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Managing hyperglycemia and diabetes in patients receiving enteral feedings: A health system approach.

Publication ,  Journal Article
Mabrey, ME; Barton, AB; Corsino, L; Freeman, SB; Davis, ED; Bell, EL; Setji, TL
Published in: Hosp Pract (1995)
2015

Evidence of poor outcomes in hospitalized patients with hyperglycemia has led to new and revised guidelines for inpatient management of diabetes. As providers become more aware of the need for better blood glucose control, they are finding limited guidance in the management of patients receiving enteral nutrition. To address the lack of guidelines in this population, Duke University Health System has developed a consistent practice for managing such patients. Here, we present our practice strategies for insulin use in patients receiving enteral nutrition. Essential factors include assessing the patients' history of diabetes, hyperglycemia, or hypoglycemia and timing and type of feedings. Insulin practices are then designed to address these issues keeping in mind patient safety in the event of abrupt cessation of nutrition. The outcome of the process is a consistent and safe method for glucose control with enteral nutrition.

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Published In

Hosp Pract (1995)

DOI

ISSN

2154-8331

Publication Date

2015

Volume

43

Issue

2

Start / End Page

74 / 78

Location

England

Related Subject Headings

  • Practice Guidelines as Topic
  • Nutritional Support
  • Inpatients
  • Hypoglycemia
  • Hyperglycemia
  • Humans
  • Enteral Nutrition
  • Disease Management
  • Diabetes Mellitus, Type 2
  • 4203 Health services and systems
 

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Mabrey, M. E., Barton, A. B., Corsino, L., Freeman, S. B., Davis, E. D., Bell, E. L., & Setji, T. L. (2015). Managing hyperglycemia and diabetes in patients receiving enteral feedings: A health system approach. Hosp Pract (1995), 43(2), 74–78. https://doi.org/10.1080/21548331.2015.1022493
Mabrey, Melanie E., Anna Beth Barton, Leonor Corsino, Susan B. Freeman, Ellen D. Davis, Elizabeth L. Bell, and Tracy L. Setji. “Managing hyperglycemia and diabetes in patients receiving enteral feedings: A health system approach.Hosp Pract (1995) 43, no. 2 (2015): 74–78. https://doi.org/10.1080/21548331.2015.1022493.
Mabrey ME, Barton AB, Corsino L, Freeman SB, Davis ED, Bell EL, et al. Managing hyperglycemia and diabetes in patients receiving enteral feedings: A health system approach. Hosp Pract (1995). 2015;43(2):74–8.
Mabrey, Melanie E., et al. “Managing hyperglycemia and diabetes in patients receiving enteral feedings: A health system approach.Hosp Pract (1995), vol. 43, no. 2, 2015, pp. 74–78. Pubmed, doi:10.1080/21548331.2015.1022493.
Mabrey ME, Barton AB, Corsino L, Freeman SB, Davis ED, Bell EL, Setji TL. Managing hyperglycemia and diabetes in patients receiving enteral feedings: A health system approach. Hosp Pract (1995). 2015;43(2):74–78.

Published In

Hosp Pract (1995)

DOI

ISSN

2154-8331

Publication Date

2015

Volume

43

Issue

2

Start / End Page

74 / 78

Location

England

Related Subject Headings

  • Practice Guidelines as Topic
  • Nutritional Support
  • Inpatients
  • Hypoglycemia
  • Hyperglycemia
  • Humans
  • Enteral Nutrition
  • Disease Management
  • Diabetes Mellitus, Type 2
  • 4203 Health services and systems