Vol 7, No 5 (2018)
Review article
Published online: 2018-11-27
Monitoring of glucose metabolism in patients receiving enteral nutrition
DOI: 10.5603/DK.2018.0023
Clin Diabetol 2018;7(5):230-233.
Abstract
Hyperglycemia is frequently occurring in critically ill patients and the incidence is particularly high in patients receiving nutrition support. One of the forms of such nutrition is enteral nutrition, which is used particularly often. There are patients with type 1 diabetes, type 2 diabetes and other forms of diabetes as well as patients who have not previously been diagnosed with diabetes in this group of patients. The basis of pharmacotherapy in this case is an insulin therapy. The principles of such a therapy in patients with previously diagnosed diabetes are regulated by PTD guidelines. According to literature data, hyperglycemic patients with no previously diagnosed diabetes require special attention. The pathomechanism of these disorders is very complex and these patients require special care in determining the insulin therapy program. So far, there are no unambiguous guidelines in this area.
Keywords: enteral nutritionhyperglycemiadiabetesnon-diabetic hyperglycemiaglycemic controlinsulin therapy
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