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Send to Rev Med Inst Mex Seguro Soc. 2015 Mar-Apr;53(2):192-9. [Management of hyperglycemia in hospitalized patients]. [Article in Spanish; Abstract available in Spanish from the publisher] Gracia-Ramos AE1, Cruz-Domínguez MP, Madrigal-Santillán EO, Morales-González JA, Vera-Lastra OL. Author information Abstractin English, Spanish Diabetes is a global health problem and Mexico rank sixth in prevalence of this entity. In our country, is the leading cause of death and is a major cause of hospital care being responsible for about 1 in 5 discharges. In the hospital setting, it has been observed that hyperglycemia, both diabetic and non-diabetic patients, is associated with an increased risk of complications, disability and death, and that adequate control in the blood glucose level produces a reduction in these complications. With these bases, several associations have recommended the treatment of hospital hyperglycemia through insulin administration, with the therapeutic goal of maintaining a fasting blood glucose level between 100-140 mg/dL and glucose at any time of day less than 180 mg/dL. The insulin application method most recommended consisting in a basal-bolus regimen which has shown efficacy with a low risk of hypoglycemia. The usual practice of the application of insulin through a correction scheme should be abandoned because it is inefficient and involves risks. KEYWORDS: Diabetes mellitus; Hospitalization; Hyperglycemia; Insulin PMID: 25760748

Dra. Cruz Dominguez M.

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