Preventing glycaemic excursions in diabetic patients requiring percutaneous endoscopic gastrostomy (PEG) feeding after a stroke
Authors: Kerr, D., Hamilton, P. and Cavan, D.A.
Journal: Diabetic Medicine
Volume: 19
Issue: 12
Pages: 1006-1008
ISSN: 0742-3071
DOI: 10.1046/j.1464-5491.2002.00849.x
Abstract:Aims and methods: Enteral feeding for diabetic patients with a stroke is often associated with hyperglycaemia and/or hypoglycaemia, which can adversely influence neurological recovery. We have developed a structured enteral feeding programme aimed at establishing 'normal' feeding patterns and avoiding marked glycaemic excursions. Results: Of 332 consecutive patients admitted to an acute stroke unit, 20 of 41 diabetic patients required PEG feeding. Over the initial 24-48 h, patients had 22- h feeds with continuous intravenous infusion of soluble insulin. Thereafter, they were established on three feeds per day. Soluble insulin was given prior to each feed with isophane insulin at 2200 h. Average duration of feed was 13 ± 8 days with an achieved glucose level of 8.7 ± 2.5 (mean ± SD) mmol/l associated with 0.8 episodes of biochemical hypoglycaemia (< 3 mmol/l) each week. Conclusions: A structured enteral feeding programme for PEG-fed diabetic patients can improve the quality of care with avoidance of marked glycaemic excursions.
Source: Scopus
Preventing glycaemic excursions in diabetic patients requiring percutaneous endoscopic gastrostomy (PEG) feeding after a stroke.
Authors: Kerr, D., Hamilton, P. and Cavan, D.A.
Journal: Diabet Med
Volume: 19
Issue: 12
Pages: 1006-1008
ISSN: 0742-3071
DOI: 10.1046/j.1464-5491.2002.00849.x
Abstract:AIMS AND METHODS: Enteral feeding for diabetic patients with a stroke is often associated with hyperglycaemia and/or hypoglycaemia, which can adversely influence neurological recovery. We have developed a structured enteral feeding programme aimed at establishing 'normal' feeding patterns and avoiding marked glycaemic excursions. RESULTS: Of 332 consecutive patients admitted to an acute stroke unit, 20 of 41 diabetic patients required PEG feeding. Over the initial 24-48 h, patients had 22- h feeds with continuous intravenous infusion of soluble insulin. Thereafter, they were established on three feeds per day. Soluble insulin was given prior to each feed with isophane insulin at 2200 h. Average duration of feed was 13 +/- 8 days with an achieved glucose level of 8.7 +/- 2.5 (mean +/- SD) mmol/l associated with 0.8 episodes of biochemical hypoglycaemia (< 3 mmol/l) each week. CONCLUSIONS: A structured enteral feeding programme for PEG-fed diabetic patients can improve the quality of care with avoidance of marked glycaemic excursions.
Source: PubMed
Preventing glycaemic excursions in diabetic patients requiring percutaneous endoscopic gastrostomy (PEG) feeding after a stroke
Authors: Kerr, D., Hamilton, P. and Cavan, D.A.
Journal: DIABETIC MEDICINE
Volume: 19
Issue: 12
Pages: 1006-1008
eISSN: 1464-5491
ISSN: 0742-3071
DOI: 10.1046/j.1464-5491.2002.00849.x
Source: Web of Science (Lite)
Preventing glycaemic excursions in diabetic patients requiring percutaneous endoscopic gastrostomy (PEG) feeding after a stroke
Authors: Kerr, D., Hamilton, P. and Cavan, D.A.
Journal: Diabetic Medicine
Volume: 19
Pages: 1006-1008
ISSN: 0742-3071
DOI: 10.1046/j.1464-5491.2002.00849.x
Abstract:Aims and methods Enteral feeding for diabetic patients with a stroke is often associated with hyperglycaemia and/or hypoglycaemia, which can adversely influence neurological recovery. We have developed a structured enteral feeding programme aimed at establishing ‘normal’ feeding patterns and avoiding marked glycaemic excursions.
Results Of 332 consecutive patients admitted to an acute stroke unit, 20 of 41 diabetic patients required PEG feeding. Over the initial 24–48 h, patients had 22- h feeds with continuous intravenous infusion of soluble insulin. Thereafter, they were established on three feeds per day. Soluble insulin was given prior to each feed with isophane insulin at 2200 h. Average duration of feed was 13 ± 8 days with an achieved glucose level of 8.7 ± 2.5 (mean ±sd) mmol/l associated with 0.8 episodes of biochemical hypoglycaemia (< 3 mmol/l) each week.
Conclusions A structured enteral feeding programme for PEG-fed diabetic patients can improve the quality of care with avoidance of marked glycaemic excursions.
http://www.blackwell-synergy.com/links/doi/10.1046/j.1464-5491.2002.00849.x
Source: Manual
Preferred by: David Kerr
Preventing glycaemic excursions in diabetic patients requiring percutaneous endoscopic gastrostomy (PEG) feeding after a stroke.
Authors: Kerr, D., Hamilton, P. and Cavan, D.A.
Journal: Diabetic medicine : a journal of the British Diabetic Association
Volume: 19
Issue: 12
Pages: 1006-1008
eISSN: 1464-5491
ISSN: 0742-3071
DOI: 10.1046/j.1464-5491.2002.00849.x
Abstract:Aims and methods
Enteral feeding for diabetic patients with a stroke is often associated with hyperglycaemia and/or hypoglycaemia, which can adversely influence neurological recovery. We have developed a structured enteral feeding programme aimed at establishing 'normal' feeding patterns and avoiding marked glycaemic excursions.Results
Of 332 consecutive patients admitted to an acute stroke unit, 20 of 41 diabetic patients required PEG feeding. Over the initial 24-48 h, patients had 22- h feeds with continuous intravenous infusion of soluble insulin. Thereafter, they were established on three feeds per day. Soluble insulin was given prior to each feed with isophane insulin at 2200 h. Average duration of feed was 13 +/- 8 days with an achieved glucose level of 8.7 +/- 2.5 (mean +/- SD) mmol/l associated with 0.8 episodes of biochemical hypoglycaemia (< 3 mmol/l) each week.Conclusions
A structured enteral feeding programme for PEG-fed diabetic patients can improve the quality of care with avoidance of marked glycaemic excursions.Source: Europe PubMed Central