Hyperglycaemia in criticaly ill patients

The review highlights the problem of stress-induced hyperglycaemia (IT). The study of this condition is in demand because there is an association between IT and increasing number of complications and mortality among patients in critical state. In the review pathological and physiological mechanisms...

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Autores principales: Tatiana Valer'evna Klypa, Maria Sergeevna Orehova, Ludmila Ivanovna Zabrosaeva
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Lenguaje:EN
RU
Publicado: Endocrinology Research Centre 2015
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Acceso en línea:https://doaj.org/article/edb3ce8dbf4242088077b8df33b81bc3
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spelling oai:doaj.org-article:edb3ce8dbf4242088077b8df33b81bc32021-11-14T09:00:19ZHyperglycaemia in criticaly ill patients2072-03512072-037810.14341/DM2015133-41https://doaj.org/article/edb3ce8dbf4242088077b8df33b81bc32015-03-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6787https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378The review highlights the problem of stress-induced hyperglycaemia (IT). The study of this condition is in demand because there is an association between IT and increasing number of complications and mortality among patients in critical state. In the review pathological and physiological mechanisms of stress-induced IT syndrome and its components are shown. These are acute IT, insulin resistance and hyperinsulinemia. The range of critical states, in which development of stress-induced IT is more probable and the IT negative impact on different organs and systems are described in the article. Clinical significance, influence on treatment and complications development of stress-induced IT are considered. It has been shown that adequate control and correction of IT are leading to improvement in critically ill patients state. Much attention in the review is paid to early diagnostics of any carbohydrate abnormalities in critical care medicine, as well as to prevention and optimal correction of IT. The variety of IT correction methods, target glucose levels and various therapeutic methods of hyperglycaemia correction are discussed. Dealing with hyperglycaemia in intensive care units is described in details.Tatiana Valer'evna KlypaMaria Sergeevna OrehovaLudmila Ivanovna ZabrosaevaEndocrinology Research Centrearticlehyperglycemiacritical illnessstressinsulinNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 18, Iss 1, Pp 33-41 (2015)
institution DOAJ
collection DOAJ
language EN
RU
topic hyperglycemia
critical illness
stress
insulin
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle hyperglycemia
critical illness
stress
insulin
Nutritional diseases. Deficiency diseases
RC620-627
Tatiana Valer'evna Klypa
Maria Sergeevna Orehova
Ludmila Ivanovna Zabrosaeva
Hyperglycaemia in criticaly ill patients
description The review highlights the problem of stress-induced hyperglycaemia (IT). The study of this condition is in demand because there is an association between IT and increasing number of complications and mortality among patients in critical state. In the review pathological and physiological mechanisms of stress-induced IT syndrome and its components are shown. These are acute IT, insulin resistance and hyperinsulinemia. The range of critical states, in which development of stress-induced IT is more probable and the IT negative impact on different organs and systems are described in the article. Clinical significance, influence on treatment and complications development of stress-induced IT are considered. It has been shown that adequate control and correction of IT are leading to improvement in critically ill patients state. Much attention in the review is paid to early diagnostics of any carbohydrate abnormalities in critical care medicine, as well as to prevention and optimal correction of IT. The variety of IT correction methods, target glucose levels and various therapeutic methods of hyperglycaemia correction are discussed. Dealing with hyperglycaemia in intensive care units is described in details.
format article
author Tatiana Valer'evna Klypa
Maria Sergeevna Orehova
Ludmila Ivanovna Zabrosaeva
author_facet Tatiana Valer'evna Klypa
Maria Sergeevna Orehova
Ludmila Ivanovna Zabrosaeva
author_sort Tatiana Valer'evna Klypa
title Hyperglycaemia in criticaly ill patients
title_short Hyperglycaemia in criticaly ill patients
title_full Hyperglycaemia in criticaly ill patients
title_fullStr Hyperglycaemia in criticaly ill patients
title_full_unstemmed Hyperglycaemia in criticaly ill patients
title_sort hyperglycaemia in criticaly ill patients
publisher Endocrinology Research Centre
publishDate 2015
url https://doaj.org/article/edb3ce8dbf4242088077b8df33b81bc3
work_keys_str_mv AT tatianavalerevnaklypa hyperglycaemiaincriticalyillpatients
AT mariasergeevnaorehova hyperglycaemiaincriticalyillpatients
AT ludmilaivanovnazabrosaeva hyperglycaemiaincriticalyillpatients
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