Healthy Conversations with Omy Naidoo, A show for Dieticians: Recent Episodes
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Dietician Omy Naidoo interviews experts each week with the aim to share knowledge and help improve patient outcomes
In this episode we discuss
- What is the function of the thyroid in the body
- We understand the different thyroid parameters, t3,t4 etc3.
- Micronutrients that affect thyroid function
- Zinc and Selenium on the thyroid function of overweight/obese hypothyroid pts
- Role myo-inositol in PCOS and other conditions, as well as thyroid function
- Typical patient for thyrovive, how is it dosed
- What is the Microbiome
- Alterations to the gut in critical illness
- The role of prebiotics in Critical care nutrition
- Translating guidelines to practice
- Importance of micronutrients
- Thiamine in early feeding
- Indications for MC supplementation
- Vit D in Critical Illness
- Vit K deficiency in surgical pts
- Parenteral Vs Enteral MC
- What is protein pulsing
- The target pt for protein pulsing
- Protein pulsing in critical illness
- The effect of protein pulsing
- Protein Pulsing in COPD/Elderly
- Protein pulsing and continuous feeding
- What is ERAS
- Metabolic Response to Surgery
- Practical tips to implement ERAS
- Role of microbiome in perioperative nutrition
- Parenteral Nutrition in surgery
- Role of immunonutrition
- What is Intermittent Feeding in ICU
- Benefits of IF
- Autophagy and IF
- Muscle Full Effect
- Protein and muscle mass
- Role of Testosterone
- Practical Advice for dieticians to implement IF
- Causes of muscle wasting in ICU
- ICU drugs which affect muscle mass
- Muscle wasting and COVID
- Muscle size and functionality
- mTOR pathway & Autophagy
- Strategies to improve muscle mass in ICU
- Different types of fibre
- Role in critical illness
- Definition of Diarrhoea
- Clinical evidence for use of fibre enriched EN
- non feed related causes of Diarrhoea and so much more
- Effect of fibre on GRVs, vomiting, mortality, length of hospital stay
- Background of Glutamine
- Role of Glutamine in Critical illness
- Supplementation of Glutamine
- Indication for Glutamine
- Contra-indications, Dosing
- Supplemental Parenteral Nutrition (SPN)
- SPN vs Combo EN/PN
- Benefits of SPN
- Risks and 'Perceived Risks' of SPN
- Fluid balance & SPN
- Micronutrients & SPN
- SPN in Oncology
- Hospital Malnutrition Prevalence
- Screening/ Diagnostic Tools for Malnutrition
- Multicenter Study for Hospital Malnutrition
- GLIM Criteria
- Prevalence according to diagnosis
- Getting into Research in this area
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The mechanism of action of myo-inositol and its role in metabolic disease
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We discuss the importance of the ratio 40:1
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Who is the target pt for Metsyn X
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How do you differentiate between the pt for PCOSITOL and Metsyn X
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How do the studies look interms of Metsyn X and weight loss, hbA1c and any lipid parameters?
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Where does Metsyn X fit i.e. combo with metformin or replacement etc
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How to access Metsyn X for your patients
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What is the cost of Metsyn X
9.Patient success stories using Metsyn X
- COVID 19 in Austrailia
- Study of Nutritional intake post ICU
- Enteral nutrition filling the gap!
- Factors affecting oral intake
- Advocacy for nutrition post ICU
- Effect of different lipids on inflammation
- Role of olive oil in critical illness
- Effect of olive oil on immune function
- Oxidative stress and inflammation
- Liver Function, PN and olive oil
- Overall summary of lipids
In this episode we discuss:
- Importance of Screening in Critical illness
- 2.NUTRIC-SF score
- Hospital malnutrition
- Practical application of NUTRIC-SF
- NRS vs NUTRIC
- What is combination Parenteral Nutrition
- Supplemental PN vs Combo PN
- How to guide for combo PN
- Early PN and acute phase
- Functional outcome and combo PN
- Target pt for combo PN
- Future Research for combo PN
- Pathophysiology of PCOS
- Symptoms of PCOS
- Baseline Bloods in PCOS
- Myo-inositol and D Chiro- inositol
- Dosing of PCOSITOL
- Benefits of PCOSITOL
- Real life success stories of patients with PCOS
- What is Sarcopenia
- Consequences of Sarcopenia
- Factors related to Sarcopenia
- Vitamin D & Protein Role in treating Sarcopenia
- Physical Activity and Anabolism
- Sarcopenia and COVID 19
- RE-COVID Trial
- Obesity and Sarcopenia
- Post COVID/critical illness Nutrition Programs
In this episode we discuss:
- Very low Energy Diets (VLED)
- Phases of VLED
- Direct Trial and Diabetes Remission
- VLED and Obesity Management
- Baseline Bloods for VLED
- VLED and Bariatric Surgery
- Nestle Optifast
Role of protein in ICU
RCTS in protein provision
Benefits of high protein in acute phase
The EFFORT trial
PEP up protocol to enhance EN delivery
High protein and physical activity
In this episode we chat about:
Role of omega 3 fatty acids in critical illness
What are SPMs (Specialized pro-resolution Mediators)
Dosing of Fish oil
Monitoring in Parenteral nutrition
Omega 3 and it effects in surgical patients
Pharmaco-Economics of using fish oil
Summary of Evidence
In this episode I chat to Professor Paul Wischmeyer from Duke University regarding:
- Update on the LEEP COVID trial
- Limitations of metabolic carts in the past
- Features of the QNRG +
- Ideal patient for IC using this device
- Who should we not use this device for
- IC vs Predictive and what advice can we get in the absence of IC
This episode is supported by Baxter Healthcare
In this episode we chat about,
COVID in Canada
Critical nutrition.com
Role of protein in the critical care
EFFORT Trial
In this episode we chat about the latest advances in Diabetes care management
GLP 1 and what are they,
DPP 4 Inhibitors,
GLP1 for weight loss,
SLGT2 inhibitors in diabetes,
Continuous Glucose Monitoring Devices
Prof Weimann has well over a 100 published articles in the field of peri-operative nutrition and surgical oncology.
He also is associate Editor for Annals of Nutrition and Metabolism, and Head of Surgery and Clinical Nutrition at St George Hospital in Germany
In this episode we discuss
- ERAS and the Team approach
- Obesity and Colo-rectal cancer
- Screening tools and surgery
- Phase angle and bioelectrical impedance
- Glutamine in Surgery
- Omega 3 in Surgery
- Arginine in Surgery
- Practical tips for surgery
Prof Wischmeyer has well over 150 peer reviewed articles in international Journals as well as is the recipient of numerous awards both locally and internationally for his research
In this interview we discuss
- COVID in the US
- Longitudinal Energy Expenditure (LEEP) COVID Trial
- Phased in approach of protein delivery
- Hypermetabolism in the recovery phase off COVID
- Cardiac failure in COVID
- Vitamin D supplementation in COVID
- Supplemental PN in COVID
- Probiotics in COVID
Prof Laviano is an Associate Professor at Sapienza University of Rome in Italy.
His background is internal medicine and Nephrology, as well as clinical nutrition
Prof Laviano has served on various committees within ESPEN over the years
He has also served as Editor for various publications such as, British Journal of Nutrition, Nutrition, Journal of Cachexia, Sarcopenia, and Muscle; Current Opinion in Clinical Nutrition and Metabolism
Prof Laviano has more than 180 publications in international peer reviewed journals
In this episode we chat about hospital malnutrition
Dr Emma Ridley presented in 2019 at the South African Critical Care Congress.
She has 10 years experience in Critical care nutrition Research, and is a Senior Research Fellow at Monash University in Australia
In this episodes we discuss
- Advice for the young researchers
- Energy delivery using supplemental PN
- Nutrition in the post ICU phase
- Phasing in, of nutrition in ICU
- Practical considerations for Indirect Calorimetry (IC)
- IC vs predictive equations
- Age old debate of IBW vs ABW vs AdjBW when feeding the obese critcally ill patient
In this episode I chat to Alta Kloppers, a dietician in private practice for 26 years!
We discuss:
Value Based Care models from Medscheme
Effect of COVID 19 on the experienced dietician practice
Business operations during lockdown
virtual consultations and the future
Practical Guidance for management of COVID 19 patients
And so much more......
Alta says, 'Take it one day at a time, do what you can with what you have
In this episode we discuss
Effect off COVID 19 on healthcare in Texas
Diabetes, renal disease and COVID 19
Telehealth implementation
Dr Butt's advice to health care workers
In this episode we chat to Professor Rodseth, critical care specialist, researcher, and academic.
We discuss how COVID 19 has impacted on his role. Professor also discusses everything from proning (and the rationale behind it), to practical advice for dieticians' in the ICU when managing patients.
Professor also discusses the importance of pre-ICU nutrition, and oral nutrition supplementation. He touches on refeeding syndrome and various other key points when managing the COVID patient
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A show for dieticians