Underweight NIDDM patients were studied with respect to changes in their nutritional status before and after administration of nutritional beverage .Patients with renal or hepatic disease, gastrectomy, malabsorption, weight gain over past 6
months
and
poor controlled blood glucose were excluded. Ten patients served as case and were administered, in addition to their usual diet, 400ml of nutritional beverage high in calorie and protein for 8 week. In the beginning of the study, most underweight
patients showed depressed nutritional status in terms of calorie intake, quality of protein intake, and the levels of visceral protein status and serum micronutrients. The control sconsumed less amounts of calories, proteins, vitamins and
minerals
while
those given the nutritional beverage exceeded their estimated energy requirements (109%) and consumed a mean of 100g protein per day. Those given nutritional beverage for 8 weeks showed significant increase in body weight (7%), hemoglobin (3.2%),
hematocrit (4.2%), serum transferrin (19.4%), iron (30.1%), and zinc (20.9%) without increase of blood glucose and lipid profile. In the controls, however, significant improvement was not observed in any parameters compared with initial values.
This study suggests that underweight NIDDM patients can show mild nutritional deprivation and nutritional support can improve their unbalanced status and prevent severe malnutrition.
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