Breakfast Nutrition and Inpatient Glycemia
| Status: | Completed |
|---|---|
| Conditions: | Peripheral Vascular Disease, Diabetes, Diabetes, Diabetes |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | September 2012 |
| End Date: | November 2012 |
The Effect of a Targeted Breakfast Intervention on Inpatient Glycemic Control
A standard hospital meal often contains a high percentage of carbohydrates (CHO), which may
not be ideal for patients with diabetes. This concern is particularly pertinent to the
breakfast meal, which often contains mainly CHO. Clinical observations suggested that such
diets elevate pre-lunch blood glucose (BG) values. The study team compared standard hospital
"no concentrated sweets (NCS)" breakfast meals with more balanced meals. The study team
hypothesized that a balanced breakfast would improve pre-lunch BG values.
This 8-week pilot study was conducted at Duke Hospital on two non-ICU cardiology wards. Ward
A consisted mainly of patients with a primary diagnosis of coronary artery disease (CAD).
Ward B consisted mainly of patients with a primary diagnosis of congestive heart failure
(CHF). The intervention breakfast menu included 5 choices containing 40-45g of CHO. All
patients on Ward A (with and without diabetes) were given the intervention breakfast for the
first 4 weeks of the study, while those on Ward B received standard menus (60-75g CHO in NCS
meals). After 4 weeks, the standard and intervention wards were switched. Data were
collected only on patients with diabetes who were able to consume meals.
not be ideal for patients with diabetes. This concern is particularly pertinent to the
breakfast meal, which often contains mainly CHO. Clinical observations suggested that such
diets elevate pre-lunch blood glucose (BG) values. The study team compared standard hospital
"no concentrated sweets (NCS)" breakfast meals with more balanced meals. The study team
hypothesized that a balanced breakfast would improve pre-lunch BG values.
This 8-week pilot study was conducted at Duke Hospital on two non-ICU cardiology wards. Ward
A consisted mainly of patients with a primary diagnosis of coronary artery disease (CAD).
Ward B consisted mainly of patients with a primary diagnosis of congestive heart failure
(CHF). The intervention breakfast menu included 5 choices containing 40-45g of CHO. All
patients on Ward A (with and without diabetes) were given the intervention breakfast for the
first 4 weeks of the study, while those on Ward B received standard menus (60-75g CHO in NCS
meals). After 4 weeks, the standard and intervention wards were switched. Data were
collected only on patients with diabetes who were able to consume meals.
Inclusion Criteria:
- Adults with cardiovascular disease who were admitted to 2 pre-specified wards at Duke
Medical Center during the study period
- Diagnosis of diabetes (type 1 or 2) or newly identified hyperglycemia (blood glucose
of >200 on 2 separate occasions)
- Able to consume food by mouth
Exclusion Criteria:
- Intensive care patients
- No intake by mouth (enteral, parenteral, NPO)
- Taking in nutrition supplements (Ensure, etc)
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