2 results

Influence of gastric emptying on the control of postprandial glycemia: physiology and therapeutic implications

Marcos Antonio Tambascia, Domingos Augusto Cherino Malerbi, Freddy Goldberg Eliaschewitz

DOI: 10.1590/S1679-45082014RB2862

The maintenance of glucose homeostasis is complex and involves, besides the secretion and action of insulin and glucagon, a hormonal and neural mechanism, regulating the rate of gastric emptying. This mechanism depends on extrinsic and intrinsic factors. Glucagon-like peptide-1 secretion regulates the speed of gastric emptying, contributing to the control of postprandial glycemia. The pharmacodynamic characteristics of various agents of this class can explain the effects more relevant in fasting or postprandial glucose, and can thus guide the individualized treatment, […]

Assessment of nursing perceptions of three insulin protocols for blood glucose control in critically ill patients

Thiago Domingos Corrêa, Francisca Pereira de Almeida, Alexandre Biasi Cavalcanti, Adriano José Pereira, Eliézer Silva

DOI: 10.1590/S1679-45082012000300016

Objective:To evaluate nurses’ perception regarding three different blood glucose control protocols for critically ill patients.METHODS:As part of a randomized trial comparing three blood glucose control protocols in critically ill patients (Computer-Assisted Insulin Protocol, Leuven Protocol, and conventional treatment), all nurses participating in the study were asked to fill in a questionnaire to assess their perceptions of efficacy, complexity, feasibility, and safety (as to the occurrence of hypoglycemic episodes), an to indicate which protocol they would like to see adopted as […]