Recent Developments

The recently published FOOD (feed or ordinary diet) trials4 add considerably to the body of knowledge on the approach to nutritional support following stroke. Routine oral dietary supplementation appeared not to influence outcome. Early, as opposed to late, ETF decreased mortality by 5.8%. Early PEG feeding was associated with increased adverse events. It seems clear, therefore, that nasogastric feeding should be considered early in dysphagic stroke patients whose prognosis is thought to be reasonable. PEG feeding should be reserved for a later stage if nasogastric feeding is not tolerated or PEG is the preferred option of the patient and carers for the longer term.

In a randomized trial5 a traditional high-carbohydrate, low-fat feed was compared with a low-carbohydrate, high-monounsaturated fat feed in hospitalized patients with type 2 diabetes. The low-carbohydrate feed showed significant benefits in terms of glycaemic and lipid parameters. It is clear that further studies are required to determine the optimal feed composition for patients with diabetes who require enteral feeding.

Your Heart and Nutrition

Your Heart and Nutrition

Prevention is better than a cure. Learn how to cherish your heart by taking the necessary means to keep it pumping healthily and steadily through your life.

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