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Interpretation of Chinese Society of Endocrinology consensus statement on hyperglycemia management target in adult inpatients in China (中华医学会内分泌学分会《中国成人住院患者高血糖管理目标专家共识》解读)

Authors

  • Qing-guo Lü,

    1. Division of Endocrinology and Metabolism, West China Hospital of Sichuan University, Chengdu, China
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  • Nan-wei Tong

    Corresponding author
    1. Division of Endocrinology and Metabolism, West China Hospital of Sichuan University, Chengdu, China
    • Correspondence

      Nan-wei Tong, Division of Endocrinology and Metabolism, West China Hospital of Sichuan University, No. 37 Guoxue Lane, Chengdu, Sichuan 610041, China.

      Tel: +86 28 8542 2402

      Fax: +86 28 8542 3459

      Email: buddyjun@hotmail.com

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Abstract

Hyperglycemia of inpatients will increase the incidence of complications, mortality and medical cost, meanwhile prolong the course of hospitalization. A consensus on hyperglycemia management target in adult inpatients is proposed by experts of the Chinese Society of Endocrinology in order to control hyperglycemia of inpatients safely and effectively. Individualization is emphasized in this consensus. Different stratified glycemic targets should be established according to different patients and conditions. Target blood glucose control is unnecessary for diabetic patients during hospital stay. Glycemic decrement should generally not be quick. Hypoglycemia should be avoided as much as possible, and for overweight and obesity individuals, weight gain should be avoided as much as possible also. At the same time, the risks of infection and hyperglycemic crisis must also be avoided due to loose glycemic control.

摘要

住院患者的高血糖可增加其并发症的发生率、死亡率及医疗费用,并延长住院时间。为安全、有效的控制住院患者的高血糖,中华医学会内分泌学分会组织相关专家制定了关于中国成人住院患者高血糖管理的共识。共识强调个体化原则。根据不同的患者和不同的病情制定血糖控制目标。糖尿病患者住院期间血糖不一定要求达标。不建议快速降糖。降糖治疗应尽量避免低血糖,避免超重和肥胖患者的体重增加。同时避免宽松血糖管理导致的感染和高血糖危象的风险增加。

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