open access

Vol 10, No 3 (2021)
Case report
Published online: 2021-03-08
Get Citation

Parenterally fed patient — the problem of insulin therapy and more

Marcin Kleibert1, Beata Mrozikiewicz-Rakowska1, Leszek Czupryniak1
DOI: 10.5603/DK.a2021.0005
·
Clinical Diabetology 2021;10(3):310-315.
Affiliations
  1. Department of Diabetology and Internal Diseases, Medical University of Warsaw, Poland

open access

Vol 10, No 3 (2021)
Case reports
Published online: 2021-03-08

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.

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.

Get Citation

Keywords

parenteral nutrition, diabetes mellitus, short bowel syndrome, hyperglycaemia, insulin therapy

About this article
Title

Parenterally fed patient — the problem of insulin therapy and more

Journal

Clinical Diabetology

Issue

Vol 10, No 3 (2021)

Article type

Case report

Pages

310-315

Published online

2021-03-08

DOI

10.5603/DK.a2021.0005

Bibliographic record

Clinical Diabetology 2021;10(3):310-315.

Keywords

parenteral nutrition
diabetes mellitus
short bowel syndrome
hyperglycaemia
insulin therapy

Authors

Marcin Kleibert
Beata Mrozikiewicz-Rakowska
Leszek Czupryniak

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