期刊
INTERNAL MEDICINE
卷 62, 期 7, 页码 1023-1029出版社
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.0287-22
关键词
glycemic excursion; parenteral nutrition; short bowel syndrome; type 1 diabetes
In this case report, we present a 52-year-old woman with a rare combination of short bowel syndrome and complete loss of endogenous insulin due to type 1 diabetes. The patient was treated with total parenteral nutrition and co-administration of insulin, which provided insights on glycemic excursion and insulin action in type 1 diabetes without the usual obstacles of subcutaneous injection of insulin and oral intake of nutrients.
We herein report a 52-year-old woman with a rare combination of short bowel syndrome due to massive resection of the small intestine and complete loss of endogenous insulin due to type 1 diabetes. To provide nutritional support, she was treated with total parenteral nutrition with co-administration of insulin, requiring careful matching of insulin and glucose levels. This case report provides insights on glycemic excursion and insulin action in type 1 diabetes, even when both insulin and glucose are administered directly into circulation, and the usual obstacles caused by subcutaneous injection of insulin and oral intake of nutrients are eliminated.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据