title: Hyperglycemia during the immediate period following liver transplantation.
abstract: OBJECTIVE
  High blood glucose levels in the hospital are common among transplant recipients.
  
  
  METHODS
  Retrospective analysis, stratified by diagnosis of pretransplant diabetes mellitus (DM).
  
  
  RESULTS
  Of 346 patients, 96 had pretransplant DM (insulin, n = 60; no insulin, n = 36) and 250 did not. Patients with pretransplant DM had higher inpatient mean glucose levels and more hyperglycemia and hypoglycemia (all p < 0.01). For patients without pretransplant DM, the need for insulin at discharge increased 23% for every 5-year age increase (odds ratio: 1.23; 95% CI: 1.06-1.44; p = 0.007) and 51% for every five units of glucose measurements >180 mg/dl (OR: 1.51; 95% CI: 1.23-1.95; p < 0.01).
  
  
  CONCLUSIONS
  Inpatient hyperglycemia was common in liver transplant recipients. Hospital practitioners must anticipate the need to teach self-management skills to liver transplant recipients.
authors.affiliation: Division of Gastroenterology & Hepatology, Mayo Clinic Hospital, Phoenix, AZ 85054, USA; Division of Gastroenterology & Hepatology, Mayo Clinic Hospital, Phoenix, AZ 85054, USA.
authors.forename: K Tuesday
authors.initials: KT
authors.lastname: Werner
authors.affiliation: Division of Endocrinology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA; Division of Endocrinology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Mackey
authors.affiliation: Information Technology, Mayo Clinic Hospital, Phoenix, AZ 85054, USA; Information Technology, Mayo Clinic Hospital, Phoenix, AZ 85054, USA.
authors.forename: Janna C
authors.initials: JC
authors.lastname: Castro
authors.affiliation: Division of Gastroenterology & Hepatology, Mayo Clinic Hospital, Phoenix, AZ 85054, USA; Division of Gastroenterology & Hepatology, Mayo Clinic Hospital, Phoenix, AZ 85054, USA.
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Carey
authors.affiliation: Division of Nephrology, Mayo Clinic Hospital, Phoenix, AZ 85054, USA; Division of Nephrology, Mayo Clinic Hospital, Phoenix, AZ 85054, USA.
authors.forename: Harini A
authors.initials: HA
authors.lastname: Chakkera
authors.affiliation: Division of Endocrinology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA; Division of Preventive, Occupational & Aerospace Medicine, Mayo Clinic, Scottsdale, AZ 85259, USA; Division of Endocrinology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA; Division of Preventive, Occupational & Aerospace Medicine, Mayo Clinic, Scottsdale, AZ 85259, USA.
authors.forename: Curtiss B
authors.initials: CB
authors.lastname: Cook
keywords: diabetes mellitus; hospital; hyperglycemia; inpatient; liver transplant