Stress-Induced Hyperglycemia: Consequences and Management.
| Autor: | Vedantam D; Internal Medicine, Kamineni Academy of Medical Sciences and Research Centre, Hyderabad, IND., Poman DS; Research, Smolensk State Medical University, Smolensk, RUS., Motwani L; Research and Development, Smt. NHL (Nathiba Hargovandas Lakhmichand) Municipal Medical College, Ahmedabad, IND., Asif N; Research, RAK (Ras Al Khaimah) College of Medical Sciences, Ras Al Khaimah, ARE., Patel A; Research, GMERS (Gujarat Medical Education & Research Society) Gotri Medical College, Vadodara, IND., Anne KK; Internal Medicine, National Pirogov Memorial Medical University, Vinnytsya, UKR. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Jul 10; Vol. 14 (7), pp. e26714. Date of Electronic Publication: 2022 Jul 10 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.26714 |
| Abstrakt: | Hyperglycemia during stress is a common occurrence seen in patients admitted to the hospital. It is defined as a blood glucose level above 180mg/dl in patients without pre-existing diabetes. Stress-induced hyperglycemia (SIH) occurs due to an illness that leads to insulin resistance and decreased insulin secretion. Such a mechanism causes elevated blood glucose and produces a complex state to manage with external insulin. This article compiles various studies to explain the development and consequences of SIH in the critically ill that ultimately lead to an increase in mortality while also discussing the dire impact of SIH on certain acute illnesses like myocardial infarction and ischemic stroke. It also evaluates multiple studies to understand the management of SIH with insulin and proper nutritional therapy in the hospitalized patients admitted to the Intensive care unit (ICU) alongside the non-critical care unit. While emphasizing the diverse effects of improper control of SIH in the hospital, this article elucidates and discusses the importance of formulating a discharge plan due to an increased risk of type 2 diabetes in the recovered. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Vedantam et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|