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To compare the nutritional effect on blood glucose of two commercially available enteral diets in overweight or obese patients in the Intensive Care Unit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | Peptamen Bariatric |
|
| Control Group | Active Comparator | Replete |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peptamen Bariatric | Other | Commercially available enteral diet |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Glucose variability - Number of glycemic events outside the serum glucose range of 110-150 mg/dl | Number of glycemic events outside the serum glucose range of 110-150 mg/dl | First seven days in the ICU |
| Measure | Description | Time Frame |
|---|---|---|
| Glucose variability - Number of glycemic events between 80-110 mg/dl and 150-180 mg/dl | Number of glycemic events between 80-110 mg/dl and 150-180 mg/dl | First seven days in the ICU |
| Glucose variability - Number of episodes of hypoglycemia (glucose < 80 mg/dl) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Emory University Hospital | Atlanta | Georgia | 30322 | United States | ||
| University of Chicago Medicine |
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| Replete |
| Other |
Commercially available enteral diet |
|
Number of episodes of hypoglycemia (glucose < 80 mg/dl) |
| First seven days in the ICU |
| Glucose variability - Number of episodes of hyperglycemia (glucose > 180 mg/dl) | Number of episodes of hyperglycemia (glucose > 180 mg/dl) | First seven days in the ICU |
| Glucose variability - Average glucose levels | Average glucose levels | First seven days in the ICU |
| Need for exogenous insulin administration | Number of administrations, amount of insulin received, number of times insulin order adjusted, circulating C-peptide at baseline, day 3, 5 and 7 | First seven days in the ICU |
| Need for exogenous glucose administration | Number of times of administration and amount of glucose received | First seven days in the ICU |
| Nursing time | Time required to monitor glucose levels and adjust insulin regimens in subset of patients studied | First seven days in the ICU |
| Chicago |
| Illinois |
| 60637 |
| United States |
| University of Kentucky Albert B. Chandler Hospital | Lexington | Kentucky | 40536 | United States |
| Regions Hospital | Saint Paul | Minnesota | 55101 | United States |
| Wake Forest University Health Sciences | Winston-Salem | North Carolina | 27157 | United States |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
| Queen's University | Kingston | Ontario | K7L 2V7 | Canada |