了解住院患者的低血糖。

Raphael D Hulkower, Rena M Pollack, Joel Zonszein
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引用次数: 61

摘要

控制住院患者的血糖很重要,因为高血糖和低血糖都与费用、住院时间、发病率和死亡率增加有关。严格控制的一个限制因素是对医源性低血糖的担忧。低血糖与死亡率的关联导致临床指南的改变,推荐比先前建议的更保守的血糖控制,并在适当时使用患者特异性方法。健康、病情稳定的患者可以采用更严格的控制,而老年人和重病患者可以不那么积极地进行管理。虽然在临床实践中避免低血糖至关重要,但最近的研究表明,自发性低血糖的死亡率高于医源性低血糖。因此,住院低血糖可能更多地被视为疾病的生物标志物,而不是死亡的真正原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding hypoglycemia in hospitalized patients.

Controlling blood glucose in hospitalized patients is important as both hyperglycemia and hypoglycemia are associated with increased cost, length of stay, morbidity and mortality. A limiting factor in stringent control is the concern of iatrogenic hypoglycemia. The association of hypoglycemia with mortality has led to clinical guideline changes recommending more conservative glycemic control than had previously been suggested, with the use of patient specific approaches when appropriate. Healthier, stable patients may be managed with stricter control while the elderly and severely ill may be managed less aggressively. While the avoidance of hypoglycemia is essential in clinical practice, recent studies suggest that a higher mortality rate occurs in spontaneous rather than iatrogenic hypoglycemia. Therefore, inpatient hypoglycemia may be viewed more as a biomarker of disease rather than a true cause of fatality.

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