Inpatient Enteral and Parental Nutrition for Patients with Diabetes
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- Via, M.A. & Mechanick, J.I. Curr Diab Rep (2011) 11: 99. doi:10.1007/s11892-010-0168-5
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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.