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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Hidden hunger and diabetes care.

Sanjay Kalra1, Madhur Verma2, Nitin Kapoor3

  • 1Department of Endocrinology, Bharti Hospital, Karnal, India and University Center for Research & Development, Chandigarh University, Mohali, India.

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|July 20, 2023
PubMed
Summary

Hidden hunger, or micronutrient deficiency, is linked to diabetes care. This communication offers tools for providers to identify deficiencies and expands the definition of hidden hunger.

Keywords:
Diet, nutrition, neurotropic vitamins, micronutrients, iron, calcium, vitamin D, iodine

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Area of Science:

  • Nutrition Science
  • Endocrinology
  • Public Health

Background:

  • Hidden hunger, defined as micronutrient deficiency, presents a significant global health challenge.
  • Micronutrient deficiencies can exacerbate complications and complicate management in patients with diabetes.
  • Current understanding of malnutrition often overlooks the critical role of micronutrients and electrolyte balance.

Purpose of the Study:

  • To explore the connection between hidden hunger and diabetes care.
  • To equip healthcare providers with practical tools for identifying micronutrient deficiencies in clinical settings.
  • To propose an expanded definition of hidden hunger that includes electrolyte and fluid balance.

Main Methods:

  • Conceptual review and synthesis of existing literature on hidden hunger and diabetes.
  • Development of simple clinical tools and guidelines for healthcare providers.
  • Analysis of the impact of micronutrient deficiencies on diabetes management.

Main Results:

  • Micronutrient deficiencies are prevalent and impact diabetes outcomes.
  • Simple screening tools can aid in the early detection of hidden hunger in diabetes patients.
  • An expanded definition of hidden hunger, incorporating electrolyte and fluid balance, is proposed.

Conclusions:

  • Addressing micronutrient deficiencies is crucial for effective diabetes care.
  • Healthcare providers can integrate simple tools to improve the identification of hidden hunger.
  • The concept of hidden hunger should be broadened to encompass electrolyte and fluid balance for a comprehensive approach to malnutrition.