La hiperglucemia es un hallazgo frecuente en todo paciente hospitalizado y se considera un factor de riesgo importante por su elevada morbilidad y mortalidad. Se dan a conocer algunos aspectos relevantes para su detección y tratamiento, además de una propuesta educativa multidisciplinaria con metas razonables, alcanzables y seguras.
Bruno A, Kent TA, Coull BM. Treatment of hyper-glycemia in ischemic stroke: a randomized pilot trial. Stroke 2008;39:384-389.
Bagshaw SM, Egi M, George C. Early blood glucose control and mortality in critically ill patients in Aus-tralia. Crit Care Med 2009;37:463-470.
Van den Berghe G. How does blood glucose control with insulin save lives in intensive care? J Clin Invest 2004;114:1187-1195.
Griesdale D, Souza R, Van Dam R, PhD, Heyland D, Cook D Intensive insulin therapy and mortality among critically ill patients: a meta-analysis inclu-ding NICE-SUGAR study data. CMAJ 2009;180: 821-827
Cefalu WT. Mortality and glycemic targets in the intensive care unit: another paradigm shift? Dia-betes 2009;58:1469-1470.
Langouche L, Vanhorebeek I, Vlassealaers D. Intensive insulin therapy protects the endothelium of critically ill patients. J Clin Invest 2005;115: 2277-2286.
Moghissi ES, Korytkowski MT, DiNardo M, Einhorn D, Hellman R, Hirsch IB, et al. American Association of Clinical Endocrinologist and American Diabetes Association Consensus Statement on inpatient Glycemic Control. Endocrinol Pract 2009;15:353-369.
Tamez-Pérez HE, Gutiérrez-Hermosillo H, Cedillo-Rodríguez J, Mora-Torres NE, Hernández-Coria MI, Gómez-de Ossio MD. Tratamiento con insulina en el paciente hospitalizado con diabetes mellitus tipo 2. Med Int Mex 2007;23:196-199.
Brunkhorst FM, Engel C, Bloss F, et al. Intensive insulin therapy and pentastarch resuscitation in severe sepsis. N Engl J Med 2008;358:125-139.
Institute of healthcare improvement. Implement effective glucose control; establish a glycemic control policy in your ICU. Cambrige (MA): The Insti-tute; Disponible en http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/Implement-EffectiveGlucoseControl.htm
Farah R, Samokhvalov A, Zviebel F, et al. Insulin therapy of hyperglycemia in intensive care. Isr Med Assoc J 2007;9:140-142.
McMullin J, Brozek J, McDonald E, et al. Lowering of glucose in critical care: a randomized pilot trial. J Crit Care 2007;22:112-118.