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 developed a “protocol for blood glucose control during enteral nutrition induction in patients with diabetes mellitus” that takes into account basal and nutritional requirements. We demonstrated that scheduled insulinization reveals to be highly safe and adequate to respond to the needs of patients affected by diabetes mellitus type 1 and 2, receiving enteral nutrition.