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Current Diabetes Reports

Erschienen in:

01.11.2019 | Hospital Management of Diabetes (A Wallia and JJ Seley, Section Editors)

Updates in Glycemic Management in the Hospital

verfasst von: Wasineenart Mongkolpun, Bruna Provenzano, Jean-Charles Preiser

Erschienen in: Current Diabetes Reports | Ausgabe 11/2019

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Abstract

Purpose of Review

To provide an update of glycemic management during metabolic stress related to surgery or critical illness.

Recent Findings

There is a clear association between severe hyperglycemia, hypoglycemia, and high glycemic variability and poor outcomes of postoperative or critically ill patients. However, the impressive beneficial effects of tight glycemic management (TGM) by intensive insulin therapy reported in one study were never reproduced. Hence, the recommendation of TGM is now replaced by more liberal blood glucose (BG) targets (< 180 mg/dL or 10 mM). Recent data support the concept of targeting individualized blood glucose (BG) values according to the presence of diabetes mellitus/chronic hyperglycemia, the presence of brain injury, and the time from injury.

Summary

A more liberal glycemic management goal is currently advised during metabolic stress and could be switched to individualized glycemic management once validated by prospective trials.

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Titel: Updates in Glycemic Management in the Hospital
verfasst von: Wasineenart Mongkolpun
Bruna Provenzano
Jean-Charles Preiser
Publikationsdatum: 01.11.2019
Verlag: Springer US
Erschienen in: Current Diabetes Reports / Ausgabe 11/2019
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI: https://doi.org/10.1007/s11892-019-1274-7

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Abstract

Purpose of Review

Recent Findings

Summary

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