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Glycemic control in non-diabetic critically ill patients

Farrokhi, Farnoosh, MD ; Smiley, Dawn, MD ; Umpierrez, Guillermo E., MD

Best Practice & Research Clinical Endocrinology & Metabolism, 2011-10, Vol.25 (5), p.813-824 [Periódico revisado por pares]

Netherlands: Elsevier Ltd

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Título:
Glycemic control in non-diabetic critically ill patients
Autor: Farrokhi, Farnoosh, MD ; Smiley, Dawn, MD ; Umpierrez, Guillermo E., MD
Assuntos: Critical Care - trends ; Critical Illness - therapy ; Endocrinology & Metabolism ; hospital hyperglycemia ; Humans ; Hyperglycemia - complications ; Hyperglycemia - drug therapy ; Hyperglycemia - etiology ; Hyperglycemia - prevention & control ; Hypoglycemia - complications ; Hypoglycemia - etiology ; Hypoglycemia - prevention & control ; Hypoglycemic Agents - adverse effects ; Hypoglycemic Agents - therapeutic use ; ICU ; inpatient hyperglycemia ; Insulin - adverse effects ; Insulin - therapeutic use ; stress hyperglycemia
É parte de: Best Practice & Research Clinical Endocrinology & Metabolism, 2011-10, Vol.25 (5), p.813-824
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Descrição: Hyperglycemia is a common and costly health care problem in hospitalized patients. In hospital hyperglycemia is defined as any glucose value >7.8 mmol/l (140 mg/dl). Hyperglycemia is present in 40% of critically ill patients and in up to 80% of patients after cardiac surgery, with ∼ 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. A target glucose level between 7.8 and 10.0 mmol/l (140 and 180 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.
Editor: Netherlands: Elsevier Ltd
Idioma: Inglês

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Glycemic control in non-diabetic critically ill patients

Farrokhi, Farnoosh, MD ; Smiley, Dawn, MD ; Umpierrez, Guillermo E., MD

Netherlands: Elsevier Ltd

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