Metabolic and Hormonal Changes Induced by Hypodermoclysis of Glucose-Saline Solution in Elderly Patients

Background. Hypodermoclysis, i.e., infusion of solutions into the subcutaneous tissues, is an alternative method for hydration. The aim of our study was to describe the metabolic changes induced by hypodermoclysis of a glucose-saline solution in elderly patients. Methods. Twelve experiments were con...

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Published in:The journals of gerontology. Series A, Biological sciences and medical sciences Biological sciences and medical sciences, 1995-11, Vol.50A (6), p.M334-M336
Main Authors: Dardaine, Véronique, Garrigue, Marie-Ange, Rapin, Charles-Henri, Constans, Thierry
Format: Article
Language:English
Subjects:
Aged
Aging - blood
Aging - metabolism
Cross-Over Studies
Female
Fluid Therapy - methods
Fluids
Geriatrics
Glucose - administration & dosage
Glucose - therapeutic use
Hormones
Hormones - blood
Humans
Injections, Intravenous
Injections, Subcutaneous
Male
Metabolism
Older people
Sodium Chloride - administration & dosage
Sodium Chloride - therapeutic use
Solutions
Treatment Outcome
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Summary:Background. Hypodermoclysis, i.e., infusion of solutions into the subcutaneous tissues, is an alternative method for hydration. The aim of our study was to describe the metabolic changes induced by hypodermoclysis of a glucose-saline solution in elderly patients. Methods. Twelve experiments were conducted in a random cross-over study, intravenous infusion (IV) vs subcutaneous infusion (SC), in 6 hospitalized patients (81.5 ± 9.8 years). The solution (1000 mL of 5% glucose solution containing 4 g NaCl) was infused over 6 hours in fasted patients who remained in bed. Blood was sampled at-10, 0, 30, 60, 90, 120, 180, 240, 300, and 360 minutes for measurement of plasma concentrations of glucose, insulin, free fatty acids, and (β-hydroxybutyrate. Plasma concentration of cortisol was analyzed only at T-10, TO, T180, and T360. Results. The increases in glucose and insulin and the decrease in plasma concentrations of free fatty acids were lower with SC infusion than with IV infusion. The decrease in (J-hydroxybutyrate plasma concentration was lower at T300 with SC infusion than with IV infusion. The decrease in cortisol did not differ with the route. Plasma concentrations of all compounds were similar at T360. Conclusion. We conclude that hypodermoclysis of glucose-saline solution induced similar but smaller metabolic and hormonal changes than the IV infusion.
ISSN:1079-5006
1758-535X
DOI:10.1093/gerona/50A.6.M334