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Nutritional support for critically ill patients with diabetes mellitus will be successful when nutrition meets the patient's metabolic needs; blood glucose levels are maintained between 100 and 200 mg/dL; complications of hyperglycemia, sepsis, and hypoglycemia are prevented; insulin dosages take basal metabolic needs, stress level, pharmacologic therapy, and the degree of illness into account; and nutritional support is provided in the least invasive manner possible. Providing nutritional support without adequate glycemic control and appropriate insulin administration is counterproductive for the patient. Careful monitoring of blood glucose and blood chemistries, along with the physical assessment of patients receiving nutritional support, are essential to successful treatment. Further research is necessary to define better which levels of glycemic control are most beneficial for providing optimal nutritional support for critically ill patients with diabetes mellitus.
D M Pitts, and
K A Kilo, and
S L Pontious
March 1993,
Critical care nursing clinics of North America,
D M Pitts, and
K A Kilo, and
S L Pontious
March 1993,
Critical care nursing clinics of North America,
D M Pitts, and
K A Kilo, and
S L Pontious
May 2001,
Nihon rinsho. Japanese journal of clinical medicine,
D M Pitts, and
K A Kilo, and
S L Pontious
May 1984,
The Australian nurses' journal. Royal Australian Nursing Federation,
D M Pitts, and
K A Kilo, and
S L Pontious
June 1990,
Critical care nursing clinics of North America,
D M Pitts, and
K A Kilo, and
S L Pontious
April 2020,
British journal of nursing (Mark Allen Publishing),
D M Pitts, and
K A Kilo, and
S L Pontious
August 1999,
Current gastroenterology reports,
D M Pitts, and
K A Kilo, and
S L Pontious
April 1992,
Focus on critical care,
D M Pitts, and
K A Kilo, and
S L Pontious
January 1990,
Nutrition (Burbank, Los Angeles County, Calif.),
D M Pitts, and
K A Kilo, and
S L Pontious
November 1991,
Revue medicale de la Suisse romande,
