Med. praxi. 2010;7(3):149-151

Enteral and parenteral nutrition in diabetes

prof.MUDr.Luboš Sobotka, CSc.

Klinika gerontologická a metabolická, FN Hradec Králové

Enteral and parenteral nutritional support has significantly improved the prognosis of patients who would have died without this support

in the past. It can be administered to patients suffering from any kind of disease. Thus, diabetes mellitus is not an obstacle to providing

full nutritional support either. In type 1 diabetes, it is particularly necessary to supply an adequate amount of exogenous insulin. The

method of administration depends on the patient‘s general condition, the presence of inflammation, the method of nutritional support

and other conditions. In type 2 diabetes, discontinuation of oral antidiabetic drugs is always indicated in an acute state. Nutritional

support is often modified by an effort to reduce body weight in this type of diabetes (particularly when associated with obesity). This

can improve the course of possible subsequent surgery. Careful monitoring of blood glucose levels and appropriate responses to their

changes are absolutely essential for successful nutritional therapy in both types of diabetes.

Keywords: enteral nutrition, parenteral nutrition, diabetes mellitus

Published: May 1, 2010  Show citation