["Not to be taken lightly"].
A 78 year old patient with type 2 diabetes mellitus was hospitalized because of weakness and poor nutritional status. For several years, he suffered from an unintended weight loss and chronic, pulpy diarrhea. On examination, we found a severe loss of muscle and fat tissue as well as difficulty swallowing. An adequate nutritional therapy with combined parenteral and enteral nutrition was implemented under regular monitoring of electrolytes and volume status, under which the state of health improved noticeably, while steatorrhea improved under substitution of pancreatic enzymes.
1 Universitätspoliklinik für Endokrinologie, Diabetologie und Klinische Ernährung, Universitätsspital, Inselspital Bern.
Carla
C
Aeberhard
Zeno
Z
Stanga
Martin
M
Perrig
Tanja
T
Birrenbach
D000368:Aged; D002100:Cachexia / Q000209:etiology* / Q000628:therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D004750:Enteral Nutrition; D010188:Exocrine Pancreatic Insufficiency / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D008660:Metabolism; D010184:Pancreatic Extracts / Q000627:therapeutic use; D010289:Parenteral Nutrition, Total; D011502:Protein-Energy Malnutrition / Q000209:etiology* / Q000628:therapy; D015431:Weight Loss
D010184:Pancreatic Extracts
Chronische Diarrhö; Diabetes mellitus; Katabolie; Mangelernährung; catabolism; chronic diarrhea; diabetes mellitus; exocrine pancreatic insufficiency; exokrine Pankreasinsuffizienz; malnutrition