~ High Blood Sugar Levels Correlate with Intensive Care Mortality
Research published in the December 2003 issue of Mayo Clinic Proceedings has found an association between an elevation of blood glucose and the chance of dying in an intensive care unit. The finding was valid for diabetic and nondiabetic patients.
Clinical professor of medicine at the Columbia University College of Physicians and Surgeons, James Stephen Krinsley MD, analyzed data for 1,826 individuals who had been patients in the intensive care unit at The Stamford Hospital in Stamford, Connecticut. Diabetes was present in 22.4 percent of the group.
Dr Krinsley found that even a small elevation in blood glucose was associated with a significant increase in the deaths of patients with a variety of diagnoses. Among patients whose mean glucose levels were between 80 and 99 milligrams per deciliter, mortality rates were 9.6 percent. For those whose mean glucose levels were between 100 and 119 milligrams per deciliter (considered normal) mortality rose to 12.2 percent.
Mortality rates increased to 42.5 percent among patients whose mean glucose values were in excess of 300 milligrams per deciliter.
Hyperglycemia, or elevated blood sugar, is a common finding among the critically ill. Although it has been standard practice to tolerate a mild elevation in blood glucose in these patients, this study's findings suggest that glucose should be better managed and that additional studies should be conducted.
In an accompanying editorial in Mayo Clinic Proceedings, the Douglas B Coursin MD and Michael J Murray PhD, MD ask whether or not the relationship between hyperglycemia and increased mortality among the severely ill is causal. Dr Krinsley commented, "Although hyperglycemia can be a marker of severity of illness, it may also worsen outcomes. We think that tight glucose control results in improved vascular function and lower risk of infection."
Additionally, diabetes experts attending the American College of Endocrinology Consensus Development Conference on Inpatient Diabetes and Metabolic Control presented new guidelines today which recommend that all hospitalized patients, especially those in the critical care unit, those undergoing surgery and those with cardiovascular disease receive intensive monitoring and treatment to control blood sugar. Conference attendees said that adding the new recommendations will revolutionize patient care, reduce complications and save lives.
Read more about Diabetes
Free Shipping in the Continental U.S. on Orders over $50
The statements made here have not been evaluated by the FDA. The foregoing statements are based upon sound and reliable studies, and are meant for informational purposes. Consult with your medical practitioner to determine the underlying cause of your symptoms. Please always check your purchase for possible allergins and correct dosage on the bottle before use.
While we work to ensure that product information is correct, on occasion manufacturers may alter their ingredient lists. Actual product packaging and materials may contain more and/or different information than that shown on our Web site. We recommend that you do not solely rely on the information presented and that you always read labels, warnings, and directions before using or consuming a product. For additional information about a product, please contact the manufacturer. Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. You should not use this information as self-diagnosis or for treating a health problem or disease. Contact your health-care provider immediately if you suspect that you have a medical problem. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease or health condition. Life Ex Online assumes no liability for inaccuracies or misstatements about products.