Increase in blood glucose levels during IDPN is temporary. It has been commonly seen that there is severe malnutrition in Hemodialysis (HD) patients. Studies have noted that insulin-like growth factor binding protein-1 (IGFBP-1) increases during HD and may thus limit the bioavailability of free insulin-like growth factor-I (IGF-I). Thus, some studies have been undertaken with the aim to test if intradialytic parenteral nutrition (IDPN) would influence the IGF system in HD patients considering that IDPN may attenuate the increase of IGFBP-1 and thus alter the IGF system. Intradialytic Parenteral Nutrition, IDPN, is a noninvasive nutritional support therapy for people on hemodialysis. It can help to maintain adequate nutrition among such patients. The therapy is an IV solution and the three main ingredients, sugar, protein and fat, are useful to replace the nutrients lost during dialysis treatments. Some people may want to know the effect on blood glucose levels during idpn. However, in non-diabetics idpn may increase sugar levels.



What is the purpose of IDPN?

IDPN is usually given through the existing dialysis access catheter or site and no additional needle stick is necessary. IDPN does not contain any potassium or phosphorus. It does have a milky-white appearance, but there is no trace of milk in the solution. The milky white appearance comes from the lipid or fat component of the solution.

The HD patients may not taste or smell the solution and it is administered at the same time as your dialysis treatment. Incase you are allergic to eggs then the fat part of IDPN may be left out of the IDPN solution. Generally the nurse or renal dietician reviews your allergies before beginning the therapy. The effects of IDPN on each patient may differ. It may be useful for some for improvement in dry body weight and energy levels. They would also be able to build lean muscle mass as well as be able to fight off infection better and show improvement in their strength and appetite.

The IDPN solution is usually given under the clinical supervision of your dialysis center nurse and can be done safely. The amount of time for the IDPN therapy varies from person to person. It largely depends on individual patient goals and the severity of malnutrition. The physician and dialysis center staff determine how and when these goals have been achieved.

Are there any effects on glucose levels of IDPN?

There are chances of high blood sugar in non-diabetics due to the amount of sugar within the IDPN solution. This is why the blood sugars are checked before, during and after each treatment. Regular insulin may be given during IDPN therapy for those who may experience high blood glucose due to IDPN. Some people may even experience low blood sugar after the treatment. If this happens a snack at the time can protect them against low blood sugar levels.

Among the other common side effects of IDPN are dizziness, fever, nausea, headache, increased muscle cramping and a sense of feeling full. These effects are minimal and can be controlled with gradual increases in administration rate and medications.

You may find some effect on the blood glucose levels during IDPN but those are short term and can be treated by monitoring and medications.

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