Protocol for blood glucose control during enteral nutrition induction in patients with diabetes mellitus

Article type: Research Article

Authors: Cortinovis, F.^a | Cortesi, L.^a | Sileo, F.^a

Affiliations: [a] USSD Dietologia Clinica, AO Ospedali Riuniti Bergamo, Largo Barozzi 1, 24128 Bergamo, Italy. e-mail: fcortinovis@ospedaliriuniti.bergamo.it

Abstract: The induction of enteral nutrition in diabetic subjects is problematic because of the difficulty in controlling glycaemia. The use of a sliding scale is discouraged, while scheduled insulin therapy is optimal. We compiled a protocol for patients' insulinisation during induction of enteral nutrition that takes into account basal and nutritional requirements. This allows the fulfilment of patients' actual insulin requirements and optimisation of insulin therapy.

Keywords: Blood glucose control, Enteral nutrition induction, Diabetes mellitus

DOI: 10.3233/s12349-008-0024-1

Journal: Mediterranean Journal of Nutrition and Metabolism, vol. 1, no. 3, pp. 159-163, 2009