The effect of nutritional supplementation with a disease specific tube feed on the postprandial plasma glucose reponse in type 2 diabetic patients at baseline and after 6 and 12 weeks of supplementation.

1. Diagnosis type 2 diabetes;

2. Age > 18;

3. HbA1c between 6.5%-8.5%;

4. In need for nutritional support by tube feeding for at least 12 weeks;

5. Functioning GI tract, eligible for tube feeding;

6. Nutrition via PEG or nasogastric tube;

7. Having given written informed consent.

1. Pregnant or lactating women or women planning to become pregnant;

2. Usage of a disease specific tube feed within past 4 weeks;

3. Acute severe heart failure, end stage ver failure or renal failure requiring dialysis;

4. Any acute gastrointestinal disease within past 2 weeks;

5. Concomitant therapy with glucocorticoids or acarbose;

6. Nutrition via PEJ;

7. Drug or alcohol abuse;

8. Participation in other trials within four weeks of study entry.