Resumen

SANCHEZ, Miguel  y  GRUPO DE ENDOCRINOLOGIA MERIDA (ENDO-MER) et al. Manejo de la hiperglucemia en el paciente hospitalizado con diabetes mellitus. Rev. Venez. Endocrinol. Metab. [online]. 2014, vol.12, n.1, pp.34-40. ISSN 1690-3110.

Hyperglycemia is a common finding in hospitalized patients. It is present in 40% of critically ill patients. Patients with type 2 Diabetes Mellitus (T2DM) accounts for 30% of them. The pre-meal glucose levels regarded as safe in patients treated with insulin are those around 140 mg/dL, and casual levels less than 180 mg/dL. Blood glucose levels between 110 and 140 mg/dL are recommended in patients with lower risk of hypoglycemia. When a diabetic patient is hospitalized, calculate 1.5 to 2 times the previous dose of insulin, and in those with oral hypoglycemic agents (OHA) or in debut, the insulin doses may be used at 0.3-0.5 IU/kg/day. The scheme must be individualized, and the use of basal insulin (intermediate or slow), preprandial (fast) and correction (fast) is recommended. The protocol used in our Endocrinology Unit is presented.

Palabras clave : Diabetes mellitus; hyperglycemia; hospitalization; insulin.

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