Access the full text.
Sign up today, get DeepDyve free for 14 days.
C. Weir, G. Murray, A. Dyker, K. Lees (1997)
Is hyperglycaemia an independent predictor of poor outcome after acute stroke? Results of a long term follow up studyBMJ, 314
M. Cakir, H. Altunbas, U. Karayalcin (2003)
Hyperglycemia: an independent marker of in-hospital mortality in patients with undiagnosed diabetes.The Journal of clinical endocrinology and metabolism, 88 3
P. Watkinson, V. Barber, J. Young (2006)
Strict glucose control in the critically illBMJ : British Medical Journal, 332
A. Al-bermani, Y. Desha, J. Morgan, R. Soobrah, C. Symonds, Roy Taylor (2005)
Management of incidental hyperglycaemia in acute medical emergenciesDiabetic Medicine, 22
K. McCowen, J. Maykel, B. Bistrian (2002)
Intensive insulin therapy in critically ill patients.The New England journal of medicine, 346 20
V. Fonseca, N. Clark (2006)
Standards of Medical Care in Diabetes: Response to PowerDiabetes Care, 29
H. Shin, K. Park, B. Park, H. Cheong, Y. Cho, H. Lee, J. Lee, J.‐K. Lee, H. Kim, B. Han, J. Kim, I. Koh, Y. Kim, B. Oh, K. Kimm, C. Park (2006)
Common promoter polymorphism in monocyte differentiation antigen CD14 is associated with serum triglyceride levels and body mass index in non‐diabetic individualsDiabetic Medicine, 23
L. Langouche, I. Vanhorebeek, G. Berghe (2007)
Therapy Insight: the effect of tight glycemic control in acute illnessNature Clinical Practice Endocrinology &Metabolism, 3
J. Timmer, I. Horst, J. Ottervanger, J. Henriques, J. Hoorntje, M. Boer, H. Suryapranata, F. Zijlstra (2004)
Prognostic value of admission glucose in non-diabetic patients with myocardial infarction.American heart journal, 148 3
C. Levetan, M. Passaro, K. Jablonski, M. Kass, R. Ratner (1998)
Unrecognized Diabetes Among Hospitalized PatientsDiabetes Care, 21
D. Cavan, P. Hamilton, J. Everett, D. Kerr (2001)
Reducing hospital inpatient length of stay for patients with diabetesDiabetic Medicine, 18
(2006)
Patient mealtime medications
Background: In-patients with high blood glucose levels have much greater mortalityand morbidity rates compared to normoglycaemic individuals hospitalized with the same condition.Aim: To examine prospectively the glucose-lowering treatments used for patients admitted as acute medical emergencies with admission hyperglycaemia (11–17 mmol/l) under the care of non-diabetes specialist teams. Individuals with acute diabetes emergencies (e.g. diabetic ketoacidosis or HONK or glucose levels >17 mmol/l) were excluded.Methods: Patients’ notes were examined as they were admitted without any interventions from the diabetes team. Choice of treatment for their hyperglycaemia was noted and the average blood glucose level was calculated each day of admission for the first 5 days based on bedside fingerstick glucose measurements.Results: Seventy-three in-patients [37 men, average (SD) age 74.1(12) years] with hyperglycaemia [average 13.7(1.6) mmol/l] on admission were included. Fourteen were not known to have diabetes, three had type 1 and 56 type 2 diabetes. Glycaemic control was suboptimal and achieved values were unrelated to the mode of delivery of glucose-lowering therapies. Length of stay and death rates in hospital were greatest in the group of patients who were not previously known to have diabetes.Conclusion: Untreated or under-treated hyperglycaemia was a common occurrence in patients admitted to hospital with an acute medical emergency. There may be a role for hospital-based specialist diabetes teams to take a lead in facilitating more acceptable glucose control to achieve standard 8 of the National Service Framework for Diabetes.
QJM: An International Journal of Medicine – Oxford University Press
Published: Feb 7, 2008
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.