Inpatient enteral and parenteral [corrected] nutrition for patients with diabetes

Both glycemic control and adequate nutrition support impact the clinical outcome of hospitalized patients. Providing nutrition to malnourished patients using the enteral or parenteral route may increase the risk of hyperglycemia, especially in patients with diabetes. Hyperglycemia can be managed thr...

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Bibliographic Details
Published in:Current diabetes reports 2011-04, Vol.11 (2), p.99-105
Main Authors: Via, Michael A, Mechanick, Jeffrey I
Format: Article
Language:English
Subjects:
Diabetes Mellitus - diet therapy
Diabetes Mellitus - drug therapy
Enteral Nutrition
Hospitalization
Humans
Hypoglycemic Agents - administration & dosage
Hypoglycemic Agents - therapeutic use
Inpatients
Parenteral Nutrition
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Summary:Both glycemic control and adequate nutrition support impact the clinical outcome of hospitalized patients. Providing nutrition to malnourished patients using the enteral or parenteral route may increase the risk of hyperglycemia, especially in patients with diabetes. Hyperglycemia can be managed through the use of enteral tube feeds with reduced carbohydrate content or limiting the carbohydrate concentration in parenteral formulas. Judicious use of insulin or other glucose-lowering medications synchronized with appropriate nutrition support allows for optimal inpatient glycemic control.
ISSN:1539-0829
DOI:10.1007/s11892-010-0168-5