Insulin resistance in nutritional support
- Loss of sensitivity to insulin (insulin resistance) is commonly seen in patients requiring nutritional support on intensive care units. This insulin resistance is one factor in the generally "catabolic" state of such patients. The clinician must be aware of, and take into account, this insulin resistance in planning nutritional support. Practical measures include the administration of insulin together with hypertonic glucose, and the provision of up to 50 % of non-protein calories as a lipid emulsion. © 1988.
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