Carbohydrates - Guidelines on Parenteral Nutrition, Chapter 5

The main role of carbohydrates in the human body is to provide energy. Carbohydrates should always be infused with PN (parenteral nutrition) in combination with amino acids and lipid emulsions to improve nitrogen balance. Glucose should be provided as a standard carbohydrate for PN, whereas the use...

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Bibliographic Details
Published in:German medical science 2009-11, Vol.7, p.Doc23-Doc23
Main Authors: Bolder, U, Ebener, C, Hauner, H, Jauch, K W, Kreymann, G, Ockenga, J, Traeger, K
Format: Article
Language:English
Subjects:
Carbohydrates - administration & dosage
Fluid Therapy - methods
Fluid Therapy - standards
fructose
Germany
glucose
Humans
hyperglycaemia
insulin
non-protein calories
Nutrition Disorders - prevention & control
Parenteral Nutrition - methods
Parenteral Nutrition - standards
Practice Guidelines as Topic
Citations: Items that cite this one
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Summary:The main role of carbohydrates in the human body is to provide energy. Carbohydrates should always be infused with PN (parenteral nutrition) in combination with amino acids and lipid emulsions to improve nitrogen balance. Glucose should be provided as a standard carbohydrate for PN, whereas the use of xylite is not generally recommended. Fructose solutions should not be used for PN. Approximately 60% of non-protein energy should be supplied as glucose with an intake of 3.0-3.5 g/kg body weight/day (2.1-2.4 mg/kg body weight/min). In patients with a high risk of hyperglycaemia (critically ill, diabetes, sepsis, or steroid therapy) an lower initial carbohydrate infusion rate of 1-2 g/kg body weight/day is recommended to achieve normoglycaemia. One should aim at reaching a blood glucose level of 80-110 mg/dL, and at least a glucose level
ISSN:1612-3174
1612-3174
DOI:10.3205/000082