Successful management of severe hypoglycemia induced by total parenteral nutrition in patients with hepatocellular injury: Three cases reports

Table 1 Partial parenteral nutrition preparation prescription and treatment plan adjustment and blood glucose

Patient	Time	50% glucose (mL)	Medium and long chain fat emulsion (mL)	Compound amino acid 3AA (mL)	Insulin (U)	Blood glucose of 2 h after TPN initiated (mmol/L)	Blood glucose of 1 h after TPN (mmol/L)	Drip rate (mL/min)
Case 1	Day 1	300	250	400	16	7.4	2.3	2
	Day 2	300	250	400	8	7.2	2.6	2
	Day 3	300	250	400	0	7.4	3.4	1
	Day 4	350	200	400	0	7.8	6.4	2
Case 2	Day 1	300	200	500	16	3.9	7.1	2
	Day 2	300	200	500	6	4.3	7.6	2
	Day 3	350	100	550	0	7.2	7.3	2
Case 3	Day 1	250	250	750	12	3.8	6.0	2
	Day 2	250	250	750	0	5.6	6.6	2
	Day 3	300	150	800	0	7.6	7.8	2

TPN: Total parenteral nutrition.