Diabetes mellitus may not increase mortality of patients in intensive care units
10.3760/cma.j.issn.1000-6699.2010.06.029
- VernacularTitle:糖尿病未必增加重症监护病房患者的死亡率
- Author:
Tingting HAN
;
Yaomin HU
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Critical illness;
Intensive care unit;
Oxidative stress
- From:
Chinese Journal of Endocrinology and Metabolism
2010;26(6):524-526
- CountryChina
- Language:Chinese
-
Abstract:
In recent years,several studies have revealed that diabetic patients may have decreased mortality compared with non-diabetic patients from acute hyperglycemia in intensive care units (ICUs),and the patients without diabetic history are most likely to benefit from intensive insulin therapy.This probably suggests a potential "protective" effect in diabetic patients with critical illness.Possible "protective" mechanisms include the adaptive reaction to chronic oxidative stress state in diabetes,the decreased incidence of acute complications followed by critical illness,and some non-biological factors.Thus much more attention of glycemic management should be paid to those hyperglyemic patients without diabetic history in ICUs.
