sugar

Should Sugar Be the Second Ingredient? A comparative look at enteral formulas designed for diabetes patients and why Liquid Hope is still the best.

Many RDs and clinicians ask us if Liquid hope is suitable for those with diabetes.  Absolutely.  I think the question is asked so frequently because Liquid Hope does not state anywhere on its package or in its literature that it is designed specifically for diabetes.  In contrast, descriptions of commercial formulas such as Glucerna 1.2 and Diabetisource AC 1.2 contain language that clearly delineates them from other formulas.  They are apparently formulated specific to the condition of diabetes and contain the appropriate ingredients and nutritional qualities.  Really? Let’s take a closer look at what they are and what’s in them: Continue reading

The Epidemic

The Epidemic of Non-Alcoholic Fatty Liver Disease

If an individual is obese it is most likely that they suffer from non-alcoholic fatty liver disease or NAFLD.  There was a time when this condition was quite rare. Now it appears that more than half of Americans have it and more than a third of American children suffer from it.  The condition is generally a function of a diet rich in refined carbohydrates and the concomitant gut problems such as dysbiosis and bacterial overgrowth that feed off the sugar.  Together the inflammation and damage to the liver’s detoxification efforts create a significant amount of damage to a person’s health. Continue reading

Ileostomies

5 Things All RDs Should Know Regarding Ileostomies and Nutrition

Ileostomies are quite common in both short and long-term care.  They are performed for a wide variety of reasons, but they often present very similar challenges to the overall health of the patient. Due to their impact on nutrient availability and the functional capacity of the GI as a whole, many patients experience high levels of gut wall-derived inflammation, hyperglycemia, dysbiosis, and micronutrient deficiencies. Continue reading

Crohn's

Crohn’s Disease, the Specific Carbohydrate Diet (SCD), and Enteral Nutrition: Liquid Hope is the best of both worlds.

The past 3 years have seen numerous research investigations come to the same conclusions: Crohn’s disease is a function of both an individual’s diet and their microbiota. Many individuals suffer severe flare-ups with exposure to long chained carbohydrates from specific starches and grains that survive upper GI digestion and end up feeding the wrong bacteria in the mid to lower GI.  There is an increasingly popular approach to mitigating these conditions with strict enteral nutrition therapy (1). Continue reading

Enteral Nutrition Support

A New Approach to Enteral Nutrition Support: Redefining true care, nutritional adequacy, and compatibility.

The critically and chronically ill patient typically has several biochemical processes that are severely compromised.  These aberrant pathways are the target of pharmacological intervention and are typically the only dimension of patient care associated with the outcome.  Supporting the patient’s most fundamental nutrition needs are equally important, yet this dimension of care receives very little attention. Continue reading