Response to comment on article “Association between stress hyperglycemia and inhospital complications”
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Keywords
Stress, Hyperglycemia, Inhospital complications
Abstract
We consider that the definition of stress hyperglycemia used in the article “Association Between Stress Hyperglycemia and In-Hospital Complications” is appropriate, as Dungan et al. propose two diagnostic categories of stress hyperglycemia: in-hospital hyperglycemia according to the ADA definition (fasting glucose greater than 6.9 mmol/L or random glucose greater than 11.1 mmol/L without prior evidence of diabetes), and pre-existing diabetes with poor glycemic control. Therefore, the term “stress hyperglycemia” is applicable in both cases. Furthermore, it is correct to use either “in-hospital hyperglycemia” or “stress hyperglycemia” since, according to the consensus definition of the American Diabetes Association (ADA) and the American Association of Clinical Endocrinologists (AACE), both terms refer to any serum glucose concentration greater than 140 mg/dL.
References
Dungan KM, Braithwaite SS, Preiser JC. Stress hyperglycaemia. Lancet 2009;373(9677):1798–1807.
McDonnell ME, Umpierrez GE. Insulin therapy for the management of hyperglycemia in hospitalized patients. Endocrinol Metab Clin North Am 2012;41(1):175–201.
Galindo-García G, Galván-Plata ME, Nellen-Hummel H, Almeida-Gutiérrez E. Asociación entre hiperglucemia de estrés y complicaciones intrahospitalarias. Rev Med Inst Mex Seguro Soc 2015;53 (1):6-12.
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