TY - JOUR
T1 - Manejo de la hiperglucemia en pacientes hospitalizados
AU - Gracia-Ramos, Abraham Edgar
AU - Cruz-Domínguez, María Pilar
AU - Madrigal-Santillán, Eduardo Osiris
AU - Morales-González, José Antonio
AU - Vera-Lastra, Olga Lidia
PY - 2015/3/1
Y1 - 2015/3/1
N2 - 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.
AB - 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.
KW - Diabetes mellitus
KW - Hospitalization
KW - Hyperglycemia
KW - Insulin
UR - http://www.scopus.com/inward/record.url?scp=85016495498&partnerID=8YFLogxK
M3 - Artículo de revisión
SN - 0443-5117
VL - 53
SP - 192
EP - 199
JO - Revista Medica del Instituto Mexicano del Seguro Social
JF - Revista Medica del Instituto Mexicano del Seguro Social
IS - 2
ER -