Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna

Background: During hospitalization, hyper and hypoglycemia impairs the prognosis of diabetic patients. Strict glycemic control improves survival in intensive care units. There is no evidence to support it for patients in non-critical wards. Aim: To evaluate the glycemic control of diabetic patients...

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Autores principales:	Solís,Iván, Hurtado,Natalia, Demangel,Dominique, Cortés,Claudia, Soto,Néstor
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Diabetes mellitus Health facilities Hyperglycemia Hypoglycemia Inpatients
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000100009
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spelling	oai:scielo:S0034-988720120001000092012-04-12Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina InternaSolís,IvánHurtado,NataliaDemangel,DominiqueCortés,ClaudiaSoto,Néstor Diabetes mellitus Health facilities Hyperglycemia Hypoglycemia Inpatients Background: During hospitalization, hyper and hypoglycemia impairs the prognosis of diabetic patients. Strict glycemic control improves survival in intensive care units. There is no evidence to support it for patients in non-critical wards. Aim: To evaluate the glycemic control of diabetic patients in a non-critical medical unit, and estimate its effect on hospitalization and survival. Material and Methods: Prospective study of all patients admitted to a non-critical ward with a fasting blood glucose (BG) > 126 mg/dl or > 200 mg /dl at any time, and patients with known diabetes. Age, sex, type of diabetes, time since diagnosis, chronic complications, prior treatment, length of stay, admission and discharge diagnosis were registered. All capillary BG levels obtained from each patient until discharge, death or transfer, were registered. Results: Ninety nine patients aged 63 ± 13.4 years (42 males,) were included. Ninety one percent had a type 2 diabetes with a mean duration of 13.8 years. Mean hospital stay was 10.9 days. At least one hypoglycemia below 70 mg/dl occurred in 21% of patients and 39.4% had at least one episode with blood glucose over 300 mg/dl. Median hospital stay of patients with no episode of BG > 200 mg/dl was 6 days, 10.5 days among patients with at least one episode of BG > 300 mg/dl and 13 days among patients that had at least one episode of hypoglycemia (p = 0.02). Diabetes lasted nine years more among the latter (p < 0.01). Three patients that suffered hypoglycemia and two in the rest of the groups, died (NS). Conclusions: Two of three diabetic patients admitted to our non-critical medical ward have a non-optimal glycemic control. Appearance of hypoglycemia is associated with a longer hospital stay.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.1 20122012-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000100009es10.4067/S0034-98872012000100009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Diabetes mellitus Health facilities Hyperglycemia Hypoglycemia Inpatients
spellingShingle	Diabetes mellitus Health facilities Hyperglycemia Hypoglycemia Inpatients Solís,Iván Hurtado,Natalia Demangel,Dominique Cortés,Claudia Soto,Néstor Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna
description	Background: During hospitalization, hyper and hypoglycemia impairs the prognosis of diabetic patients. Strict glycemic control improves survival in intensive care units. There is no evidence to support it for patients in non-critical wards. Aim: To evaluate the glycemic control of diabetic patients in a non-critical medical unit, and estimate its effect on hospitalization and survival. Material and Methods: Prospective study of all patients admitted to a non-critical ward with a fasting blood glucose (BG) > 126 mg/dl or > 200 mg /dl at any time, and patients with known diabetes. Age, sex, type of diabetes, time since diagnosis, chronic complications, prior treatment, length of stay, admission and discharge diagnosis were registered. All capillary BG levels obtained from each patient until discharge, death or transfer, were registered. Results: Ninety nine patients aged 63 ± 13.4 years (42 males,) were included. Ninety one percent had a type 2 diabetes with a mean duration of 13.8 years. Mean hospital stay was 10.9 days. At least one hypoglycemia below 70 mg/dl occurred in 21% of patients and 39.4% had at least one episode with blood glucose over 300 mg/dl. Median hospital stay of patients with no episode of BG > 200 mg/dl was 6 days, 10.5 days among patients with at least one episode of BG > 300 mg/dl and 13 days among patients that had at least one episode of hypoglycemia (p = 0.02). Diabetes lasted nine years more among the latter (p < 0.01). Three patients that suffered hypoglycemia and two in the rest of the groups, died (NS). Conclusions: Two of three diabetic patients admitted to our non-critical medical ward have a non-optimal glycemic control. Appearance of hypoglycemia is associated with a longer hospital stay.
author	Solís,Iván Hurtado,Natalia Demangel,Dominique Cortés,Claudia Soto,Néstor
author_facet	Solís,Iván Hurtado,Natalia Demangel,Dominique Cortés,Claudia Soto,Néstor
author_sort	Solís,Iván
title	Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna
title_short	Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna
title_full	Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna
title_fullStr	Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna
title_full_unstemmed	Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna
title_sort	control glicémico de pacientes diabéticos hospitalizados en un servicio de medicina interna
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000100009
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Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna

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