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


METHODS
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.


METHODS
Dhaka hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh.


METHODS
45 diabetic patients aged between 15 and 60 who had had diarrhoea for fewer than three days on admission.


METHODS
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.
Haider
R
R
International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka.
Azad Khan
A K
AK
Roy
S K
SK
Dewan
N
N
Alam
A N
AN
Mahalanabis
D
D
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D003672:Defecation; D048909:Diabetes Complications; D003967:Diarrhea / Q000097:blood / Q000150:complications / Q000628:therapy*; D005260:Female; D005440:Fluid Therapy; D005947:Glucose / Q000008:administration & dosage*; D005998:Glycine / Q000008:administration & dosage*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012275:Oryza; D011446:Prospective Studies
D001786:Blood Glucose; D005947:Glucose; D005998:Glycine