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  • Title: [Administration of glucose 33 p.c. with added high doses of insulin within a scheme of early total parenteral alimentation to patients with shock-related excessive caloric demand (author's transl)].
    Author: Haider W, Lackner F, Tonczar L.
    Journal: Anaesthesist; 1975 Jul; 24(7):289-98. PubMed ID: 814837.
    Abstract:
    40 patients, who had been admitted to the ICU in a stage of shock were given glucose 33 p.c. with added high doses of insulin, administered within a scheme of early total parenteral alimentation, along with fat emulsions and aminoacid solutions. It is demonstrated that this type of nutrition is able to improve metabolisation of glucose in a phase of impaired glucose utilisation following shock. The duration of reduced glucose utilisation is 5-10 days during which period increased addition of insulin (24-18 U insulin/50 g glucose) is advisable. After this time the action of endogenous insulin was improved to such an extent that the added insulin could be reduced to 12 U insulin/50 g glucose up to the third week and later (up to 49 days) to 8 U insulin/50 g glucose.
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