Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5896558 | Best Practice & Research Clinical Endocrinology & Metabolism | 2011 | 12 Pages |
Abstract
Hyperglycemia is a common and costly health care problem in hospitalized patients. In hospital hyperglycemia is defined as any glucose value >7.8Â mmol/l (140Â mg/dl). Hyperglycemia is present in 40% of critically ill patients and in up to 80% of patients after cardiac surgery, with â¼ 80% of ICU patients with hyperglycemia having no history of diabetes prior to admission. The risk of hospital complications relates to the severity of hyperglycemia, with a higher risk observed in patients without a history of diabetes compared to those with known diabetes. Improvement in glycemic control reduces hospital complications and mortality; however, the ideal glycemic target has not been determined. AÂ target glucose level between 7.8 and 10.0Â mmol/l (140 and 180Â mg/dl) is recommended for the majority of ICU patients. This review aims to present updated recommendations for the inpatient management of hyperglycemia in critically ill patients with and without a history of diabetes.
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Authors
Farnoosh (Fellow of Endocrinology), Dawn (Assistant Professor of Medicine), Guillermo E. (Professor of Medicine),