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Owing to questions over delayed gastric emptying or hyperglycemia, studies are uncertain regarding whether pre-operative carbohydrate loading can be safely administered to patients with type 2 diabetes. The aim of this research was to determine the aspiration risk and gastric volume in patients with type 2 diabetes following pre-operative carbohydrate loading. Patients with type 2 diabetes underwent elective noncardiac surgery. Following carbohydrate loading, 33 patients were classified as antral grade 0 and 16 patients were classified as antral grade 1. 120 minutes was the median time from carbohydrate drink ingestion to ultrasound examination. After carbohydrate loading, the median gastric volume in the right-lateral position after carbohydrate loading was 2. 64 ml — after carbohydrate loading was 2. 64 ml. For patients with type 2 diabetes and without complications, pre-operative carbohydrate loading may be appropriate. ClinicalTrials. gov.
Source link: https://europepmc.org/article/MED/36266449
Abstract Iwayama, K, Tanabe, Y, Yajima, K, Tanji, F, Onishi, T, and Takahashi, H. Following carbohydrate loading, carbohydrate depletion during endurance exercise in male recreational runners, according to the Preexercise high-fat meal. As compared to one preexercise high-carbohydrate meal, this research sought to see if one preexercise high-fat meal can improve glycogen preservation during endurance exercise. After a high-carbohydrate load, ten young male recreational runners completed two exercise trials: either eating a high-carbohydrate meal or eating a high-fat snack 3. 5 hours before exercise. In the FAT trial than in the CHO trial, the respiratory exchange ratio during exercise was statistically lower during exercise. In addition, muscle and liver glycogen use during exercise was less in the FAT trial than in the CHO trial. Hence, one high-fat meal after carbohydrate loading reduced muscle and liver glycogen use during the 60-minute workout.
Source link: https://europepmc.org/article/MED/36165996
History Femur fracture is a significant problem among elderly people, causing patients to be bedridden for a long time in the hospital. In several countries, pre-operative carbohydrate loading has been shown to improve postoperative outcomes. The aim of the research was to determine the effect of pre-operative carbohydrate loading in femur fracture surgery. In this research, 66 people were recruited, aged 50 years and over, with femur fractures planned for surgery and assigned to the control and study groups by computer-generated random numbers. According to the Enhanced Recovery After Surgery protocol, the control group was kept fasting from midnight to the next morning as long as the control group existed, although the research group intervened with carbohydrate loading. To compare the results between the two groups, statistical comparisons were done using the Chi-square test and the Student's two-sample t-test to compare the results between the two groups. In comparison to the control group, there was a significant decrease in the average postoperative pain in the carbohydrate loading group. Participants in the study group's average CAS showed a significant increase in recovering the mobility of participants in the study group's walking abilities more than that in the control group. In the study group compared to the control group, the mean MBI score of the participants at the time of discharge from the hospital was higher in the study group than the control group. In the same way, the length of hospital stay after surgery had decreased in the study group than in the control group. Conclusions The uptake of carbohydrate loading slowed post-operative pain, enhanced functional mobility, and reduced the length of hospital stay.
Source link: https://europepmc.org/article/MED/36042436
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