Type 2 Diabetes
Conditions
Brief summary
In order to response the increasing of aging population cause losing ability that need long-care needs, the project entitled 10-year long-term care program from Executive Yuan in 2007 is carried out to assist economically disadvantaged and disabled elderly to acquire daily nutrition. Therefore, the long-term care resident's nutritional status got more attention than before. Out of control in blood glucose will not only increase bed sores and urinary tract infection in tube feeding residents but also rise medical expenditures. The nutritional status of long-term care institutions, anyang homes and nursing home are generally bad in nutrition management due to high cost of nutritional supplements from foreign imports that cause the burden of families. In this study, we will recruit diabetic subjects that divide into white sweet potato group (experimental group) and commercial formula group (control group) by using randomized, parallel and open clinical study through tube feeding in sixty days.
Detailed description
All subjects will be evaluated the blood sugar and clinical nutrition assessment such as postural measurement, urine test and blood biomarker examination.
Interventions
The formula were supplied 1500\ 1800 kcal daily depend on the patient's individual situation
The formula were supplied 1500\ 1800 kcal daily depend on the patient's individual situation
Sponsors
Study design
Eligibility
Inclusion criteria
* Long-term stability nasogastric or gastrostomy-fed person. * The physician diagnosed as diabetic and regular use of hypoglycemic drugs.
Exclusion criteria
* Psychosis or depression. * Hba1c\> 8.5%. * High taking nutritional supplements or steroids drugs. * Have undergone abdominal surgery caused by intestinal sticky. * Suffering from cancer, ulcers, respiratory infections and other diseases. * Currently receiving central venous nutrition therapy or intravenous nutrition therapy. * Liver dysfunction (ALT ≧ 100 U / L), renal insufficiency (creatinine ≧ 3mg / dl), heart failure (NYFc II above), moderate anemia (hemoglobin \<9 g / dl).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HbA1c After Intervention | 60 days | HbA1c value after 60 days intervention in both groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Albumin After Intervention | 60 days | Albumin value after 60 days intervention in both groups |
| Glucose After Intervention | 60 days | Glucose value after 60 days intervention in both groups |
| Total Cholesterol After Intervention | 60 days | Total cholesterol value after 60 days intervention in both groups |
| Triglyceride After Intervention | 60 days | Triglyceride value after 60 days intervention in both groups |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Control Group Commercial diabetic formula
Commercial diabetic formula: The formula were supplied 1500\
1800 kcal daily depend on the patient's individual situation | 16 |
| Treatment Group White sweet potato formula
White sweet potato formula: The formula were supplied 1500\
1800 kcal daily depend on the patient's individual situation | 24 |
| Total | 40 |
Baseline characteristics
| Characteristic | Control Group | Treatment Group | Total |
|---|---|---|---|
| Age, Continuous | 74.7 years STANDARD_DEVIATION 5.7 | 68.9 years STANDARD_DEVIATION 8.8 | 71.8 years STANDARD_DEVIATION 7.3 |
| Sex: Female, Male Female | 8 Participants | 11 Participants | 19 Participants |
| Sex: Female, Male Male | 8 Participants | 13 Participants | 21 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 16 | 0 / 24 |
| other Total, other adverse events | 0 / 16 | 0 / 24 |
| serious Total, serious adverse events | 0 / 16 | 0 / 24 |
Outcome results
HbA1c After Intervention
HbA1c value after 60 days intervention in both groups
Time frame: 60 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | HbA1c After Intervention | 6.8 percentage | Standard Deviation 1.1 |
| Treatment Group | HbA1c After Intervention | 6.4 percentage | Standard Deviation 1.1 |
Albumin After Intervention
Albumin value after 60 days intervention in both groups
Time frame: 60 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Albumin After Intervention | 3.4 g/dL | Standard Deviation 0.1 |
| Treatment Group | Albumin After Intervention | 3.6 g/dL | Standard Deviation 0.3 |
Glucose After Intervention
Glucose value after 60 days intervention in both groups
Time frame: 60 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Glucose After Intervention | 126.7 mg/dL | Standard Deviation 38.9 |
| Treatment Group | Glucose After Intervention | 131.0 mg/dL | Standard Deviation 45.4 |
Total Cholesterol After Intervention
Total cholesterol value after 60 days intervention in both groups
Time frame: 60 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Total Cholesterol After Intervention | 180.0 mg/dL | Standard Deviation 53.6 |
| Treatment Group | Total Cholesterol After Intervention | 150.1 mg/dL | Standard Deviation 25.7 |
Triglyceride After Intervention
Triglyceride value after 60 days intervention in both groups
Time frame: 60 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Triglyceride After Intervention | 214.3 mg/dL | Standard Deviation 112.2 |
| Treatment Group | Triglyceride After Intervention | 145.4 mg/dL | Standard Deviation 59.3 |