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Current Diabetes Reports

Erschienen in:

01.10.2019 | Hospital Management of Diabetes (A Wallia and JJ Seley, Section Editors)

Care of Children and Adolescents with Diabetes Mellitus and Hyperglycemia in the Inpatient Setting

verfasst von: Ishita Kharode, Emily Coppedge, Zoltan Antal

Erschienen in: Current Diabetes Reports | Ausgabe 10/2019

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Abstract

Purpose of Review

Children and adolescents with acute hyperglycemia and diabetes mellitus frequently have acute, potentially life-threatening presentations which require high-acuity care in an inpatient and often intensive care setting. This review discusses the evaluation and care of hyperglycemia and diabetes mellitus in hospitalized children in both critical and non-critical care settings, highlighting important differences in their care relative to adults.

Recent Findings

Diabetic ketoacidosis remains highly prevalent at diagnosis among children with type 1 diabetes, and hyperglycemic hyperosmolar state is increasingly prevalent among children with type 2 diabetes. Recent clinical trials have investigated the potential benefits of various types of intravenous fluids and their rates of administration as well as the risks and benefits of intensive glucose control in critically ill children. The Endocrine Society has developed guidelines focused on managing hyperglycemic hyperosmolar state, outlining important aspects of care shown to decrease morbidity and mortality. In the non-critical illness setting, intensive therapy on newly diagnosed diabetes is increasingly recommended at the outset.

Summary

With the increasing incidence of diabetes mellitus in children and adolescents, recent studies addressing acute diabetes emergencies help inform best practices for care of hospitalized children with hyperglycemia and diabetes.

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Titel: Care of Children and Adolescents with Diabetes Mellitus and Hyperglycemia in the Inpatient Setting
verfasst von: Ishita Kharode
Emily Coppedge
Zoltan Antal
Publikationsdatum: 01.10.2019
Verlag: Springer US
Erschienen in: Current Diabetes Reports / Ausgabe 10/2019
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI: https://doi.org/10.1007/s11892-019-1205-7

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