jkd The Journal of Korean Diabetes J Korean Diabetes 2233-7431 2714-0547 Korean Diabetes Association 10.4093/jkd.2017.18.3.181 jkd-18-181 Information Desk Use of Oral Nutritional Supplements for Patients with Diabetes KangMi Ra Department of Nutrition, CHA Bundang Medical Center, CHA University, Seongnam, Korea Corresponding author: Mi Ra Kang Department of Nutrition, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea, E-mail: mirharoo@naver.com 01 2017 10 01 2017 18 3 181 188 28072017 29072017 Copyright © 2017 Korean Diabetes Association 2017 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract

Dietary counseling and oral nutritional supplements (ONS) should be considered to increase the nutritional intake of people malnourished or at risk of malnutrition. These supplements are typically ready-made liquids and contain a balanced mix of energy, protein, and micronutrients. The diabetes-specific ONS are specifically designed for patients with hyperglycemia or diabetes mellitus in order to provide better glycemic control such as postprandial glucose and HbA1c compared to the standard ONS. These supplements are lower in carbohydrates and higher in fat than standard supplements and are rich in monounsaturated fats. Using diabetes-specific ONS in malnourished diabetic patients can allow increasing energy intake while maintaining glucose control and improving nutritional status and also providing economic benefits. However, inadequate intake of ONS that do not fit the patient's condition can be a problem. Therefore, when using ONS for patients with diabetes, it is necessary to clinically evaluate the nutritional status of the patient and to provide individualized education and management accordingly.

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Composition of oral nutritional supplements for patients with diabetes/glucose intolerance

Carbohydrate Protein Fat Fiber
Product (company) kcal /mL g/can (%kcal) Source g/can (%kcal) Source g/can (%kcal) Source g/can (%kcal) Source
Greenbia DM Ⓡ (Dr. Chung's Food) 1.0 25 (45) Maltodextrin, crystalline fructose, palatinose 10 (20) Casein, isolated soy protein 8 (35) Sunflower oil, soybean oil 5 Soybean dietary fiber, indigestible maltodextrin
Greenbia DM Solution (Dr. Chung's Food) Ⓡ 1.0 21.5 (40) Maltodextrin, palatinose 10 (20) Casein, isolated soy protein 9 (40) Canola oil 3 Soybean dietary fiber, indigestible maltodextrin
Greenbia Plus Care DM (Dr. Chung's Food) Ⓡ 1.0 22.5 (40) Maltodextrin, palatinose 10 (20) Casein, isolated soy protein 9 (40) Canola oil, soybean oil 5 Soybean dietary fiber, indigestible maltodextrin
Nucare DM Ⓡ (Daesang Wellife) 1.0 22 (39) Maltodextrin, high fructose corn syrup, palatinose 9 (18) Casein, whey protein concentrate, isolated soy protein 9.6 (43) Canola oil 5 Soybean dietary fiber, indigestible maltodextrin
Nucare Diabetes Plan (Daesang Wellife) Ⓡ 1.0 23.5 (42) Maltodextrin, high fructose corn syrup, palatinose 9 (18) Casein, isolated soy protein 9 (40) Canola oil, MCT oil, sunflower oil 5 Soybean dietary fiber, fiber gel
Mediwell DM (MDwell) Ⓡ 1.0 22 (40) Maltodextrin, palatinose 10 (20) Casein, isolated soy protein 9 (40) Canola oil, MCT oil, sunflower oil 5 Soybean dietary fiber, indigestible maltodextrin
Medifood Glutrol Ⓡ (Korea Medical Foods) 1.0 23.5 (40) Maltodextrin 9 (17) Casein 9.5 (43) Canola oil 7 Soybean dietary fiber, chicory dietary fiber, indigestible maltodextrin
Medifood Glutrol Ⓡ (Korea Medical Foods) 1.5 34 (40) Maltodextrin 13 (17) Casein 14 (43) Canola oil 7 Soybean dietary fiber, chicory dietary fiber, indigestible maltodextrin
EN DM Ⓡ (Korea Medical Foods) 1.0 21.6 (40) Maltodextrin 9 (17) Casein, isolated soy protein 9.6 (43) Canola oil 3 Soybean dietary fiber, indigestible maltodextrin
Care Well DM Ⓡ (Korea Enteral Foods)   21.5 (37) Maltodextrin, crystalline fructose, palatinose 9 (18) Casein, whey protein concentrate, isolated soy protein 10 (45) Canola oil, MCT oil, sunflower oil 3 Soybean dietary fiber, indigestible maltodextrin

DM, diabetes mellitus; MCT, medium chain triglyceride.