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Carbohydrates – Guidelines on Parenteral Nutrition, Chapter 5

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Author(s): Bolder, U. | Ebener, C. | Hauner, H. | Jauch, K. W. | Kreymann, G. | Ockenga, J. | Traeger, K. | Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine

Journal: GMS German Medical Science
ISSN 1612-3174

Volume: 7;
Start page: Doc23;
Date: 2009;
Original page

Keywords: glucose | fructose | non-protein calories | hyperglycaemia | insulin

ABSTRACT
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
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