Hidratos de carbono: actualización de su papel en la diabetes mellitus y la enfermedad metabólica.


Autoria(s): Luna López, Victoria; López Medina, José Antonio; Vázquez Gutiérrez, Mercedes; Fernández Soto, M Luisa
Data(s)

30/06/2015

30/06/2015

01/11/2014

Resumo

BACKGROUND: There is a prevalence of diabetes mellitus (DM), unknown DM and stress hyperglycemia among hospital patients, and the nutritional treatment is a key part of care, where carbohydrates (CH) intake is a controversial issue. There is also a discussion on the increase of prevalence for DM, obesity and metabolic disease with refined CH or sugar. OBJECTIVES: This review examines the recommendations from different scientific societies about the percentage of CH in the total calorie intake of the diabetic patient, the CH value in the glycemic index and glycemic load, the new CH included in enteral formulae and the association of refined CH with the high prevalence of DM and metabolic disease. METHODS: Systematic review of literature using the electronic scientific databases Pubmed, Science Direct, Scielo, Scopus and Medline. CONCLUSIONS: Scientific societies are flexible about the CH intake in the diet of diabetic patients, suggesting to customize it according to each metabolic profile. Using the glycemic index and glycemic load can provide an extra benefit in the postprandial glycemic control. The new diabetes-specific enteral formulae, with fructooligosaccharides, resistant maltodextrins and fructose-free show efficacy in improving the glycemic control, although more controlled and long-term studies are needed. There is still some controversy about the links between sugar intake and DM, obesity and metabolic disease, although this relationship would be more linked to an increase of the total calorie intake than to a specific nutrient. .

Identificador

Luna López V, López Medina JA, Vázquez Gutiérrez M, Fernández Soto ML. Hidratos de carbono: actualización de su papel en la diabetes mellitus y la enfermedad metabólica. Nutr Hosp. 2014; 30(5):1020-31

1699-5198 (Online)

0212-1611 (Print)

http://hdl.handle.net/10668/1916

25365004

10.3305/nh.2014.30.5.7475

Idioma(s)

es

Publicador

Grupo Aula Médica, S.L.

Relação

Nutrición Hospitalaria

http://www.aulamedica.es/gdcr/index.php/nh/article/view/7475

Direitos

Acceso abierto

Palavras-Chave #Carbohydrates #Diabetes mellitus #Obesity #Enteral nutrition #Metabolic disease #Hidratos de carbono #Obesidad #Nutrición enteral #Enfermedad metabólica #Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Diet::Diabetic Diet #Medical Subject Headings::Chemicals and Drugs::Carbohydrates::Dietary Carbohydrates #Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Diet::Energy Intake #Medical Subject Headings::Phenomena and Processes::Metabolic Phenomena::Glycemic Index #Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Feeding Methods::Enteral Nutrition
Tipo

info:eu-repo/semantics/article

info:eu-repo/semantics/published

Artículo