naa a22 4500 510779115 CHVBK 20180411083241.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s11892-012-0335-y doi (NATIONALLICENCE)springer-10.1007/s11892-012-0335-y Management of Hyperglycemia During Enteral and Parenteral Nutrition Therapy [Elektronische Daten] [Aidar Gosmanov, Guillermo Umpierrez] Hyperglycemia is a frequent complication of enteral and parenteral nutrition in hospitalized patients. Extensive evidence from observational studies indicates that the development of hyperglycemia during parenteral and enteral nutrition is associated with an increased risk of death and infectious complications. There are no specific guidelines recommending glycemic targets and effective strategies for the management of hyperglycemia during specialized nutritional support. Managing hyperglycemia in these patients should include optimization of carbohydrate content and administration of intravenous or subcutaneous insulin therapy. The administration of continuous insulin infusion and insulin addition to nutrition bag are efficient approaches to control hyperglycemia during parenteral nutrition. Subcutaneous administration of long-acting insulin with scheduled or corrective doses of short-acting insulin is superior to the sliding scale insulin strategy in patients receiving enteral feedings. Randomized controlled studies are needed to evaluate safe and effective therapeutic strategies for the management of hyperglycemia in patients receiving nutritional support. Springer Science+Business Media New York, 2012 Nutrition support nationallicence Insulin nationallicence Diabetes mellitus nationallicence Parenteral nutrition nationallicence Enteral nutrition nationallicence Hyperglycemia nationallicence Gosmanov Aidar Department of Medicine, Division of Endocrinology, University of Tennessee Health Science Center, 920 Madison Avenue, Suite 300A, 38163, Memphis, TN, USA aut Umpierrez Guillermo Department of Medicine, Division of Endocrinology, Emory University School of Medicine, Atlanta, GA, USA aut Current Diabetes Reports Current Science Inc. 13/1(2013-02-01), 155-162 1534-4827 13:1<155 2013 13 11892 https://doi.org/10.1007/s11892-012-0335-y text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-012-0335-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gosmanov Aidar Department of Medicine, Division of Endocrinology, University of Tennessee Health Science Center, 920 Madison Avenue, Suite 300A, 38163, Memphis, TN, USA aut NATIONALLICENCE 700 1- Umpierrez Guillermo Department of Medicine, Division of Endocrinology, Emory University School of Medicine, Atlanta, GA, USA aut NATIONALLICENCE 773 0- Current Diabetes Reports Current Science Inc 13/1(2013-02-01), 155-162 1534-4827 13:1<155 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer