Cited by 7Hyperglycemia and glycemic control in critically ill and hospitalized patientsClinical Nutrition and GastroenterologyDiabetes Management and Research

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Inadequate glycemic control in patients receiving parenteral nutrition lowers survival: A retrospective observational trial

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Coudenys, Elien, De Waele, Elisabeth, Meers, Garmt, Collier, Hilde, Pen, Joeri J.·2018·Clinical Nutrition Experimental

Abstract

Background & aims Parenteral Nutrition (PN) has been shown to cause glycemic deregulation, whether patients have type 2 diabetes (T2DM) or not, causing elevated mortality, despite intensive insulin treatment. Long-term effects, however, are unclear. Methods A retrospective observational study was performed. 226 patients of the UZ Brussel, both T2DM patients and non-diabetics, who received PN in 2013 or 2014, were analyzed on the presence of hyperglycemia and hypoglycemia, as well as mortality in-hospital and after 6 months. Results Here we show that T2DM patients displaying either hyper- or hypoglycemia, had a significant higher mortality. This was the case both in-hospital and after 6 months. Non-diabetics undergoing hyperglycemia had a similar fate, but not when these patients had hypoglycemic events. Conclusion Whether PN-receiving patients had T2DM or were non-diabetic, hyperglycemia was related to mortality, both in-hospital and after 6 months, whereas hypoglycemia was only related to mortality in T2DM patients.

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Metadata

Authors
Coudenys, E., De Waele, E., Meers, G., Collier, H., & Pen, J. J.
Affiliations
Vrije Universiteit Brussel (BE)
Corresponding author
Pen, Joeri J.
Venue
Clinical Nutrition Experimental
Publisher
Elsevier BV
Published
2018-02
Volume
17
Pages
1-7
ISSN
2352-9393 (ISSN-L)
OpenAlex
W2772310703
Cited by
7
References
3
Citations by year
2024: 1 · 2023: 1 · 2021: 3 · 2020: 2
FWCI
0.43
Type
journal article
Language
en
Open access
Locations
  • Clinical Nutrition Experimental (publishedVersion, cc-by-nc-nd)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • VUBIR (Vrije Universiteit Brussel) (submittedVersion)
Funders
European Society for Clinical Nutrition and Metabolism
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
parenteral nutrition, glycemic control, type 2 diabetes, hyperglycemia, hypoglycemia, mortality, intensive insulin therapy, non-diabetic patients, in-hospital mortality, long-term survival

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CoChat. (2026). Citation check: Inadequate glycemic control in patients receiving parenteral nutrition lowers survival: A retrospective observational trial. https://app.cochat.ai/papers/10.1016/j.yclnex.2017.12.001
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Coudenys, E., De Waele, E., Meers, G., Collier, H., & Pen, J. J. (2018). Inadequate glycemic control in patients receiving parenteral nutrition lowers survival: A retrospective observational trial. Clinical Nutrition Experimental. https://doi.org/10.1016/j.yclnex.2017.12.001