Nutrition of Diabetic Patients After Metabolic Surgery

Year 2017, Volume: 5 Issue: 4, 30 - 36, 10.04.2017

Yrd. Doç. Dr. Dyt. Nihal Zekiye Erdem

Abstract

Abstract

Metabolic and bariatric surgery; cause satiety by reducing the appetite, by allowing to change the taste of food, by restricting the intake of food, by causing deterioration ofthe absorption of nutrients, by increasing energy expenditure, constitutes an effective we-ight loss with dumping, steatorrhea and vomiting which are the unwanted effects. Dietitians who regulates the feeding program based on the interdisciplinary evaluation should consider, changing the dietary habits, consumption of low-energy food; replacement,orientation, density and volume of food types, vitamin and mineral support, protein in take and physical activity. In order to target and develop the appropriate diet, each patient should be lifetime controlled by dietitian. After surgery, if behavioral modification related to nutritional habits and physical activity wasn’t performed, weight regainingwill occur in later years.

Keywords

Bariatric surgery, metabolic surgery, feeding behavior, diet therapy, , food selection, type 2 diabetesmellitus

Metabolik Cerrahi Sonrası DiyabetliHastanın Beslenmesi

Abstract

Öz

Metabolik ve bariyatrik cerrahi; iştahı azaltıp tokluğa neden olarak, yiyeceklerin tadının değişmesini sağlayarak, yiyeceklerin alımını kısıtlayarak, besin öğelerinin emiliminin bozulmasına neden olarak, enerji harcamasını arttırarak, istenmeyen etkilerden olan dumping, steatöre ve kusma ile etkili kilo kaybı oluşturmaktadır. Diyetisyen, beslenme programını düzenlerken, interdisipliner değerlendirmeden yola çıkarak; beslenme alışkanlığının değiştirilmesini; düşük enerjili besinlerin tüketilmesini; besin çeşidinin değiştirilmesini, uyumunu, yoğunluğunu, hacmini; vitamin-mineral desteklerini; protein alımını ve fiziksel aktiviteyi göz önünde bulundurmalıdır. Her hastanın, uygun beslenme alışkanlığını hedefleyip geliştirebilmesi için bir ömür boyu diyetisyen tarafından diyetinin kontrolü, başarı için gereklidir. Cerrahi sonrası, beslenme alışkanlıkları ve fiziksel aktivite ile ilgili, davranış değişikliği yapılmadığında, ilerleyen yıllarda kilo alınmaktadır.

Keywords

Bariyatrik cerrahi, metabolik cerrahi, beslenme davranışı, diyet tedavisi, gıda seçimi, tip 2 diyabet

References

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