Parenteral Nutrition in Diabetes Mellitus

Abstract

Total parenteral nutrition (TPN) may be the essential and only viable route by which to nourish enterally compromised diabetic patients. This paper discusses in dications for its use, venous ac cess sites, and parenteral solu tions, including insulin admix ture ; reviews protocols devel oped for TPN initiation and blood glucose management in three specifically defined diabetic patient categories; and considers methods of achieving glucose homeostasis in the diabetic surgical patient.