Glycemic Index Variation During Low-carbohydrate Enteral Formula With and Without Fructose in Critically Ill Patients
Glycemic Index Variation During Low-carbohydrate Enteral Formula With and Without Fructose in Critically Ill Patients
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.
Inclusion Criteria:

 -  Critical Illness

 -  Exclusive enteral diet

 -  Enteral diet with full nutritional value

 -  Hyperglycemia ≥180 mg / dl

 Exclusion Criteria:

 -  Oral feeding

 -  NPT (Total or Partial Parenteral Nutrition)

 -  Patient without indication of use of study diets