Carbohydrates – Guidelines on Parenteral Nutrition, Chapter 5
The main role of carbohydrates in the human body is to provide energy. Carbohydrates should always be infused with PN (parenteral nutrition) in combination with amino acids and lipid emulsions to improve nitrogen balance. Glucose should be provided as a standard carbohydrate for PN, whereas the use...
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| Format: | Article |
| Language: | deu |
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German Medical Science GMS Publishing House
2009-11-01
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| Series: | GMS German Medical Science |
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| Online Access: | http://www.egms.de/static/en/journals/gms/2009-7/000082.shtml |
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| author | Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine Traeger, K. Ockenga, J. Kreymann, G. Jauch, K. W. Hauner, H. Ebener, C. Bolder, U. |
| author_facet | Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine Traeger, K. Ockenga, J. Kreymann, G. Jauch, K. W. Hauner, H. Ebener, C. Bolder, U. |
| author_sort | Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine |
| collection | DOAJ |
| description | The main role of carbohydrates in the human body is to provide energy. Carbohydrates should always be infused with PN (parenteral nutrition) in combination with amino acids and lipid emulsions to improve nitrogen balance. Glucose should be provided as a standard carbohydrate for PN, whereas the use of xylite is not generally recommended. Fructose solutions should not be used for PN. Approximately 60% of non-protein energy should be supplied as glucose with an intake of 3.0–3.5 g/kg body weight/day (2.1–2.4 mg/kg body weight/min). In patients with a high risk of hyperglycaemia (critically ill, diabetes, sepsis, or steroid therapy) an lower initial carbohydrate infusion rate of 1–2 g/kg body weight/day is recommended to achieve normoglycaemia. One should aim at reaching a blood glucose level of 80–110 mg/dL, and at least a glucose level <145 mg/dL should be achieved to reduce morbidity and mortality. Hyperglycaemia may require addition of an insulin infusion or a reduction (2.0–3.0 g/kg body weight/day) or even a temporary interruption of glucose infusion. Close monitoring of blood glucose levels is highly important. |
| first_indexed | 2024-12-12T19:36:24Z |
| format | Article |
| id | doaj.art-6355c675b3d74dd79824730f650a3ec3 |
| institution | Directory Open Access Journal |
| issn | 1612-3174 |
| language | deu |
| last_indexed | 2024-12-12T19:36:24Z |
| publishDate | 2009-11-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS German Medical Science |
| spelling | doaj.art-6355c675b3d74dd79824730f650a3ec32022-12-22T00:14:19ZdeuGerman Medical Science GMS Publishing HouseGMS German Medical Science1612-31742009-11-017Doc23Carbohydrates – Guidelines on Parenteral Nutrition, Chapter 5Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional MedicineTraeger, K.Ockenga, J.Kreymann, G.Jauch, K. W.Hauner, H.Ebener, C.Bolder, U.The main role of carbohydrates in the human body is to provide energy. Carbohydrates should always be infused with PN (parenteral nutrition) in combination with amino acids and lipid emulsions to improve nitrogen balance. Glucose should be provided as a standard carbohydrate for PN, whereas the use of xylite is not generally recommended. Fructose solutions should not be used for PN. Approximately 60% of non-protein energy should be supplied as glucose with an intake of 3.0–3.5 g/kg body weight/day (2.1–2.4 mg/kg body weight/min). In patients with a high risk of hyperglycaemia (critically ill, diabetes, sepsis, or steroid therapy) an lower initial carbohydrate infusion rate of 1–2 g/kg body weight/day is recommended to achieve normoglycaemia. One should aim at reaching a blood glucose level of 80–110 mg/dL, and at least a glucose level <145 mg/dL should be achieved to reduce morbidity and mortality. Hyperglycaemia may require addition of an insulin infusion or a reduction (2.0–3.0 g/kg body weight/day) or even a temporary interruption of glucose infusion. Close monitoring of blood glucose levels is highly important.http://www.egms.de/static/en/journals/gms/2009-7/000082.shtmlglucosefructosenon-protein calorieshyperglycaemiainsulin |
| spellingShingle | Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine Traeger, K. Ockenga, J. Kreymann, G. Jauch, K. W. Hauner, H. Ebener, C. Bolder, U. Carbohydrates – Guidelines on Parenteral Nutrition, Chapter 5 GMS German Medical Science glucose fructose non-protein calories hyperglycaemia insulin |
| title | Carbohydrates – Guidelines on Parenteral Nutrition, Chapter 5 |
| title_full | Carbohydrates – Guidelines on Parenteral Nutrition, Chapter 5 |
| title_fullStr | Carbohydrates – Guidelines on Parenteral Nutrition, Chapter 5 |
| title_full_unstemmed | Carbohydrates – Guidelines on Parenteral Nutrition, Chapter 5 |
| title_short | Carbohydrates – Guidelines on Parenteral Nutrition, Chapter 5 |
| title_sort | carbohydrates guidelines on parenteral nutrition chapter 5 |
| topic | glucose fructose non-protein calories hyperglycaemia insulin |
| url | http://www.egms.de/static/en/journals/gms/2009-7/000082.shtml |
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