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Diabetes News

Tag: hyperglycemia


Management of diabetes and hyperglycaemia in the hospital

January 28th 2021

In this Review, we summarise the evidence from observational studies and clinical trials focusing on inpatient care of people with diabetes and stress hyperglycaemia, including the use of insulin and non-insulin treatment strategies, treatment goals, and the application of new technologies in the hospital setting (Lancet Diabetes & Endocrinology)

Categories: Management, News
Tags: hyperglycemia

Categories: Management
Tags: hyperglycemia

Caring for Hospitalized Patients with Diabetes Mellitus, Hyperglycemia, and COVID-19: Bridging the Remaining Knowledge Gaps

November 27th 2020

Changes in diabetes-related protocols and new technology can be deployed in the inpatient setting to potentially improve healthcare worker and patient safety; however, one must weigh the risks and benefits of implementation during a pandemic (Current Diabetes Reports)

Categories: News, Treatment
Tags: COVID-19, hyperglycemia

Categories: Treatment
Tags: COVID-19, hyperglycemia

National Diabetes Audit, Non-Diabetic Hyperglycaemia, 2019- 2020, Diabetes Prevention Programme, Data Release

November 20th 2020

This short report uses data collected from GP practices alongside the National Diabetes Audit (NDA) for the period January 2019 to March 2020 inclusiv (NHS Digital)

Categories: Audits, News
Tags: hyperglycemia

Categories: Audits
Tags: hyperglycemia

Multicentre analysis of hyperglycaemic hyperosmolar state and diabetic ketoacidosis in type 1 and type 2 diabetes

June 3rd 2020

HHS/DKA occurred mostly in T1D and younger patients. However, both also occurred in T2D, which is of great importance in the treatment of diabetes. Better education programmes are necessary to prevent decompensation and comorbidities (Acta Diabetologica)

Categories: News, Pathology
Tags: hyperglycemia, hyperosmolar state, Type 1 Diabetes, Type 2 Diabetes

Categories: Pathology
Tags: hyperglycemia, hyperosmolar state, Type 1 Diabetes, Type 2 Diabetes

Oral antidiabetes agents for the management of inpatient hyperglycaemia: so far, yet so close

May 24th 2020

The administration of dipeptidyl peptidase‐4 inhibitors to specific groups of inpatients might be a safe and effective alternative to insulin (Diabetic Medicine)

Categories: Medication, News
Tags: hyperglycemia, oral

Categories: Medication
Tags: hyperglycemia, oral

Hyperglycemia in Medically Critically Ill Patients: Risk Factors and Clinical Outcomes

April 14th 2020

In our high acuity medically critically ill patient population, achieving time-weighted average daily blood glucose levels <180mg/dl reliably while in the ICU significantly decreased the odds of subsequent hospital mortality. Suboptimal glycemic control during the ICU stay, on the other hand, significantly increased the odds of a longer-than-predicted ICU and hospital stay (American Journal of Medicine)

Categories: News, Treatment
Tags: hyperglycemia, ICU

Categories: Treatment
Tags: hyperglycemia, ICU

The impact of hyperglycemia on urinary albumin excretion in recent onset diabetes mellitus type II

April 9th 2020

Hyperglycemic state emerges as a powerful predictor of increased UAE even at the earliest stages of diabetes. The relative contribution of hypertension and macrovascular dysfunction to the development of microalbuminuria seems to be obscured by hyperglycemia, even in patients whose diabetes onset does not exceed a few months’ time(BMC Nephrology)

Categories: Monitoring, News
Tags: hyperglycemia, microalbuminuria, Type 2 Diabetes, UAE

Categories: Monitoring
Tags: hyperglycemia, microalbuminuria, Type 2 Diabetes, UAE

Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome: review of acute decompensated diabetes in adult patients

June 2nd 2019

This review covers recommendations for acute management of diabetic ketoacidosis and HHS, the complications associated with these disorders, and methods for preventing recurrence. It also discusses why many patients who present with these disorders are at high risk for hospital readmissions, early morbidity, and mortality well beyond the acute presentation (BMJ)

Categories: Management, News
Tags: hyperglycemia, hyperosmolar, Ketoacidosis

Categories: Management
Tags: hyperglycemia, hyperosmolar, Ketoacidosis

Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome: review of acute decompensated diabetes in adult patients

May 29th 2019

This review covers recommendations for acute management of diabetic ketoacidosis and HHS, the complications associated with these disorders, and methods for preventing recurrence. It also discusses why many patients who present with these disorders are at high risk for hospital readmissions, early morbidity, and mortality well beyond the acute presentation (BMJ)

Categories: News, Pathology
Tags: Diabetic Ketoacidosis, hyperglycemia

Categories: Pathology
Tags: Diabetic Ketoacidosis, hyperglycemia

Hyperglycemia and Adverse Pregnancy Outcome Follow-up Study (HAPO FUS): Maternal Gestational Diabetes Mellitus and Childhood Glucose Metabolism

February 21st 2019

Offspring exposed to untreated GDM in utero are insulin resistant with limited β-cell compensation compared with offspring of mothers without GDM. GDM is significantly and independently associated with childhood IGT  (Diabetes Care)

Categories: Gestational, News
Tags: hyperglycemia

Categories: Gestational
Tags: hyperglycemia

Hyperglycemia and Adverse Pregnancy Outcome Follow-up Study (HAPO FUS): Maternal Glycemia and Childhood Glucose Metabolism

February 21st 2019

Across the maternal glucose spectrum, exposure to higher levels in utero is significantly associated with childhood glucose and insulin resistance independent of maternal and childhood BMI and family history of diabetes (Diabetes Care)

Categories: Gestational, News
Tags: hyperglycemia

Categories: Gestational
Tags: hyperglycemia

A randomized comparison of three prandial insulin dosing algorithms for children and adolescents with Type 1 diabetes

June 26th 2018

The Pankowska Equation resulted in reduced postprandial hyperglycaemia at the expense of an increase in hypoglycaemia. There were no significant differences when carbohydrate counting was compared to the Food Insulin Index. Further research is required to optimize prandial insulin dosing (Diabetic Medicine)

Categories: News, Paediatrics
Tags: hyperglycemia, hypoglycemia, insulin, prandial, Type 1 Diabetes

Categories: Paediatrics
Tags: hyperglycemia, hypoglycemia, insulin, prandial, Type 1 Diabetes

Glucose alert system improves health professional responses to adverse glycaemia and reduces the number of hyperglycaemic episodes in non‐critical care inpatients

April 11th 2018

Use of a novel glucose alert system improved health professional responses to adverse glycaemia and decreased hyperglycaemia in the hospital setting (Diabetic Medicine)

Categories: Monitoring, News
Tags: hyperglycemia, inpatient

Categories: Monitoring
Tags: hyperglycemia, inpatient

The Pathophysiology of Hyperglycemia in Older Adults: Clinical Considerations

March 21st 2017

This paper reviews the pathophysiology of type 2 diabetes among older adults and the implications for hyperglycemia management in this population (Diabetes Care)

Categories: News, Pathology
Tags: hyperglycemia, Type 2 Diabetes

Categories: Pathology
Tags: hyperglycemia, Type 2 Diabetes

Management of Hyperglycemia and Diabetes in Orthopedic Surgery

March 6th 2017

This paper considers the issues surrounding orthopaedic surgery in patients with diabetes and the significance and management of hyperglycemia in the peri-operative period (Current Diabetes Reports)

Categories: Management, News
Tags: hyperglycemia, orthopaedic, surgery

Categories: Management
Tags: hyperglycemia, orthopaedic, surgery

The identification and treatment of women with hyperglycaemia in pregnancy: an analysis of individual participant data, systematic reviews, meta-analyses and an economic evaluation

December 5th 2016

Using the national standard cost-effectiveness threshold of £20,000 per QALY it is not cost-effective to routinely identify pregnant women for treatment of hyperglycaemia. Further research to provide evidence on longer-term outcomes, and more cost-effective ways to detect and treat GDM, would be valuable (NIH)

Categories: Gestational, News
Tags: GDM, hyperglycemia, QALY

Categories: Gestational
Tags: GDM, hyperglycemia, QALY

Are There Benefits for Gestational Diabetes Mellitus in Treating Lower Levels of Hyperglycemia Than Standard Recommendations?

July 29th 2016

These findings suggest a continuous association between adverse outcomes and maternal hyperglycemia and highlight the important role of maternal risk factors other than glycemic results in the development of pregnancy-related complications. Milder forms of hyperglycemia that would not be identified by IADPSG guidelines may benefit from treatment (Canadian Journal of Diabetes)

Categories: Gestational, News
Tags: hyperglycemia

Categories: Gestational
Tags: hyperglycemia

Association between hyperglycaemia and adverse perinatal outcomes in south Asian and white British women: analysis of data from the Born in Bradford cohort

September 7th 2015

Our data support the use of lower fasting and post-load glucose thresholds to diagnose gestational diabetes in south Asian than white British women (BMJ)

Categories: Gestational, News
Tags: Asian, British, hyperglycemia

Categories: Gestational
Tags: Asian, British, hyperglycemia

Hyperglycaemic hyperosmolar syndrome in children: Patient characteristics, diagnostic delays and associated complications

August 5th 2015

Characteristics of children with HSS are variable for age, gender and BMI-for-age percentile and not predominately limited to obese male adolescent African-American. Delay in diagnosis is common and morbidity and mortality in paediatric HHS are significant (Journal of Paediatrics and Child Health)

Categories: News, Treatment
Tags: hyperglycemia, hyperosmolar

Categories: Treatment
Tags: hyperglycemia, hyperosmolar

Management of Hyperglycemia and Enteral Nutrition in the Hospitalized Patient

July 6th 2015

This review discusses the incidence of hyperglycemia, the pathogenesis of hyperglycemia, factors contributing to hyperglycemia in the hospitalized patient, glycemic management goals, current glycemic management recommendations, and considerations for EN formula selection, administration, and treatment (Nutrition in Clinical Practice)

Categories: News, Treatment
Tags: hyperglycemia

Categories: Treatment
Tags: hyperglycemia
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