ALPS - Nutrition Interventions in Adults with Diabetic Foot Ulcers

Nutrition In DFU Guidelines Advisory Pocket Guide

ALPS Nutrition Interventions in Diabetic Foot GUIDELINES Advisory - brought to you courtesy of Guideline Central.

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17 Comments Food Sources Benefits Sufficient: >85 mcg/dL Marginal: >70 to less than or equal to 85 mcg/dL Low: Less than or equal to 70 mcg/dL High quality protein, meat, fish, eggs May help fill in the gap for any potential micronutrient imbalances Tobacco Smokers need additional Vit C: 35 g beyond daily limit Citrus fruits and juices, tomatoes, potatoes broccoli Collagen formation, enhances activation of leukocytes and macrophages to wounds, improves tensile strength, aids in iron absorption Sufficient: Above 30 ng/mL Insufficient: >20 less than or equal to 30 ng/mL Deficient: Less than or equal to 20 ng/mL Sunlight, fish liver oils, fatty fish, fortified milk, breakfast cereal Neuromuscular functions, bone calcification, and other important cellular processes Serum concentrations depend on the liver Wheat germ, seeds, nuts, vegetable oils, green leafy vegetables and fortified cereals Quenches free radicals and helps maintain membrane integrity Subnormal serum or plasma values as those lower than 200 or 250 pg/mL (148 or 185 pmol/L) Present in foods of animal origin: fish, meat, poultry, eggs, and dairy products. Fortified breakfast cereals, fortified yeast Inadequacy of plasma retinol concentration • In some populations ▶ <0.70 μmol/L (or 20 mcg/dL) • Marginal concentrations in some people ▶ 70–1.05 μmol/L Beef liver, fish oils, fish, milk, eggs, fortified cereals Provitamin A: orange and yellow vegetables, tomato products, carrots, squash, cantaloupe, broccoli Supports wound strength and healthy new tissue

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