Management of acute diarrhoea in diabetic patients using oral rehydration solutions containing glucose, rice, or glycine.

Abstract:

OBJECTIVE:To assess the risk of hyperglycaemia with two standard oral rehydration solutions that contain carbohydrate compared with a carbohydrate free solution during rehydration of diabetic patients with acute diarrhoea. DESIGN:Prospective randomised allocation to one of three oral rehydration solutions (World Health Organisation (glucose), rice, or glycine) groups after admission to hospital with acute diarrhoea. SETTING:Dhaka hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh. SUBJECTS:45 diabetic patients aged between 15 and 60 who had had diarrhoea for fewer than three days on admission. MAIN OUTCOME MEASURES:Fluctuation of blood glucose concentrations measured three times a day, daily stool output, and time taken for recovery from diarrhoea. RESULTS:There were no significant differences in blood glucose concentrations, stool output, and duration of recovery from diarrhoea among the three groups. CONCLUSIONS:Oral rehydration solutions containing glucose, rice powder, or glycine can be safely administered to diabetic patients with acute diarrhoea and some dehydration.

journal_name

BMJ

authors

Haider R,Azad Khan AK,Roy SK,Dewan N,Alam AN,Mahalanabis D

doi

10.1136/bmj.308.6929.624

subject

Has Abstract

pub_date

1994-03-05 00:00:00

pages

624-6

issue

6929

eissn

0959-8138

issn

1756-1833

journal_volume

308

pub_type

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