scholarly journals Meal replacement in dietary management of type-2 diabetes mellitus: a scoping review protocol

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Lew Leong Chen ◽  
Arimi Fitri Mat Ludin ◽  
Suzana Shahar ◽  
Zahara Abdul Manaf ◽  
Noorlaili Mohd Tohit

Abstract Background The prevalence of type-2 diabetes mellitus (T2DM) has been increasing globally. Without proper management, T2DM can develop into serious complications and even death. Diet modification is one of the most effective tools in managing T2DM at the early stage, but it requires knowledge and compliance from the patients. Thus, meal replacement (MR) has gained its popularity as a tool for diet modification to improve glycemic control and also reducing weight in T2DM patients. There are several existing meal replacement studies but not much is known on the general scope and effect of these existing MRs. Hence, this review is aimed to provide an overview of the existing evidences regarding the application of meal replacement on T2DM patients and identify the gaps or limitations in the studies. Methodology The scoping review will be carried out in six stages: (1) identifying the research question, (2) identifying relevant studies through electronic databases (i.e., PubMed, Scopus, Cochrane Reviews, Google Scholar, EBSCOHOST, Science Direct) and also gray literature, and (3) selection of studies to be included based on inclusion criteria. Search and initial screening of studies to be included will be conducted by two independent reviewers. Discrepancies will then be solved through discussion with other reviewers; (4) charting and categorizing extracted data in a pretested data extraction form; (5) collating, summarizing, and reporting the results; and lastly, (6) conducting consultation with stakeholders and experts in diabetes. Discussion This scoping review protocol is aimed to provide a framework enabling us to map and summarize the findings from existing studies involving meal replacement. It will help researchers to identify the research gap and provide recommendations for future meal replacement studies. The results from this scoping review will be useful to various stakeholders in healthcare. It is also part of a research project in which the information obtained will be utilized in a clinical trial of a developed meal replacement plan. Dissemination of knowledge will also be done through presentations at related scientific conferences.

2020 ◽  
Author(s):  
Lew Leong Chen ◽  
Arimi Fitri Mat Ludin ◽  
Suzana Shahar ◽  
Zahara Abdul Manaf ◽  
Noorlaili Mohd Tauhid

Abstract Background:The prevalence of type 2 diabetes mellitus (T2DM) has been increasing globally. Without proper management, T2DM can develop into serious complications and even death. Diet modification is one of the most effective tool in managing T2DM at the early stage but it requires knowledge and compliance from the patients. Thus, meal replacement (MR) has gained its popularity as a tool for diet modification to improve glycemic control and also reducing weight in T2DM patients. There are several existing meal replacement studies but not much is known on the general scope and effect of these existing MRs. Hence, this review is aimed to provide an overview of the existing evidences regarding the application of meal replacement on T2DM patients and identify the gaps or limitation in the studies.Methodology:The scoping review will be carried out in six stages. (1) identifying the research question, (2) identifying relevant studies through electronic databases (ie. Pubmed, Scopus, Cochrane Reviews, Google Scholar, EBSCOHOST, Science Direct) and also grey literature, (3) selection of studies to be included based on inclusion criteria. Search and initial screening of studies to be included will be conducted by two independent reviewers. Discrepancies will then be solved through discussion with other reviewers, (4) Chart and categorize extracted data in a pretested data extraction form, (5) collating, summarising and reporting the results and lastly, (6) conducting consultation with stakeholders and experts in diabetes.Discussion:This scoping review protocol is aimed to provide a framework enabling us to map and summarize the findings from existing studies involving meal replacement. It will help researchers to identify research gap and provide recommendations for future meal replacement studies. The results from this scoping review will be useful to various stakeholders in healthcare. It is also part of a research project in which the information obtained will be utilized in clinical trial of a developed meal replacement plan. Dissemination of knowledge will also be done through presentations at related scientific conferences.


2020 ◽  
Author(s):  
Lew Leong Chen ◽  
Arimi Fitri Mat Ludin ◽  
Suzana Shahar ◽  
Zahara Abdul Manaf ◽  
Noorlaili Mohd Tauhid

Abstract Background: The prevalence of type 2 diabetes mellitus (T2DM) has been increasing globally. Without proper management, T2DM can develop into serious complications and even death. Diet modification is one of the most effective tool in managing T2DM patients but it requires knowledge and compliance from the patients. Thus, meal replacement (MR) has gained its popularity as a tool for diet modification to improve glycemic control and also reducing weight in T2DM patients. There are several existing meal replacement studies but not much is known on the general scope and effect of these existing MRs. Hence, this review is aimed to provide an overview of the existing evidences regarding the application of meal replacement on T2DM patients and identify the gaps or limitation in the studies.Methodology: The scoping review will be carried out in six stages. (1) identifying the research question, (2) identifying relevant studies through electronic databases (ie. Pubmed, Scopus, Cochrane Reviews, Google Scholar, EBSCOHOST, Science Direct) and also grey literature, (3) selection of studies to be included based on inclusion criteria. Search and initial screening of studies to be included will be conducted by two independent reviewers. Discrepancies will then be solved through discussion with other reviewers, (4) Chart and categorize extracted data in a pretested data extraction form, (5) collating, summarising and reporting the results and lastly, (6) conducting consultation with stakeholders and experts in diabetes.Discussion: This scoping review protocol is aimed to provide a framework enabling us to map and summarize the findings from existing studies involving meal replacement. It will help researchers to identify research gap and provide recommendations for future meal replacement studies. The results from this scoping review will be useful to various stakeholders in healthcare. It is also part of a research project in which the information obtained will be utilized in clinical trial of a developed meal replacement plan. Dissemination of knowledge will also be done through presentations at T2DM related conferences.


2020 ◽  
Vol 19 (1) ◽  
pp. 163-169
Author(s):  
Rafael Oliveira Pitta Lopes ◽  
Genesis de Souza Barbosa ◽  
Kênia Rocha Leite ◽  
Claudia Angélica Mainenti Ferreira Mercês ◽  
Rosimere Ferreira Santana ◽  
...  

Author(s):  
Paulina K. Wrzal ◽  
Andrean Bunko ◽  
Varun Myageri ◽  
Atif Kukaswadia ◽  
Calum S. Neish ◽  
...  

Biomedicines ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. 190
Author(s):  
Ruby Kala Prakasam ◽  
Aleksandra Matuszewska-Iwanicka ◽  
Dagmar-Christiane Fischer ◽  
Heidrun Schumann ◽  
Diethelm Tschöpe ◽  
...  

Optical coherence tomography (OCT) supports the detection of thickness changes in intraretinal layers at an early stage of diabetes mellitus. However, the analysis of OCT data in cross-sectional studies is complex and time-consuming. We introduce an enhanced deviation map-based analysis (MA) and demonstrate its effectiveness in detecting early changes in intraretinal layer thickness in adults with type 2 diabetes mellitus (T2DM) compared to common early treatment diabetic retinopathy study (ETDRS) grid-based analysis (GA). To this end, we obtained OCT scans of unilateral eyes from 33 T2DM patients without diabetic retinopathy and 40 healthy controls. The patients were categorized according to concomitant diabetic peripheral neuropathy (DN). The results of MA and GA demonstrated statistically significant differences in retinal thickness between patients and controls. Thinning was most pronounced in total retinal thickness and the thickness of the inner retinal layers in areas of the inner macular ring, selectively extending into areas of the outer macular ring and foveal center. Patients with clinically proven DN showed the strongest thinning of the inner retinal layers. MA showed additional areas of thinning whereas GA tended to underestimate thickness changes, especially in areas with localized thinning. We conclude that MA enables a precise analysis of retinal thickness data and contributes to the understanding of localized changes in intraretinal layers in adults with T2DM.


Sign in / Sign up

Export Citation Format

Share Document