[Infusion therapy and parenteral feeding in diabetes mellitus]

Infusion therapy and parenteral nutrition demand the consideration of diabetes-specific peculiarities in coma diabeticum, in the pre-, intra- and postoperative phase and in the parenteral nutrition which is to be performed for a long time. Adequate points of the centre of the coma therapy are: substitution of fluid, insulin and electrolytes. There exist partly still diverging opinions on the way of the practical approach. The nowadays usual methods are demonstrated as guide lines. The care of the diabetic in the pre-, intra- and postoperative phase is described and the author enters the particular problems of the parenteral nutrition in diabetes mellitus from the pragmatic points of view.