What does this research mean for the field?

Safe and effective glycemic management in hospitalized adults receiving enteral or parenteral nutrition requires tailored insulin-based strategies to mitigate the severe risks of both hyperglycemia and hypoglycemia. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

What question did this study set out to answer?

To review clinical guideline recommendations and detail practical strategies for managing hyperglycemia safely and effectively in hospitalized patients with diabetes who require enteral or parenteral nutrition.

September 2, 2026Nutrition in Clinical Practice

Nutrition support‐focused strategies for glycemic management in hospitalized adults with diabetes: A narrative review

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Authors

CBChristopher T. BuckleyAmerican College of Clinical Pharmacy DMDiana Wells MulherinVanderbilt University Medical Center SCSarah V. CogleVanderbilt University Medical Center

Discussion

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Implication

Narrative review reveals glycemic management approaches for enteral and parenteral nutrition in hospitalized patients with diabetes, highlighting careful insulin titration to prevent acute...

Key Points

To review clinical guideline recommendations and detail practical strategies for managing hyperglycemia safely and effectively in hospitalized patients with diabetes who require enteral or parenteral nutrition.
Synthesized evidence-based guidelines and clinical protocols for inpatient glycemic control.
Evaluated management differences between outpatient diabetes regimens and acute care nutrition support, focusing on enteral and parenteral feeding modalities.
Highlighted that acute illness and stress induce hyperglycemia, which subsequently increases the risk of infections, prolonged hospital stays, and inpatient mortality.
Established insulin as the primary pharmacotherapy for glycemic control during enteral or parenteral feeding, replacing outpatient oral or injectable medications.
Identified acute clinical changes and unexpected feeding interruptions as major drivers of severe hypoglycemia during inpatient insulin therapy.

Cite This Study

Buckley et al. (2026) studied this question.

synapsesocial.com/papers/6a97e318c562ede874ec7b4f https://doi.org/10.1002/ncp.70175

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Implication

Narrative review reveals glycemic management approaches for enteral and parenteral nutrition in hospitalized patients with diabetes, highlighting careful insulin titration to prevent acute...

Nutrition support‐focused strategies for glycemic management in hospitalized adults with diabetes: A narrative review

Discussion

Member takes

Implication

Key Points

Cite This Study

Nutrition support‐focused strategies for glycemic management in hospitalized adults with diabetes: A narrative review

Discussion

Member takes

Implication

Key Points

Cite This Study

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Also Consider