RESUMEN
OBJECTIVES: To assess in hospitalized patients the prevalence of hyperglycemia, degree of glycemic control, rate of hypoglycemia, and treatment used. PATIENTS AND METHODS: A prospective, observational study. RESULTS: Hyperglycemia was found in 185 (26.7%) of 691 patients, of whom 85% had been diagnosed with diabetes and 15% had no diabetes. Preprandial mean blood glucose was 169 mg/dL (95% CI 160-177). Control goals were achieved by 34.5% of patients (blood glucose ≤140 mg/dL). In 121 patients only sliding-scale regular insulin was used, while 64 patients received both basal and regular insulin. The mean daily insulin dose used was 19.5 units. Oral antidiabetics were given to 11.4% of patients. Thirteen patients (7%) experienced hypoglycemia (< 70 mg/dL), none of them severe. CONCLUSIONS: Glycemic control is not adequate in hospitalized patients, probably because of overuse of sliding scales and the low insulin doses used.
Asunto(s)
Diabetes Mellitus/tratamiento farmacológico , Hospitalización , Hiperglucemia/tratamiento farmacológico , Hipoglucemia/tratamiento farmacológico , Anciano , Glucemia/análisis , Estudios Transversales , Diabetes Mellitus/sangre , Diabetes Mellitus/epidemiología , Femenino , Humanos , Hiperglucemia/sangre , Hiperglucemia/epidemiología , Hipoglucemia/sangre , Hipoglucemia/epidemiología , Masculino , Prevalencia , Estudios ProspectivosRESUMEN
Conocer la prevalencia de hiperglucemia en pacientes ingresados, el grado de control glucemico, la tasa de hipoglucemias y el tratamiento utilizado. Material y métodos Estudio observacional de corte transversal. Resultados De 691 pacientes, 185 (26,7%) tenían (..) (AU)
Objectives: To assess in hospitalized patients the prevalence of hyperglycemia, degree of glycemiccontrol, rate of hypoglycemia, and treatment used. Patients and (..) (AU)