Impact of hypoglycemia in hospitalized patients.

Abstract:

:Hypoglycemia is a common problem in hospitalized patients, particularly the elderly, frail, and severely ill. Hypoglycemia has been implicated in the development of adverse clinical outcomes, including increased mortality. Fear of iatrogenic hypoglycemia remains an obstacle to adequate inpatient glycemic control. However, evidence from large clinical trials is mixed: several intensive care unit studies have shown either reduced or no change in mortality with intensive glycemic control, despite high rates of iatrogenic hypoglycemia, and only 1 large study showed higher mortality. In the general ward setting, the association of hypoglycemia with worse outcomes and mortality has been frequently reported, but after multivariate adjustment for comorbidities this association disappears. Spontaneous hypoglycemia, rather than iatrogenic hypoglycemia, is strongly associated with mortality suggesting that hypoglycemia behaves as a biomarker rather than a causative factor of adverse outcomes. Inpatient glycemic management should be patient-centered, follow the current guidelines, and aimed at preventing hypoglycemia.

journal_name

Curr Diab Rep

journal_title

Current diabetes reports

authors

Carey M,Boucai L,Zonszein J

doi

10.1007/s11892-012-0336-x

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

107-13

issue

1

eissn

1534-4827

issn

1539-0829

journal_volume

13

pub_type

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