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Updated: Jun 5, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Inpatient enteral and parenteral [corrected] nutrition for patients with diabetes
Michael A Via1, Jeffrey I Mechanick
1Division of Endocrinology and Metabolism, Beth Israel Medical Center, Albert Einstein College of Medicine, 55 East 34th Street, New York, NY 10016, USA. mvia@chpnet.org
Abstract:
Both glycemic control and adequate nutrition support impact the clinical outcome of hospitalized patients. Providing nutrition to malnourished patients using the enteral or parenteral route may increase the risk of hyperglycemia, especially in patients with diabetes. Hyperglycemia can be managed through the use of enteral tube feeds with reduced carbohydrate content or limiting the carbohydrate concentration in parenteral formulas. Judicious use of insulin or other glucose-lowering medications synchronized with appropriate nutrition support allows for optimal inpatient glycemic control.
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