Opinions from secondary care providers needed for enteral feeding guidelines review

A review of the guideline ‘Glycaemic management during enteral feeding’ requires “vital” input from healthcare professionals.

The Joint British Diabetes Society Inpatient Care Group (JBDS) are reaching out to those working in secondary care to supply data to help develop the audit and determine the prevalence of the use of enteral feeding, how diabetes teams manage glucose control for people with diabetes during enteral feeding, and what level of glucose control is being achieved.

The JBDS is aiming to use the information provided by the survey to reinforce and explain the existing guidelines and recommendations, along with using the current obtainable evidence to influence clinical practice in this field.

The audit consists of two forms that need to be completed:

Click here for Form 1 – This form collects information surrounding the healthcare professional’s unit and general approach to managing enteral feeding.

Click here for Form 2 – This form is for case specific data to determine the range of strategies used for the management of diabetes or hyperglycaemia during enteral feeding. The JBDS hopes for ideally five cases, including data from when a person is established on a stable feed regimen, not while on a build-up regimen.

Project leader, Andrea Lake, a diabetes specialist nurse and Clinical Doctoral Research Fellow, is anticipating that the results will offer vital information on what the existing national practice is for providing glycaemic support for people with diabetes or hyperglycaemia, irrespective of the admission reason, during enteral feeding.

Andrea Lake said: “Contributions to this survey are vital. Anyone who has supported patients with their glycaemic control during enteral feeding will know it can be problematic.

“There is some evidence available for different strategies, however we do not know how, or even if, any of these are used in clinical practice.”

She continued: “We hope to combine the evidence available, with the expert experience of secondary care teams around the country, to update our enteral feeding guideline to refine and strengthen the recommendations made.

“The guideline will also be expanded to include all patients with diabetes or feed-related hyperglycaemia, not just those who have experienced a stroke.”

Completed forms should be returned by a secure email to danielflanagan@nhs.net by Friday, January 14, 2022.

The survey results will be published by the JBDS and will recognise those who contributed to and provided data when published.

For queries about the survey contact Andrea Lake on a.lake@uea.ac.uk.

The survey and guideline review are being completed by Andrea Lake, Professor Ketan Dhatariya, Dr Daniel Flanagan, Dr Aled Roberts and Mark Green on behalf of the JBDS.

Click here for Form 1

Click here for Form 2

Photo by Michael Burrows from Pexels

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