Parenterally fed patient — the problem of insulin therapy and more

Abstract

The management of diabetic patients after resection of
large intestinal sections is a significant clinical problem,
particularly when parenteral nutrition is required, which
increases the risk of hyperglycaemia. On the example of
a patient who underwent subtotal resection of the small
intestine due to mesenteric artery embolism, possible
approaches to blood glucose lowering treatment in such
patients in the perioperative period were discussed. We
presented the current perspective on insulin therapy
during parenteral nutrition and proposed a regimen for
such treatment. Potential use of glucagon-like peptide 2
analogues in patients with short bowel syndrome was
also highlighted.