[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"menu":3,"$fsgPzOiO64UFNaV8Ve7Bpk3a4Ow9qCQlDoQv4Jn2LI3Y":210},{"main":4,"mainTranslated":17,"footer":45,"footerTranslated":109},[5,8,11,14],{"title":6,"url":7},"Course library","https:\u002F\u002Fwww.medmastery.com\u002Fcourse-library",{"title":9,"url":10},"Pricing","https:\u002F\u002Fwww.medmastery.com\u002Fpricing",{"title":12,"url":13},"Earn credits","https:\u002F\u002Fwww.medmastery.com\u002Fcme-credits",{"title":15,"url":16},"Institutions","https:\u002F\u002Fwww.medmastery.com\u002Finstitutions",{"de":18,"es":27,"fr":36},[19,21,23,25],{"title":20,"url":7},"Kurse",{"title":22,"url":10},"Preise",{"title":24,"url":13},"CME-Punkte",{"title":26,"url":16},"Organisationen",[28,30,32,34],{"title":29,"url":7},"Biblioteca de cursos",{"title":31,"url":10},"Precios",{"title":33,"url":13},"Gana créditos",{"title":35,"url":16},"Instituciones",[37,39,41,43],{"title":38,"url":7},"Cours",{"title":40,"url":10},"Tarifs",{"title":42,"url":13},"Obtenir des crédits",{"title":44,"url":16},"Établissements",[46,59,79,97],{"title":47,"group":48,"menu":49},"Company",true,[50,53,56],{"title":51,"url":52},"Our teachers","https:\u002F\u002Fwww.medmastery.com\u002Fteachers",{"title":54,"url":55},"About us","https:\u002F\u002Fwww.medmastery.com\u002Fabout-us",{"title":57,"url":58},"Work with us","https:\u002F\u002Fwww.medmastery.com\u002Fwork-with-us",{"title":60,"group":48,"menu":61},"Product",[62,64,67,70,73,76,78],{"title":63,"url":7},"Courses",{"title":65,"url":66},"Magazine","https:\u002F\u002Fwww.medmastery.com\u002Fmagazine",{"title":68,"url":69},"Podcast","https:\u002F\u002Fwww.medmastery.com\u002Fpodcasts",{"title":71,"url":72},"Webinars","https:\u002F\u002Fwww.medmastery.com\u002Fwebinars",{"title":74,"url":75},"Guides","https:\u002F\u002Fwww.medmastery.com\u002Fguides",{"title":15,"url":77},"https:\u002F\u002Fwww.medmastery.com\u002Finstitutions\u002F",{"title":9,"url":10},{"title":80,"group":48,"menu":81},"Legal",[82,85,88,91,94],{"title":83,"url":84},"Imprint","https:\u002F\u002Fwww.medmastery.com\u002Fimprint",{"title":86,"url":87},"Newsletter policy","https:\u002F\u002Fwww.medmastery.com\u002Fnewsletter-privacy-policy",{"title":89,"url":90},"Privacy policy","https:\u002F\u002Fwww.medmastery.com\u002Fprivacy-policy",{"title":92,"url":93},"Cookie Policy","https:\u002F\u002Fwww.medmastery.com\u002Fcookie-policy",{"title":95,"url":96},"Terms","https:\u002F\u002Fwww.medmastery.com\u002Fterms",{"title":98,"group":48,"menu":99},"Customer support",[100,103,106],{"title":101,"url":102},"FAQs","https:\u002F\u002Fwww.medmastery.com\u002Ffaqs",{"title":104,"url":105},"Contact","https:\u002F\u002Fwww.medmastery.com\u002Fcontact",{"title":107,"url":108},"support@medmastery.com","mailto:support@medmastery.com",{"de":110,"es":143,"fr":177},[111,118,128,137],{"title":112,"group":48,"menu":113},"Unternehmen",[114,116,117],{"title":115,"url":52},"Unsere Dozentinnen und Dozenten",{"title":54,"url":55},{"title":57,"url":58},{"title":119,"group":48,"menu":120},"Produkt",[121,122,123,124,125,126,127],{"title":20,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":26,"url":77},{"title":22,"url":10},{"title":129,"group":48,"menu":130},"Rechtliches",[131,133,134,135,136],{"title":132,"url":84},"Impressum",{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":138,"group":48,"menu":139},"Kundenservice",[140,141,142],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},[144,151,162,171],{"title":145,"group":48,"menu":146},"Empresa",[147,149,150],{"title":148,"url":52},"Nuestros profesores",{"title":54,"url":55},{"title":57,"url":58},{"title":152,"group":48,"menu":153},"Producto",[154,156,157,158,159,160,161],{"title":155,"url":7},"Cursos",{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":35,"url":77},{"title":31,"url":10},{"title":163,"group":48,"menu":164},"Información legal",[165,167,168,169,170],{"title":166,"url":84},"Aviso legal",{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":172,"group":48,"menu":173},"Atención al cliente",[174,175,176],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},[178,185,196,204],{"title":179,"group":48,"menu":180},"Entreprise",[181,183,184],{"title":182,"url":52},"Nos enseignants",{"title":54,"url":55},{"title":57,"url":58},{"title":186,"group":48,"menu":187},"Produit",[188,189,190,191,192,193,194],{"title":38,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":15,"url":77},{"title":195,"url":10},"Tarification",{"title":197,"group":48,"menu":198},"Mentions légales",[199,200,201,202,203],{"title":197,"url":84},{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":205,"group":48,"menu":206},"Service client",[207,208,209],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},{"content":211,"related":242,"meta":304,"internal":312},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":224,"author":226,"readDuration":240,"readDurationFormatted":241},"What is the best tube-feeding formula for this patient?","Laurence is a 65-year-old male admitted with a hemorrhagic stroke.",{"id":215,"name":216},2,"Blog",[218],{"type":219,"data":220},"free_text",{"readDurationInSeconds":221,"title":222,"text":223},73.06666666666666,"Pop Quiz: Jun 13, 2024","\u003Cdiv>\u003Cp>\u003Cspan lang=\"EN-US\">Laurence is a 65-year-old male admitted with a hemorrhagic stroke. He is intubated, sedated, and has a nasogastric tube in place. His past medical history includes hypertension and type 2 diabetes. His height is 162 cm and his weight is 84 kg. Relevant medications include senokot and a propofol drip infusing at 11 mL \u002F hour. He has not received any nutrition support over the past day. \u003C\u002Fspan>\u003C\u002Fp>\u003C\u002Fdiv>\u003Cdiv>\u003Cp>\u003Cspan lang=\"EN-US\">His blood glucose point-of-care measurements over the past 24 hours have ranged from 132–174 mg \u002F dL, for which he has received 32 units of sliding scale insulin coverage.\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cem>\u003Cspan lang=\"EN-US\">Which tube-feeding formula is most appropriate for Laurence? \u003C\u002Fspan>\u003Cspan> \u003C\u002Fspan>\u003C\u002Fem>\u003C\u002Fp>\u003C\u002Fdiv>\u003Cdiv>\u003Col>\u003Cli>\u003Cspan lang=\"EN-US\">\u003Cstrong>A diabetic (carb-controlled) formula with a calorie density of 1.5 calories per mL\u003C\u002Fstrong>\u003C\u002Fspan>\u003Cspan> \u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Fol>\u003C\u002Fdiv>\u003Cdiv>\u003Col start=\"2\">\u003Cli>\u003Cspan lang=\"EN-US\">\u003Cstrong>A diabetic (carb-controlled) formula with a calorie density of 1.2 calories per mL\u003C\u002Fstrong>\u003C\u002Fspan>\u003Cspan> \u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Fol>\u003C\u002Fdiv>\u003Cdiv>\u003Col start=\"3\">\u003Cli>\u003Cspan lang=\"EN-US\">A standard formula with a calorie density of 1.5 calories per mL \u003C\u002Fspan>\u003Cspan> \u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Fol>\u003C\u002Fdiv>\u003Cdiv>\u003Col start=\"4\">\u003Cli>\u003Cspan lang=\"EN-US\">An immune-enhancing formula with a calorie density of 1.5 calories per mL \u003C\u002Fspan>\u003Cspan> \u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Fol>\u003C\u002Fdiv>\u003Cdiv>\u003Cp>\u003Cspan lang=\"EN-US\">\u003Cstrong>Answer: \u003C\u002Fstrong>Laurence has a past medical history of diabetes, and his blood glucose while not receiving any nutrition has already been somewhat elevated, for which he has received 32 units of insulin. Once tube feeds are started, we expect his blood glucose to increase even further, therefore a carb-controlled tube feeding formula would be the most appropriate starting point for him. Because Laurence isn’t struggling with heart failure, chronic kidney disease, or any other disease states where free water would need to be restricted, it doesn’t matter whether he receives a more compact formula with a calorie density of 1.5 kcal \u002F mL or a less compact formula with a calorie density of 1.2 kcal \u002F mL. A standard formula with a higher amount of carbs would be less ideal for this patient as it could contribute to higher blood glucose, and an immune-enhancing formula isn’t necessary as there is no infection present. Additionally, immune-enhancing formulas aren’t carb-controlled and wouldn’t help Laurence’s blood sugar levels. \u003C\u002Fspan>\u003Cspan> \u003C\u002Fspan>\u003C\u002Fp>\u003Cp> \u003C\u002Fp>\u003C\u002Fdiv>\u003Cp>\u003Cstrong>Not the answer you expected? \u003C\u002Fstrong>\u003Cspan>You're in luck because you can brush up in our \u003C\u002Fspan>\u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fcourses\u002Finpatient-nutrition-essentials\" target=\"_blank\">\u003Cspan>Inpatient Nutrition Essentials\u003C\u002Fspan>\u003C\u002Fa>\u003Cspan> course.\u003C\u002Fspan>\u003C\u002Fp>",{"courses":225,"showAwardsBelow":48},[],{"id":227,"name":228,"image":229,"profession":230,"relativeUrl":233,"specializations":234},1563,"Franz Wiesbauer, MD MPH","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401",{"name":231,"description":232},"Internist","Franz is the founder and CEO of Medmastery. He is an internist with a specialization in cardiology and a master’s in public health from Johns Hopkins University.","\u002Fteachers\u002Ffranz-wiesbauer-md-mph",[235,236,237,238,239],"Nephrology","Professional development","Cardiology","Ultrasound","Emergency medicine and critical care",78,"2m",[243,264,283],{"id":244,"title":245,"text":246,"image":247,"author":255,"path":258,"readDuration":259,"readDurationFormatted":241,"internal":260},1341,"Breaking news: 5 Medmastery courses accredited by CPD Australia","Australian doctors can receive CPD hours for Medmastery’s courses on diabetes, heart failure, and much more!",{"alt":248,"title":249,"size":250,"location":252},"Cartoon doctor holding a CPD certificate with an Australian flag","",{"width":251,"height":251},1201,{"bucket":253,"key":254},"public-drupal-medmastery-assets-production","\u002F2026-02\u002FAUS_announcement_FB_IG_1200x1200.png",{"id":227,"title":228,"relativeURL":233,"image":229,"professionLong":232,"profession":256,"weight":257},{"name":231},4,"\u002Fmagazine\u002Fbreaking-news-5-medmastery-courses-accredited-cpd-australia",62,{"created":261,"updated":262,"published":263},1772142086,1772144251,1772142727,{"id":265,"title":266,"text":267,"image":268,"author":275,"path":277,"readDuration":278,"readDurationFormatted":279,"internal":280},1335,"How to use Consensus to do a medical research review (FAST!)  ","Surface the evidence that matters most for your next clinical decision.",{"alt":269,"title":270,"size":271,"location":273},"Logo for Consensus on a computer screen","Consensus logo",{"width":272,"height":272},1800,{"bucket":253,"key":274},"\u002F2025-12\u002FConsensus_magazine image.png",{"id":227,"title":228,"relativeURL":233,"image":229,"professionLong":232,"profession":276,"weight":257},{"name":231},"\u002Fmagazine\u002Fhow-use-consensus-do-medical-research-review-fast",316,"6m",{"created":281,"updated":282,"published":281},1767656752,1770792063,{"id":284,"title":285,"text":286,"image":287,"author":295,"path":297,"readDuration":298,"readDurationFormatted":299,"internal":300},987,"Medmastery’s position on AI: Is it a threat or an opportunity?","Here’s an in-depth look at Medmastery’s journey in adapting to this technology, including the role of AI and its implications. See if it can elevate both our content and the learning experience!",{"alt":288,"title":289,"size":290,"location":293},"A cartoon showing a Medmastery character, Doctor Nora, standing beside a robot ChatGPT.","AI at Medmastery",{"width":291,"height":292},984,851,{"bucket":253,"key":294},"\u002F2023-11\u002FChatGPT as an AI tool for doctors.png",{"id":227,"title":228,"relativeURL":233,"image":229,"professionLong":232,"profession":296,"weight":257},{"name":231},"\u002Fmagazine\u002Fmedmasterys-position-ai-it-threat-or-opportunity",217,"4m",{"created":301,"updated":302,"published":303},1698935768,1721173051,1699380882,{"seo":305,"og":308},{"title":306,"description":307},"Tube-feeding formula for patient with diabetes | Medmastery","Laurence has a history of diabetes and hypertension and needs an appropriate tube-feeding formula.",{"title":309,"description":310,"image":311},"Choosing tube-feeding formula | Medmastery","What tube-feeding formula is most appropriate for Laurence?",null,{"id":313,"created":314,"updated":315,"published":316},1053,1717516990,1745850659,1717516331]