tailieunhanh - Báo cáo y học: " Recently published papers: We are what we eat"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Recently published papers: We are what we eat? | Available online http content 6 4 295 Commentary Recently published papers We are what we eat LG Forni Consultant Worthing General Hospital Lyndhurst Road Worthing West Sussex UK Correspondence Lui G Forni Published online 9 July 2002 Critical Care 2002 6 295-297 This article is online at http content 6 4 295 2002 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X The glutton digs his grave with his teeth Anonymous English proverb Over the past few months yet more information bombards us. Several papers have concentrated on nutrition and markers thereof in an attempt to make sense of much data. Current interest in blood glucose levels focuses on examining patients glucose tolerance to predict outcomes. This is particularly pertinent to high-dependency and coronary care practice as well as intensive care unit ICU work. The DIGAMI study highlighted the long-term post-myocardial infarction MI risk in patients with a deranged glycometabolic state 1 . Similarly the intensive care population has been scrutinized with regard to glycometabolic control in septic critically ill patients. Strict glycaemic control in such individuals is now hopefully commonplace with the aim of improving survival. This has prompted much work to delineate those individuals with impaired glycometabolic control and the same group presented further evidence that abnormal glucose metabolism is associated with a high prevalence of acute MI 2 . A total of 181 consecutive nondiabetic patients admitted with acute MI were given standard glucose tolerance testing at discharge and 3 months later. Fewer than 35 of patients had normal glucose tolerance at 3 months of follow up. It would appear likely then that early detection of impaired glycometabolic control might improve outcome by allowing introduction of secondary preventative measures. This probably has little immediate relevance to the ICU but for those of us who are involved in coronary care .