Total parenteral nutrition (TPN)
may be the essential and only
viable route by which to nourish
enterally compromised diabetic
patients. This paper discusses in
dications for its use, venous ac
cess sites, and parenteral solu
tions, including insulin admix
ture ; reviews protocols devel
oped for TPN initiation and
blood glucose management in
three specifically defined diabetic
patient categories; and considers
methods of achieving glucose
homeostasis in the diabetic
surgical patient.
Get full access to this article
View all access options for this article.
References
1.
Mascioli EA, Bistrian BRTPN in the patient with diabetes. Nutr Supp Serv1983;3:12-16.
2.
Hopkins BS, Bistrian BR, Blackbum GLProtein-calorie management in the hospitalized patient. In: Schneider HA, Anderson CE , Coursin DB, eds. Nutritional support of medical practice. Philadelphia: Harper and Row, 1983:140-59.
Bernard MA, Jacobs DO, Rombeau JLNutritional and metabolic support of hospitalized patients. Philadelphia: WB Saunders, 1986.
11.
Hanshaw MLDiabetogenic factors and the use of supplemental insulin in central parenteral nutrition. Nutr Supp Serv1984;10:19-22.
12.
Silberman H., Eisenberg D.Parenteral nutrition: the glucose system. In: Parenteral and enteral nutrition for the hospitalized patient. Norwalk, Conn: Appleton-Century-Crofts, 1982 ;166-67.
13.
Newmark SR, Key JC, Roberts J.Perioperative stabilization of glucose levels in patients supported with total parenteral nutrition. J Parenter Enteral Nutr1980;4:494-98.
Blumenkrantz MJ, Roberts CE, Card B., et al. Nutritional management of the adult patient undergoing peritoneal dialysis. J Am Diet Assoc1978;73:251-56.
16.
Rossini AA, Hare JWHow to control the blood glucose level in the surgical diabetic patient. Arch Surg1976;3:945-49.
17.
Woolfson Amj : Control of blood glucose during nutritional support of ill patients. Intensive Care Med1980;7:11-14.
18.
Mullen JL, Buzby GP, et al. Reduction of operative morbidity and mortality by combined preoperative and postoperative nutritional support. Ann Surg1980; 192:604-13.
19.
Ang SD, Daly JMPotential complications and monitoring of patients receiving TPN. In: Rombeau JL, Caldwell MD, eds. Parenteral nutrition. Philadelphia: WB Saunders, 1986:331-40.
