{"id":1961,"date":"2024-06-12T14:11:29","date_gmt":"2024-06-12T17:11:29","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1961"},"modified":"2024-06-26T08:36:01","modified_gmt":"2024-06-26T11:36:01","slug":"glicemia-nutricao-parenteral","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/glicemia-nutricao-parenteral\/","title":{"rendered":"Glicemia na nutri\u00e7\u00e3o parenteral: orienta\u00e7\u00f5es para o manejo adequado durante a terapia"},"content":{"rendered":"<p>O controle da glicemia na nutri\u00e7\u00e3o parenteral \u00e9 um componente importante do monitoramento adequado da terapia, garantindo assim a sua efetividade e seguran\u00e7a. <strong>Complica\u00e7\u00f5es como a hipo e a hiperglicemia podem ser complexas e causadas pela associa\u00e7\u00e3o de m\u00faltiplos fatores<sup>1<\/sup>.<\/strong><\/p>\n<p>Portanto, <strong>o cuidado necess\u00e1rio para evitar esse descontrole glic\u00eamico vai desde entender as necessidades de carboidratos demandadas por cada paciente at\u00e9 avaliar qual a melhor forma de manejo desses poss\u00edveis desequil\u00edbrios<sup>1<\/sup>.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2>A glicose na composi\u00e7\u00e3o da f\u00f3rmula de nutri\u00e7\u00e3o parenteral<\/h2>\n<p>Como refer\u00eancia, carboidratos costumam ser respons\u00e1veis pelo aporte de 40% a 60% da energia em dietas ocidentais<sup>2<\/sup>. Desse modo, atualmente a glicose (ou dextrose) acaba sendo a forma mais comum de oferta de carboidratos na nutri\u00e7\u00e3o parenteral<strong><sup>1,3,4<\/sup>. <\/strong><\/p>\n<p><strong>Assim sendo, \u00e9 preciso levar em conta tamb\u00e9m como a concentra\u00e7\u00e3o desse componente pode influenciar na estabilidade e na compatibilidade das f\u00f3rmulas, inclusive considerando a administra\u00e7\u00e3o conjunta de outros nutrientes e o uso de medicamentos<sup>3<\/sup>.<\/strong><\/p>\n<p>Outro ponto importante, \u00e9 o efeito que a concentra\u00e7\u00e3o de glicose apresenta na osmolaridade da f\u00f3rmula de nutri\u00e7\u00e3o parenteral a ser administrada<sup>2<\/sup>. Cabe lembrar que a osmolaridade \u00e9 um aspecto importante na toler\u00e2ncia e na redu\u00e7\u00e3o de complica\u00e7\u00f5es associadas ao procedimento.<\/p>\n<p>&nbsp;<\/p>\n<h2>As indica\u00e7\u00f5es e os riscos da administra\u00e7\u00e3o em excesso da glicose<\/h2>\n<p>Para determinar a quantidade necess\u00e1ria de carboidrato na f\u00f3rmula de nutri\u00e7\u00e3o parenteral \u00e9 preciso levar em conta fatores como<sup>2<\/sup>:<\/p>\n<ul>\n<li>O equil\u00edbrio entre as necessidades energ\u00e9ticas e os riscos de uma oferta excessiva dessa fonte de energia (o que chamamos de <em>overfeeding<\/em>);<\/li>\n<li>A fase da doen\u00e7a em que o paciente se encontra (fase aguda, est\u00e1vel ou em recupera\u00e7\u00e3o);<\/li>\n<li>A oferta dos demais macronutrientes pela nutri\u00e7\u00e3o parenteral;<\/li>\n<li>A presen\u00e7a de fontes de glicose al\u00e9m da nutri\u00e7\u00e3o parenteral (como aquele proveniente de determinadas medica\u00e7\u00f5es e que muitas vezes s\u00e3o esquecidas e n\u00e3o contabilizadas no total ofertado ao paciente).<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(23)00230-3\/fulltext\"><strong>Determinadas diretrizes <\/strong><\/a><strong>consideram que a velocidade de infus\u00e3o de glicose ou carboidratos em pacientes sob cuidado em unidade de terapia intensiva n\u00e3o deve superar os 5 mg\/kg\/minuto<sup>5<\/sup><\/strong>.<strong><sup>\u00a0 <\/sup><\/strong>(valor m\u00e9dio considerado para indiv\u00edduo adulto). No contexto pedi\u00e1trico, \u00e9 preciso avaliar a oferta considerando a condi\u00e7\u00e3o do rec\u00e9m-nascido e os dias ap\u00f3s o nascimento, bem como o peso e a fase da doen\u00e7a para beb\u00eas e crian\u00e7as<sup>1<\/sup>.<\/p>\n<p>Tal aporte tamb\u00e9m deve considerar, por exemplo, situa\u00e7\u00f5es de pacientes cr\u00edticos cir\u00fargicos ou traum\u00e1ticos, em que a produ\u00e7\u00e3o end\u00f3gena de glicose aumenta, levando \u00e0 hiperglicemia. Isso acontece provavelmente por uma condi\u00e7\u00e3o de resist\u00eancia hep\u00e1tica \u00e0 insulina<sup>5<\/sup>. \u00a0A normoglicemia pode ser alcan\u00e7ada com o uso de insulina, mas o consumo de glicose perif\u00e9rica n\u00e3o \u00e9 estimulado, como aconteceria em indiv\u00edduos saud\u00e1veis<sup>7<\/sup>.<\/p>\n<p>No mais, pacientes em condi\u00e7\u00f5es graves podem ser mais propensos a epis\u00f3dios de resist\u00eancia \u00e0 insulina, o que tamb\u00e9m favorece a chance de desenvolver hiperglicemia<sup>6<\/sup>.<\/p>\n<p>Seja como for, o excesso de glicose na nutri\u00e7\u00e3o parenteral traz uma s\u00e9rie de consequ\u00eancias negativas para o paciente. <strong>Al\u00e9m da hiperglicemia, o excesso de aporte de energia pode levar lipog\u00eanese, elevada produ\u00e7\u00e3o de CO<sub>2 e<\/sub> nenhuma vantagem quando se considera a demanda de prote\u00ednas pelo organismo<sup>8<\/sup><\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<h2>O manejo de complica\u00e7\u00f5es associadas ao descontrole da glicemia na nutri\u00e7\u00e3o parenteral<\/h2>\n<p>Diante desses riscos, n\u00e3o basta garantir o aporte adequado de glicose. \u00c9 preciso tamb\u00e9m fazer o monitoramento apropriado da glicemia do paciente recebendo a nutri\u00e7\u00e3o parenteral, conforme j\u00e1 mencionado.<\/p>\n<p>A partir disso, <strong>as evid\u00eancias dispon\u00edveis indicam que o patamar adequado do \u00edndice glic\u00eamico deve se manter entre 140 e 180 mg\/dl<sup>1<\/sup>.<\/strong> Tal \u00edndice garantiria desfechos cl\u00ednicos positivos, incluindo redu\u00e7\u00e3o de epis\u00f3dios de hipoglicemia (que embora n\u00e3o t\u00e3o comum, tamb\u00e9m podem afetar pacientes nessas condi\u00e7\u00f5es) comparado a par\u00e2metros mais conservadores (entre 80 e 110 mg\/dl, por exemplo)<sup>1,7<\/sup>.<\/p>\n<p>Normalmente, um acompanhamento da glicemia capilar a cada quatro ou seis horas costuma ser o suficiente1. Em pacientes cr\u00edticos, esse acompanhamento deve se dar inicialmente ap\u00f3s a interna\u00e7\u00e3o na UTI admiss\u00e3o ou depois da introdu\u00e7\u00e3o da nutri\u00e7\u00e3o artificial e em pelo menos a cada 4 horas, durante os primeiros dois dias, em geral<sup>5.<\/sup>Independentemente desse intervalo de monitoramento, \u00e9 essencial que picos de glicemia sejam controlados. \u00a0<strong>O uso da insulina (de prefer\u00eancia, via infus\u00e3o) costuma ser indicado, na maioria dos casos, quando a glicemia ultrapassa 180 mg\/dl em adultos em UTI<sup>6<\/sup>.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1962\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/06\/lam157-imagem-1.png\" alt=\"\" width=\"939\" height=\"630\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/06\/lam157-imagem-1.png 939w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/06\/lam157-imagem-1-300x201.png 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/06\/lam157-imagem-1-768x515.png 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/06\/lam157-imagem-1-559x375.png 559w\" sizes=\"auto, (max-width: 939px) 100vw, 939px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>A hipoglicemia, por sua vez, <strong>pode atingir pacientes submetidos a regimes mais intensos de administra\u00e7\u00e3o de insulina<sup>1<\/sup><\/strong>. Epis\u00f3dios constantes e significativos dessa altera\u00e7\u00e3o est\u00e3o associados a uma maior mortalidade<sup>9<\/sup>. <strong>Isso refor\u00e7a a necessidade de monitorar os n\u00edveis de glicemia quando em uso de nutri\u00e7\u00e3o parenteral<sup>1<\/sup><\/strong>. Protocolos de administra\u00e7\u00e3o de glicose via intravenosa ou intramuscular devem ser considerados para contornar esses casos e evitar poss\u00edveis complica\u00e7\u00f5es<sup>2<\/sup>.<\/p>\n<p>Aproveite agora para saber mais sobre a import\u00e2ncia da dosagem adequada de<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/dosagens-adequadas-na-nutricao-parenteral-entenda-a-importancia\/\"> macro e micronutrientes na nutri\u00e7\u00e3o parenteral.<\/a><\/p>\n<p><u>\u00a0<\/u><\/p>\n<p>Refer\u00eancias<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li>Cogle SV, Hutchison AM, Mulherin DW. Finding the sweet spot: Managing parenteral nutrition-related glycemic complications in hospitalized adults. Nutr Clin Pract. 2023 Dec;38(6):1263-1272. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ncp.11073\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ncp.11073<\/a>&gt; Acesso em 18 de janeiro de 2024.<\/li>\n<li>Mesotten D, Joosten K, van Kempen A, Verbruggen S, Braegger C, Bronsky J, et al. ESPGHAN\/ESPEN\/ESPR\/CSPEN guidelines on pediatric parenteral nutrition: carbohydrates. Clin Nutr. 2018;37(6):2337-2343. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(18)31166-X\/fulltext\">https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(18)31166-X\/fulltext<\/a>&gt; Acesso em 30 de janeiro de 2024.<\/li>\n<li>Unger N, Holzgrabe U. Stability and assessment of amino acids in parenteral nutrition solutions. J Pharm Biomed Anal. 2018;147:125\u2013139. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0731708517319684?via%3Dihub\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0731708517319684?via%3Dihub<\/a>&gt; Acesso em 18 de janeiro de 2024.<\/li>\n<li>Farhan M, McCallion N, Bennett J, Cram A, O&#8217;Brien F. Stability and compatibility of parenteral nutrition solutions: a review of influencing factors. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0939641123000826\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0939641123000826<\/a>&gt; Acesso em 30 de janeiro de 2024.<\/li>\n<li>Singer P, Blaser AR, Berger MM, Calder PC, Casaer M, Hiesmayr M, et al. ESPEN practical and partially revised guideline: clinical nutrition in the intensive care unit. Clinical Nutrition. 2023;42(9):1671-1689. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(23)00230-3\/fulltext\">https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(23)00230-3\/fulltext<\/a>&gt; Acesso em 30 de janeiro de 2024.<\/li>\n<li>Thorell A, Rooyackers O, Myrenfors P, Soop M, Nygren J, Ljungqvist OH. Intensive insulin treatment in critically ill trauma patients normalizes glucose by reducing endogenous glucose production. J Clin Endocrinol Metabol. 2004;89:5382e6. Dispon\u00edvel em: &lt;<a href=\"https:\/\/academic.oup.com\/jcem\/article\/89\/11\/5382\/2844255?login=false\">https:\/\/academic.oup.com\/jcem\/article\/89\/11\/5382\/2844255?login=false<\/a>&gt; Acesso em 30 de janeiro de 2024.<\/li>\n<li>NICE\u2010SUGAR Trial Study Investigators. Intensive versus conventional glucose control in critically ill patients. N Engl J Med. 2009;360(13):1283\u20101297. doi:10.1056\/NEJMoa0810625. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/nejmoa0810625\">https:\/\/www.nejm.org\/doi\/full\/10.1056\/nejmoa0810625<\/a>&gt; Acesso em 30 de janeiro de 2024.<\/li>\n<li>Tappy L, Schwarz J-M, Schneiter P, Cayeux C, Revelly J-P, Fagerquist CK, et al. Effects of isoenergetic glucose-based or lipid-based parenteral nutrition on glucose metabolism, de novo lipogenesis, and respiratory gas exchanges in critically ill patients. Crit Care Med. 1998;26:860e7. Dispon\u00edvel em: &lt;<a href=\"https:\/\/journals.lww.com\/ccmjournal\/abstract\/1998\/05000\/effects_of_isoenergetic_glucose_based_or.18.aspx\">https:\/\/journals.lww.com\/ccmjournal\/abstract\/1998\/05000\/effects_of_isoenergetic_glucose_based_or.18.aspx<\/a>&gt; Acesso em 18 de janeiro de 2024.<\/li>\n<li>ElSayed NA, Aleppo G, Aroda VR, et al. Diabetes care in the hospital: standards of care in diabetes\u20102023. Diabetes Care. 2023;46(suppl 1):S267\u2010S278. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9810470\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9810470\/<\/a>&gt; Acesso em 30 de janeiro de 2024.<\/li>\n<li>Worthington P, Balint J, Bechtold M, Bingham A, Chan LN, Durfee S, Jevenn AK, Malone A, Mascarenhas M, Robinson DT, Holcombe B. When Is Parenteral Nutrition Appropriate? JPEN J Parenter Enteral Nutr. 2017 Mar;41(3):324-377. doi: 10.1177\/0148607117695251. Epub 2017 Feb 1. PMID: 28333597. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607117695251\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607117695251<\/a>&gt; Acesso em 11 de mar\u00e7o de 2023.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>O controle da glicemia na nutri\u00e7\u00e3o parenteral \u00e9 um componente importante do monitoramento adequado da terapia, garantindo assim a sua efetividade e seguran\u00e7a. Complica\u00e7\u00f5es como a hipo e a hiperglicemia podem ser complexas e causadas pela associa\u00e7\u00e3o de m\u00faltiplos fatores1. Portanto, o cuidado necess\u00e1rio para evitar esse descontrole glic\u00eamico vai desde entender as necessidades de [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":1963,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[249,93,251,252,250,67],"class_list":["post-1961","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","tag-glicemia","tag-glicose","tag-hiperglicemia","tag-hipoglicemia","tag-insulina","tag-nutricao-parenteral"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Como monitorar a glicemia na nutri\u00e7\u00e3o parenteral?<\/title>\n<meta name=\"description\" content=\"Acompanhar a glicemia na nutri\u00e7\u00e3o parenteral \u00e9 essencial para evitar complica\u00e7\u00f5es como a hiper e a 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