Prevention of Postoperative Ketosis in the Diabetic

Abstract
The effect of hyperalimentation solutions providing near-normal caloric intake on ketone production was evaluated in two diabetic patients postoperatively. The first served as his own control. A diabetic requiring 60 units of insulin daily received hyperalimentation fluids by subclavian catheter after one procedure and the usual intravenous fluids after the second operation. High-caloric intravenous solutions reduce the risk of postoperative ketosis. The results of the initial experiment in nature were applied to another severe diabetic following subtotal gastrectomy and transverse colectomy.

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