes patients<\/strong><\/span><\/p>\n<p>\n\tData combined from various studies and observations reveals a link between <strong>diabetes and a lack of vitamins<\/strong> B12 and D, zinc and magnesium. Protein-energy <strong>malnutrition<\/strong> was also observed, especially in elderly people. This issue reduces the quality of life of<strong> diabetics<\/strong> and leads to more frequent hospitalisation. Several population studies, including the well-known NHANES, reveal a lower level of plasma albumin in diabetics and a higher prevalence of malnutrition (over 20% of participants) or a risk of malnutrition (over 30%). <strong>Malnutrition<\/strong> increases the risk of dying in hospital by 2.7 times, increases the length of a hospital stay by 3-6 days and reduces the chances of returning home.<\/p>\n<p>\n\t\u00a0<\/p>\n<p>\n\t<span style=\"color:#93c123;\"><strong>More serious illness linked with malnutrition<\/strong><\/span><\/p>\n<p>\n\t<a href=\"https:\/\/shop.nutrisens.com\/en\/3-malnutrition\">Malnutrition<\/a> in diabetics worsens their state, especially foot sores. Where foot ulcers are present, <strong>malnutrition<\/strong> \u2013 assessed by the MNA or GRNI \u2013 is often the culprit. According to studies, only <strong>15-38% of patients do not suffer from malnutrition<\/strong>. Nutritional status affects the risk of infection and amputation. A study of 262 type 2 diabetics reports that <strong>62% of subjects<\/strong> with foot ulcers are moderately to severely <strong>malnourished<\/strong> and <strong>69.6%<\/strong> are <strong>severely infected<\/strong>.\u00a0The risk of amputation is multiplied by 11 in the case of severe malnutrition (MNA<17) compared to a non-malnourished patient.<\/p>\n<p>\n\tTo Sall\u00e9, screening of patients with a foot wound and the treatment of any malnutrition is essential and could change the outlook for the patient. According to Gau et al (2016), an one-percentage-point increase in MNA lessens the risk of major amputation by 19% and minor amputation by 10%.<\/p>\n<p>\n\tThe factors at play in <strong>malnutrition<\/strong> are the same as for non-diabetics: physiological alterations related to age that affect appetite and sensory perception, psycho-sociological alterations that affect the quantity and nutritional quality of diet. This is combined with inefficient glycaemic control, which alters protein metabolism, insulin resistance and insulinopenia which lead to the catabolism of muscle protein and therefore <strong>muscle wasting<\/strong>.<\/p>\n<p>\n\t\u00a0<\/p>\n<p>\n\t<em>Le diab\u00e8te, facteur de d\u00e9nutrition et de carences en micronutriments. Agn\u00e8s Sall\u00e9. Nutrition Clinique et m\u00e9tabolisme 32 (2018) 8-21.\u00a0<\/em><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0985056217301942\"><strong><em>https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0985056217301942<\/em><\/strong><\/a>\u00a0\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 Diabetics should be screened for malnutrition to avoid complications Blood glucose regulation and nutrition are inextricably linked and several research papers have highlighted a relationship between malnutrition and diabetes. Endocrinologist and nutritionist Agn\u00e8s Sall\u00e9 recently published the latest findings on the consequences of diabetes in French journal Nutrition Clinique et M\u00e9tabolisme. \u00a0 Higher prevalence [&hellip;]<\/p>\n","protected":false},"featured_media":5525,"template":"","thematique_blog":[25],"tags_blog":[],"class_list":["post-5524","vitalites","type-vitalites","status-publish","has-post-thumbnail","hentry","thematique_blog-nutrition-sante"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/vitalites\/5524","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/vitalites"}],"about":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/types\/vitalites"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/media\/5525"}],"wp:attachment":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/media?parent=5524"}],"wp:term":[{"taxonomy":"thematique_blog","embeddable":true,"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/thematique_blog?post=5524"},{"taxonomy":"tags_blog","embeddable":true,"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/tags_blog?post=5524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}