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Journal of Parenteral and Enteral Nutrition
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Evaluation of a Practical Technique for Determining Insulin Requirements in Diabetic Patients Receiving Total Parenteral Nutrition

Tonya Hongsermeier, MD

Nutrition Support Service, New England Deaconess Hospital, Harvard Medical School, Boston

Bruce R. Bistrian, MD, PHD

Nutrition Support Service, New England Deaconess Hospital, Harvard Medical School, Boston

A practical technique to provide central parenteral nutrition to insulin-taking diabetic patients based on prehospitalization insulin requirements and insulin placed in the central parenteral nutrition was originally presented based on retrospective review. The present article confirms the safety and applicability of this method after a multiyear period of application. Particularly noteworthy are the absence of hypoglycemic episodes, the attainment of reasonable blood glucose control, and the relatively consistent relationship of insulin required in central parenteral nutrition to prehospitalization insulin requirements. (Journal of Parenteral and Enteral Nutrition 17:16-19, 1993)

Journal of Parenteral and Enteral Nutrition, Vol. 17, No. 1, 16-19 (1993)
DOI: 10.1177/014860719301700116
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Home page
 JPEN J Parenter Enteral NutrHome page
A. L. Peters and M. B. Davidson
The Challenge of Blood Glucose Management in Diabetic Patients Receiving Enteral or Parenteral Nutrition
JPEN J Parenter Enteral Nutr, January 1, 1993; 17(1): 1 - 2.
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