pecific Recommendations for CFRD patients with a BMI below 18.5.
Priority in this group to improve survival is weight gain through an energy-rich diet of 120 -150% RDA (3). The intake of carbohydrates should not be restricted to avoid deficits in energy intake. However, to stabilize blood glucose values, counting the amount of carbohydrates is recommended, and insulin should be adjusted to that amount (5). The intake of dietary fiber is not emphasized in this group to avoid that high fiber foods compromise energy intake. Increased serum cholesterol and triglycerides are not common in CF-patients (10) so no restrictions in dietary saturated fat will be necessary in most patients. Even in patients with disturbed blood lipid levels no restriction on saturated fat is recommended because cardiovascular disease rarely occurs in adults with CFRD (5, 9, 11).
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