Stress Hyperglycemia in the ICU

Stress Hyperglycemia in the ICU - EMCrit Project

Stress hyperglycemia refers to elevation of glucose as part of the stress response. Hyperglycemia correlates with greater levels of stress and disease severity.

Hyperglycemia in Critically Ill Patients: Management and Prognosis

Stress hyperglycemia is associated with increased risk for critical illness polyneuropathy (CIP). The pathogenesis of CIP is not fully explored, but the release ...

Stress Hyperglycemia in Critically Ill Patients: Insight Into Possible ...

Conclusions. Stress hyperglycemia in critical illness may have some beneficial effects by supplying much-needed glucose to affected and hypo ...

Glycemic control in critically ill adult and pediatric patients - UpToDate

Uncontrolled hyperglycemia is common in critically ill patients (also called stress hyperglycemia or critical illness hyperglycemia). In ...

Stress hyperglycemia: an essential survival response! - Critical Care

The neuroendocrine response to stress is characterized by excessive gluconeogenesis, glycogenolysis and insulin resistance (Figure 1) [5].

Prognostic significance of the stress hyperglycemia ratio in critically ...

The stress hyperglycemia ratio (SHR) has demonstrated a noteworthy association with unfavorable cardiovascular clinical outcomes and ...

Stress hyperglycemia, cardiac glucotoxicity, and critically ill patient ...

Stress hyperglycemia describes a state of blood glucose deregulation that occurs during a period of acute physiological stress (Dungan et al., ...

Admission hyperglycemia and outcome in ICU patients with sepsis

Stress hyperglycemia is a very common feature in the intensive care (ICU) setting and it is related to multiple causes that include inflammatory and neuro ...

Stress Hyperglycemia: An Essential Survival Response! - Lippincott

Numerous studies in both ICU and hospitalized non-ICU patients have demonstrated a strong association between hyperglycemia and poor clinical outcomes. Based on ...

Tight versus liberal blood-glucose control in the intensive care unit

Stress hyperglycaemia, hypoglycaemia, and diabetes are common in critically ill patients and related to clinical endpoints. To avoid complications related ...

Glycemic control in the critically ill: Less is more

Initial clinical trials of intensive insulin therapy targeting blood glucose levels of 80 to 110 mg/dL showed improved outcomes, but subsequent ...

Management of Hyperglycemia in Critical Care

Studies support the use of intensive insulin therapy in critically ill patients both with and without diabetes mellitus (DM). Glycemic variability and ...

Relative Hyperglycemia, a Marker of Critical Illness - Oxford Academic

Previous studies have reported that stress hyperglycemia with an absolute glucose concentration of <10 mmol/L is associated with adverse patient ...

Critical Care Management of Stress-Induced Hyperglycemia

Current guidelines advise setting less strict target ranges to reduce hypoglycemia. Although solid data supporting efficacy are lacking, this ...

Stress-induced Hyperglycemia Ratio as an Independent Risk Factor ...

Stress-induced hyperglycemia, as evaluated using the SHR, was associated with increased in-hospital mortality and worse clinical outcomes in these critically ...

Pathophysiology of stress hyperglycemia in critical illness.

12 The pathophysiology of stress-induced hyperglycemia is mostly a neuroendocrine response which is characterized by excessive gluconeogenesis, glycogenolysis, ...

Stress-Induced Hyperglycemia - Critical Care Clinics

Abstract. Stress-induced hyperglycemia is a common problem in patients admitted to the ICU, even when glucose homeostasis has previously been normal.

Hyperglycemia and Insulin Management in Critically Ill Patients

Whether diabetic or nondiabetic, patients can develop stress-induced hyperglycemia because of the body's response to the disruption in ...

Diabetic and nondiabetic hyperglycemia in the ICU - ScienceDirect

Stress hyperglycemia is associated with a worse outcome in both diabetic and nondiabetic patients and blood glucose levels on admission are an independent ...

Lack of recognition and documentation of stress hyperglycemia is a ...

Patients with hyperglycemia in the hospital can be classified into three different categories: known diabetes, undiagnosed diabetes, or true ...