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Hyperglycemia is a known risk factor for mortality in critically ill patients. Most of these patients receive enteral feeding. There is controversy about ideal carbohydrate composition of these diets. The aim of this study was to compare an enteral formula with the same proportion of carbohydrates with and without fructose on blood glucose levels.
Randomized, cross-over, controlled, double-blind clinical trial without washout. Adult patients admitted to the ICU who presented capillary glycemia values> 180mg / dl with a full and exclusive enteral diet. They were randomized and observed for 4 days (2 days with each diet: with / without fructose). Capillary glycemia was measured 4 / 4h.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diet 1 | Active Comparator | Low-carbohydrate Enteral Formula With Fructose |
|
| Diet 2 | Active Comparator | Low-carbohydrate Enteral Formula Without Fructose |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enteral Formula With Fructose | Dietary Supplement | Low-carbohydrate Enteral Formula With Fructose |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Glycemic Variability | To evaluate the glycemic oscillation during the use of enteral feedings | four days |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| D006943 | Hyperglycemia |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D044882 | Glucose Metabolism Disorders |
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| ID | Term |
|---|---|
| D005632 | Fructose |
| ID | Term |
|---|---|
| D006601 | Hexoses |
| D009005 | Monosaccharides |
| D000073893 | Sugars |
| D002241 | Carbohydrates |
| D007661 |
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| Enteral Formula Without Fructose |
| Dietary Supplement |
Low-carbohydrate Enteral Formula Without Fructose |
|
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| Ketoses |