Acute cellular insulin resistance and hyperglycemia associated with hypophosphatemia after cardiac surgery.
A A Case Rep
; 4(2): 22-5, 2015 Jan 15.
Article
em En
| MEDLINE
| ID: mdl-25611002
ABSTRACT
Successful glycemic control reduces morbidity and mortality in cardiac surgery patients. Protocols that include insulin infusions are commonly followed to achieve target blood glucose levels. Insulin resistance has been reported and linked to low serum phosphate levels in animal models and studies in diabetic outpatients, but not in postoperative patients. The following case series is a retrospective observational review of 8 cardiac surgery patients who developed insulin resistance early after surgery; this resistance was reversed by correcting serum hypophosphatemia. We discuss the multiple underlying mechanisms causing hypophosphatemia.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
6_ODS3_enfermedades_notrasmisibles
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Resistência à Insulina
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Hipofosfatemia
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Procedimentos Cirúrgicos Cardíacos
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Hiperglicemia
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
/
Middle aged
Idioma:
En
Revista:
A A Case Rep
Ano de publicação:
2015
Tipo de documento:
Article