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Rev Med Inst Mex Seguro Soc. 2015 Mar-Apr;53(2):192-9.

[Management of hyperglycemia in hospitalized patients].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

1
Departamento de Medicina Interna, Hospital de Especialidades, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Distrito Federal, México. ken_monsters@hotmail.com.

Abstract

in English, Spanish

Diabetes is a global health problem and Mexico rank sixth in prevalence of this entity. In our country, is the leading cause of death and is a major cause of hospital care being responsible for about 1 in 5 discharges. In the hospital setting, it has been observed that hyperglycemia, both diabetic and non-diabetic patients, is associated with an increased risk of complications, disability and death, and that adequate control in the blood glucose level produces a reduction in these complications. With these bases, several associations have recommended the treatment of hospital hyperglycemia through insulin administration, with the therapeutic goal of maintaining a fasting blood glucose level between 100-140 mg/dL and glucose at any time of day less than 180 mg/dL. The insulin application method most recommended consisting in a basal-bolus regimen which has shown efficacy with a low risk of hypoglycemia. The usual practice of the application of insulin through a correction scheme should be abandoned because it is inefficient and involves risks.

KEYWORDS:

Diabetes mellitus; Hospitalization; Hyperglycemia; Insulin

PMID:
25760748
[Indexed for MEDLINE]

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