[acb-diabetics] hyperglycemia when in hospital may indicate future diabetes

[Patricia LaFrance-Wolf]

Hospital Hyperglycemia May Predict Future Diabetes

 

Hyperglycemia during critical illness may be used as a warning of future
diabetes. Researchers have found a significant association between acute
illness

complicated with hyperglycemia and the future development of Type 2 diabetes
or glucose intolerance....

 

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Ivan Gornik worked with a team of researchers from University Hospital
Centre Rebro, Croatia, to follow patients for 5 years after they were
discharged

from the hospital. There were 398 medical ICU patients who were
normoglycemic during their hospital stay, of whom 14 (3.5%) developed Type 2
diabetes.

 

 

In the hyperglycemia group 193 patients finished follow-up and 33 (17.1%)
developed Type 2 diabetes. According to Gornik, "Despite the fact that
endocrine

and metabolic changes probably occur in all acutely ill patients, evident
hyperglycemia is not always present. We hypothesized that hospital acquired
hyperglycemia

can therefore reveal a patient's predisposition to impaired glucose control,
which could in future lead to diabetes." 

 

The research team defined hyperglycemia as glucose 140mg/dL. (?7.8 mmol/l )
and its incidence in the ICU was similar to that seen in other published
work.

Gornik said, "Our results suggest that patients with hyperglycemia during
acute illness, who are not diagnosed with pre-diabetes or diabetes during or

immediately after hospitalization, should be perceived as patients with
increased risk of developing diabetes and should as such be regularly
monitored

and treated appropriately."

 

A prospective observational study of the relationship of critical illness
associated hyperglycemia in medical ICU patients and subsequent development
ofu       

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