Kalra Sanjay, Aggarwal Sameer, Khandelwal Deepak, Dutta Deep
Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.
Department of Medicine, Division of Endocrinology, Pandit Bhagwat Dayal Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.
Indian J Endocrinol Metab. 2017 May-Jun;21(3):460-463. doi: 10.4103/ijem.IJEM_544_16.
With increasing the prevalence of diabetes and prediabetes across the globe, a large number of patients with acute febrile illness (AFI) are likely to have concomitant diabetes or stress hyperglycemia. Management of associated hyperglycemia in patients with AFI is of utmost importance for early recovery and to prevent complications. There is no published literature, detailing the strategies and targets for glycemic control in AFI specifically; however, guidelines do exist for the management of hyperglycemia in hospitalized or outpatients in general. This review attempts to provide pragmatic and practical suggestions to facilitate effective and safe management of hyperglycemia in patients with AFI.
随着全球糖尿病和糖尿病前期患病率的不断上升,大量急性发热性疾病(AFI)患者可能同时患有糖尿病或应激性高血糖。AFI患者相关高血糖的管理对于早期康复和预防并发症至关重要。目前尚无专门详细阐述AFI患者血糖控制策略和目标的文献;然而,对于住院患者或普通门诊患者的高血糖管理确实存在相关指南。本综述旨在提供实用的建议,以促进AFI患者高血糖的有效和安全管理。