title: [Management of hyperglycemia in hospitalized patients].
abstract: Diabetes is a global health problem and Mexico rank sixth in prevalence of this entity. In our country, is the leading cause of death and is a major cause of hospital care being responsible for about 1 in 5 discharges. In the hospital setting, it has been observed that hyperglycemia, both diabetic and non-diabetic patients, is associated with an increased risk of complications, disability and death, and that adequate control in the blood glucose level produces a reduction in these complications. With these bases, several associations have recommended the treatment of hospital hyperglycemia through insulin administration, with the therapeutic goal of maintaining a fasting blood glucose level between 100-140 mg/dL and glucose at any time of day less than 180 mg/dL. The insulin application method most recommended consisting in a basal-bolus regimen which has shown efficacy with a low risk of hypoglycemia. The usual practice of the application of insulin through a correction scheme should be abandoned because it is inefficient and involves risks.
authors.affiliation: Departamento de Medicina Interna, Hospital de Especialidades, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Distrito Federal, México. ken_monsters@hotmail.com.
authors.forename: Abraham Edgar
authors.initials: AE
authors.lastname: Gracia-Ramos
authors.forename: María Pilar
authors.initials: MP
authors.lastname: Cruz-Domínguez
authors.forename: Eduardo Osiris
authors.initials: EO
authors.lastname: Madrigal-Santillán
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Morales-González
authors.forename: Olga Lidia
authors.initials: OL
authors.lastname: Vera-Lastra
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D004334:Drug Administration Schedule; D006760:Hospitalization; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy* / Q000517:prevention & control; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D061385:Insulins / Q000627:therapeutic use*
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D061385:Insulins
keywords: Diabetes mellitus; Hospitalization; Hyperglycemia; Insulin