# Nutritional risk assessment and nutritional support in children with congenital diabetes during surgery

## TL;DR

This study examines how nutritional risk and support during surgery affect children with congenital diabetes, comparing intravenous and oral methods.

## Contribution

The study identifies fasting blood glucose and BMI as key risk factors for nutritional support in congenital diabetes during surgery.

## Key findings

- Intravenous group had higher sufficient calorie intake compared to the oral group.
- Fasting blood glucose <6.5 mmol/L and BMI <17.3 were independent risk factors for nutritional issues.
- Nutritional risk assessment is crucial for managing complications during surgery in these children.

## Abstract

This work investigated intraoperative nutritional risk and nutritional support for children with congenital diabetes.

A total of 60 cases of children with congenital diabetes were assigned into two groups: the intravenous group (n = 30) and the oral group (n = 30). Medications were administered based on the actual conditions of patients. After surgery, the relationship between intraoperative nutritional risk score and glucose changes was studied.

All patients had normal liver and kidney function. In the intravenous group, 26 cases had sufficient calorie intake. The numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 7, 12, and 11, respectively. The incidences of infection, delayed wound healing (DWH), difficult glucose control (DGC), and respiratory system complications were 3, 6, 12, and 1, respectively. In the oral group, 21 cases had sufficient calorie intake. Numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 8, 9, and 13, respectively. The incidences of infection, DWH, and DGC were 2, 6, and 9, respectively. Fasting blood glucose <6.5 mmol/L and body mass index <17.3 were independent risk factors affecting nutritional support.

Nutritional risk assessment and support during surgery for children with congenital diabetes were crucial for appropriate support.