Page 120 - fbkCardioDiabetes_2017

96 Stress Hyperglycemia or Diabetes - Which is bad in ICU?

Highlights
1. Hyperglycaemia is a common barrier in critically
ill patients with or without diabetes.
2. Increased glucose levels are associated with
higher in-hospital mortality and excess health-
care costs.
3. Stress hyperglycemia may be more dangerous
than hyperglycemia in a diabetic patient.
4. Acute coronary syndromes and strokes are areas
were good glycemic control is essential and has
mortality benefits.
Treatment in an intensive care setting remains con-
troversial and a more relaxed conventional approach
is used with an aim to avoid hypoglycemia.

KEYWORDS
Stress hyperglycaemia, Type 1 Diabetes, Type 2 di-
abetes, Intensive care, Acute coronary syndrome,
Stroke.

References
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GCDC 2017