Incretin Effects and Enteral Feed Transitions

Critically ill patients are regularly fed with constant enteral nutrition infusions. However, the incretin effects of its impact on endogenous insulin concentration and secretion remains to be investigated. Many studies concluded the incretin effects are strongly driven by enteral feeding. This chap...

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Main Authors:	Ummu Kulthum, Jamaludin, Docherty, Paul D., Preiser, Jean-Charles
Format:	Book Section
Language:	English
Published:	Springer 2014
Subjects:	T Technology (General) R Medicine (General)
Online Access:	http://umpir.ump.edu.my/id/eprint/7401/ http://umpir.ump.edu.my/id/eprint/7401/ http://umpir.ump.edu.my/id/eprint/7401/ http://umpir.ump.edu.my/id/eprint/7401/1/309904_0_En_157-1.pdf

id	ump-7401
recordtype	eprints
spelling	ump-74012018-11-30T02:03:07Z http://umpir.ump.edu.my/id/eprint/7401/ Incretin Effects and Enteral Feed Transitions Ummu Kulthum, Jamaludin Docherty, Paul D. Preiser, Jean-Charles T Technology (General) R Medicine (General) Critically ill patients are regularly fed with constant enteral nutrition infusions. However, the incretin effects of its impact on endogenous insulin concentration and secretion remains to be investigated. Many studies concluded the incretin effects are strongly driven by enteral feeding. This chapter deliberates current scenario in intensive care unit dealing with hyperglycemia which can be assisted by glycemic control protocol to prevent mortality and other adverse occurrences. Brief discussions on methodology consideration including enteral nutrition criterion and the identification of insulin sensitivity were included. Analyses based on the findings of glycemic control protocol with enteral feed-driven incretin effects were also highlighted to allow investigation on the incretin effect in critically ill patients via the changes in insulin sensitivity between feeding transitions. Although results have made distinct the incretin effect successfully, there are still limitations to the current study such as isolated gastrointestinal hormones. Thus, this chapter aims to aid clinicians and researchers to integrate this physiological effect into their current practice and applications in treating critically ill patients with hyperglycemia and other conditions. It also provides platform to design conclusive studies on incretin effect and to inform glycemic control protocol development and implementation in critical care. Springer 2014 Book Section PeerReviewed application/pdf en http://umpir.ump.edu.my/id/eprint/7401/1/309904_0_En_157-1.pdf Ummu Kulthum, Jamaludin and Docherty, Paul D. and Preiser, Jean-Charles (2014) Incretin Effects and Enteral Feed Transitions. In: Diet and Nutrition in Critical Care. Springer, New York, pp. 1-14. ISBN 978-1-4614-8503-2 (online) http://dx.doi.org/10.1007/978-1-4614-8503-2_157-1 DOI: 10.1007/978-1-4614-8503-2_157-1
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Malaysia Pahang
building	UMP Institutional Repository
collection	Online Access
language	English
topic	T Technology (General) R Medicine (General)
spellingShingle	T Technology (General) R Medicine (General) Ummu Kulthum, Jamaludin Docherty, Paul D. Preiser, Jean-Charles Incretin Effects and Enteral Feed Transitions
description	Critically ill patients are regularly fed with constant enteral nutrition infusions. However, the incretin effects of its impact on endogenous insulin concentration and secretion remains to be investigated. Many studies concluded the incretin effects are strongly driven by enteral feeding. This chapter deliberates current scenario in intensive care unit dealing with hyperglycemia which can be assisted by glycemic control protocol to prevent mortality and other adverse occurrences. Brief discussions on methodology consideration including enteral nutrition criterion and the identification of insulin sensitivity were included. Analyses based on the findings of glycemic control protocol with enteral feed-driven incretin effects were also highlighted to allow investigation on the incretin effect in critically ill patients via the changes in insulin sensitivity between feeding transitions. Although results have made distinct the incretin effect successfully, there are still limitations to the current study such as isolated gastrointestinal hormones. Thus, this chapter aims to aid clinicians and researchers to integrate this physiological effect into their current practice and applications in treating critically ill patients with hyperglycemia and other conditions. It also provides platform to design conclusive studies on incretin effect and to inform glycemic control protocol development and implementation in critical care.
format	Book Section
author	Ummu Kulthum, Jamaludin Docherty, Paul D. Preiser, Jean-Charles
author_facet	Ummu Kulthum, Jamaludin Docherty, Paul D. Preiser, Jean-Charles
author_sort	Ummu Kulthum, Jamaludin
title	Incretin Effects and Enteral Feed Transitions
title_short	Incretin Effects and Enteral Feed Transitions
title_full	Incretin Effects and Enteral Feed Transitions
title_fullStr	Incretin Effects and Enteral Feed Transitions
title_full_unstemmed	Incretin Effects and Enteral Feed Transitions
title_sort	incretin effects and enteral feed transitions
publisher	Springer
publishDate	2014
url	http://umpir.ump.edu.my/id/eprint/7401/ http://umpir.ump.edu.my/id/eprint/7401/ http://umpir.ump.edu.my/id/eprint/7401/ http://umpir.ump.edu.my/id/eprint/7401/1/309904_0_En_157-1.pdf
first_indexed	2023-09-18T22:04:02Z
last_indexed	2023-09-18T22:04:02Z
_version_	1777414588113879040

Incretin Effects and Enteral Feed Transitions

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