Does glycemic status at admission predict mortality in noncritically ill hospitalized patients?

Shilpa Harish Jain, Rajesh Garg

Research output: Contribution to journalComment/debatepeer-review

Abstract

Hyperglycemic patients hospitalized as a result of acute medical conditions are prone to increased morbidity and mortality. In this Practice Point commentary, we discuss a study by Baker et al., which suggests that newly detected hyperglycemia is an important predictor of mortality in this patient group. In addition, an HbA1c level of >6% identified patients at the highest risk of death. Efforts to control glycemia should, therefore, be focused on this group. Unfortunately, optimal targets and treatment strategies for glycemic control in noncritically ill patients have not yet been determined. Tight glycemic control is associated with a potential risk of hypoglycemia; however, glucose levels within the normal range might result in improved outcomes. Furthermore, several studies suggest a direct beneficial effect of insulin therapy. Although the evidence is incomplete, it seems prudent to initiate insulin treatment whenever hyperglycemia is recognized in a hospitalized patient.

Original languageEnglish (US)
Pages (from-to)546-547
Number of pages2
JournalNature Clinical Practice Endocrinology and Metabolism
Volume4
Issue number10
DOIs
StatePublished - Oct 2008
Externally publishedYes

Keywords

  • Diabetes mellitus
  • HbA
  • Hyperglycemia
  • Inpatient
  • Insulin

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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