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Fat Based Enteral Nutrition for Blood Glucose Control in ICU

Not Applicable
Completed
Conditions
Hyperglycemia
Interventions
Other: High Fat Enteral Nutrition
Registration Number
NCT02584907
Lead Sponsor
Shahid Beheshti University
Brief Summary

In this randomized, double-blind clinical trial, eligible hospitalized ICU patients with EN will be included. Patients will be divided into two groups. The control group with the standard EN and intervention group with high fat EN. 50% of the total fat will be provided by olive oil. Nutritional intake record form will be completed and daily calorie intake will be calculated. High fat EN feeding will be offered for 15 consecutive days maximally. At the end of the study mean blood glucose, duration of hospitalization and rate of infection will be compared in two groups.

Detailed Description

In this randomized, double-blind clinical trial, 88 eligible hospitalized ICU patients with EN will be included. Written consent form will be completed. Physical examination will be done by specialist and nutritional care process will be offered by an RD. Demographic, laboratory and nutritional data will be extracted and entered in prepared form. Venous blood samples will be taken and laboratory values will be measured and recorded at specified times. Patients will be divided into two groups. The control group with the standard EN (Protein; 20% carbohydrate; 50% and fat; 30% from total calories) and intervention group with high fat EN (Protein; 20% carbohydrate; 35% and fat; 45% from total calories). 50% of the total fat will be provided by olive oil. Any feeding rout such as naso - gastric , Percutaneous endoscopic gastrostomy (PEG ) or Percutaneous endoscopic jejunostomy (PEJ) with Intermittent feeding protocol will be accepted feeding method . Nutritional intake record form will be completed and daily calorie intake will be calculated. High fat EN feeding will be offered for 15 consecutive days maximally

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
88
Inclusion Criteria
  • Being on Enteral Nutrition
  • BS≥ 200mg/dl
  • Without Renal and Liver Failure
  • Without Hyperlipidemia and Nephrotic Syndrome
  • Without Infection
  • Without Obesity
Exclusion Criteria
  • Death or Discharge before Day 7

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
High Fat Enteral NutritionHigh Fat Enteral NutritionDiet in high fat group will be 20% from protein, 45% from fat and 35% from carbohydrate
Primary Outcome Measures
NameTimeMethod
Blood Glucose1 year
Secondary Outcome Measures
NameTimeMethod
Length of Stay in ICU1 year
Occurrence of Infection1 year

Trial Locations

Locations (1)

Faculty of Nutrition Sciences and Food Technology

🇮🇷

Tehran, Iran, Islamic Republic of

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